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
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 249
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 303
CHAP DTLL 01042017 January 10, 2017 97 KiB 179
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 290
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 526

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
The HHS Region 10 April 6, 2016 0.1 MiB 361
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 504
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 18
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 394
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 274

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 2
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 328
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 254
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 387
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 373

The most recent policy issues for Idaho:

Name Date Size Hits
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 162
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 142
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 187
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 151
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 163

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 338
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 289
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 291
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 319
Dear Interested Partners: April 5, 2016 0.6 MiB 957