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 208
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 407
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 449
Federal Register Updates April 5, 2016 34 KiB 264
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 486
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 Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 10
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 7
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 14

The most recent policy issues for Oregon:

Name Date Size Hits
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 838
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 376
SB738 March 14, 2017 57 KiB 360
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 1
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 1

The most recent policy issues for Idaho:

Name Date Size Hits
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 116
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 398
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 153
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 108
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 335

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 397
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 280
5079-S SL March 14, 2017 64 KiB 313
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 329
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 477