Policy Overview

The Northwest Portland Area Indian Health Board (NPAIHB) conducts health policy and legislative analysis on health care and budget issues affecting Indian health programs. The Board analyzes the Indian Health Service budget and other health care financing programs that impact Indian health care programs. NPAIHB also prepares Congressional testimony for health care financing and other important health policy issues at the federal and state levels. Click on the respective links to access detailed information about each aspect.

Everyone is welcome to join the online Policy Forum

This forum is a discussion space for our tribal communities to share questions, tips, and resources.

There is a “legal and political relationship” between the United States and Indian Tribes, which establishes a federal responsibility to provide health services to Indian people.  This federal obligation is established in the US Constitution, through treaties and Presidential Executive Orders entered into between the United States and Indian Tribes.  This obligation has been affirmed through numerous court decisions, legislation, and policy declarations by Presidential Administrations.  This federal relationship forms the legal and moral foundation for the creation of health policies between the United States and Indian Tribes.

The Northwest Portland Area Indian Health Board is dedicated to upholding the responsibility of the United States to provide health services to Indian people under the federal trust relationship by:

  • Advocating and educating Congressional representatives on treaty rights and how such rights relate to health care in Indian Country.
  • Developing an Annual Legislative plan to provide recommendations on the President’s annual budget and other health care financing programs like Medicare and Medicaid.
  • Tracking legislation and other important health policy issues that affect the delivery of health care to American Indian and Alaska Native people.
  • Finally, facilitating consultation between state and federal agencies and Tribal leaders on health policy issues in order to understand respective concerns to make important decisions on programs and services that effect Indian people.

To learn about Senate Bills and House Reports that may affect American Indian and Alaska Native people in the Northwest read on, or visit Resolutions.

See the Senate Indian Affairs Committee and the House Resources SubCommittee on Indian and alaska Native Affairs for a list of legislation that impacts Indian programs. Pending legislation can be tracked using the Floor Activity weekly feature of Thomas.

 

The most recent Federal policy updates:

Name Date Size Hits
03 Aoki SUPP May 4, 2017 0.2 MiB 258
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 226
u April 5, 2016 0.3 MiB 315
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 164
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 577
1
2
3

13

The Northwest Portland Area Indian Health Board (NPAIHB or Board) understands the significance of tracking appropriations for the Indian Health Service (IHS) budget.  The IHS budget is the most important source of funding for Indian health programs, and is a recognized obligation of the federal government to provide health services to Indian people.

NPAIHB continues a long-standing tradition of close scrutiny of the IHS budget that began in the 1980s.  The federal trust responsibility and the relationship between Tribes and the federal government, by definition, require a partnership in developing the IHS budget.  Northwest Tribes are dedicated to this partnership by creating an Annual Budget Analysis and Recommendations Report as well as tracking appropriations to IHS programs.

The most recent IHS Budget updates:

 

Name Date Size Hits
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 452
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 225
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 227
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 577
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 356

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 10
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 15
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 7

The most recent policy issues for Oregon:

Name Date Size Hits
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 329
Consultation Summary 11-30-11 June 9, 2016 98 KiB 298
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 839
December 2011 June 9, 2016 0.2 MiB 289
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 482

The most recent policy issues for Idaho:

Name Date Size Hits
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 395
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 128
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 249
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 230
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 336

The most recent policy issues for Washington:

Name Date Size Hits
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 511
5079-S SL March 14, 2017 64 KiB 313
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 398
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 618
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 193