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
IHS CHAP Letter Template October 19, 2016 28 KiB 233
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 447
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 489
Federal Register Updates April 5, 2016 34 KiB 279
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 509
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 383
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 184
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 127
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 628
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 317
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 325
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 29
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 239
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 563
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 253
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 252
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 154
CHAP DTLL 01042017 January 10, 2017 97 KiB 193
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 10
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 16
DTLL CSC 04132018 April 20, 2018 0.1 MiB 19
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 176
67249 April 5, 2016 0.1 MiB 251
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 125
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 292

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
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 383
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 284
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 271
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 354
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 628
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 3
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 414
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 2
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 274
The HHS Region 10 April 6, 2016 0.1 MiB 384
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 485
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 421
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 2
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 2
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 248
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 388
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 673
DTLL Signed Letter February 16, 2018 0.2 MiB 174
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 357
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 2
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 3
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 4
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 23
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 444
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 2

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 15
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 13
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 23

The most recent policy issues for Oregon:

Name Date Size Hits
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 5
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 5
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 954
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 420
SB738 March 14, 2017 57 KiB 425
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 5
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 7
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 257
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 6
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 494
Workgroup-cco-charter June 9, 2016 79 KiB 509
Consultation Summary 11-30-11 June 9, 2016 98 KiB 341
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 506
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 9
Workgroups-external-roster-full June 9, 2016 0.1 MiB 762
December 2011 June 9, 2016 0.2 MiB 326
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 384
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 343
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 6
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 4
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 296
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 492
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 347
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 540
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 138

The most recent policy issues for Idaho:

Name Date Size Hits
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 149
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 426
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 191
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 141
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 375
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 30
Wildhorse Resort April 6, 2016 56 KiB 455
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 158
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 312
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 241
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 319
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 10
Letter To Debbie Field April 6, 2016 0.1 MiB 307
Save The Date FlyerNov April 6, 2016 0.1 MiB 249
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 191
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 294
IdahoInsuranceExchange April 6, 2016 0.1 MiB 170
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 254
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 292
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 314
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 144
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 191
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 163
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 140
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 139

The most recent policy issues for Washington:

Name Date Size Hits
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 424
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 317
5079-S SL March 14, 2017 64 KiB 354
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 367
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 515
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 351
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 552
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 311
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 378
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 719
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 665
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 187
Dear Interested Partners: April 5, 2016 0.6 MiB 1040
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 211
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 322

Coming soon!