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 249
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 471
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 523
Federal Register Updates April 5, 2016 34 KiB 284
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 531
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 408
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 199
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 143
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 686
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 343
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 367
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 45
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 245
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 596
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 265
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 279
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 173
CHAP DTLL 01042017 January 10, 2017 97 KiB 202
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 13
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 19
DTLL CSC 04132018 April 20, 2018 0.1 MiB 22
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 186
67249 April 5, 2016 0.1 MiB 260
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 130
NPAIHB ONC Health IT Strategy FINAL January 29, 2019 0.1 MiB 4

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 408
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 293
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 276
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 378
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 686
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 7
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 480
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 8
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 311
The HHS Region 10 April 6, 2016 0.1 MiB 404
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 502
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 437
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 5
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 5
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 278
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 437
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 738
DTLL Signed Letter February 16, 2018 0.2 MiB 204
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 385
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 5
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 7
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 8
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 26
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 460
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 6

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 18
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 17
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 27

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 9
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 9
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1049
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 462
SB738 March 14, 2017 57 KiB 473
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 9
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 11
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 288
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 11
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 531
Workgroup-cco-charter June 9, 2016 79 KiB 548
Consultation Summary 11-30-11 June 9, 2016 98 KiB 376
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 534
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 15
Workgroups-external-roster-full June 9, 2016 0.1 MiB 823
December 2011 June 9, 2016 0.2 MiB 359
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 404
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 360
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 11
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 10
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 352
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 522
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 361
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 599
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 159

The most recent policy issues for Idaho:

Name Date Size Hits
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 174
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 448
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 231
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 166
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 407
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 46
Wildhorse Resort April 6, 2016 56 KiB 479
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 186
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 330
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 252
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 335
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 26
Tribal Mtg Coordination 2019 February 15, 2019 92 KiB 1
Letter To Debbie Field April 6, 2016 0.1 MiB 321
Save The Date FlyerNov April 6, 2016 0.1 MiB 270
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 213
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 314
IdahoInsuranceExchange April 6, 2016 0.1 MiB 181
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 288
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 307
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 325
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 163
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 203
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 198
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 153

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 451
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 343
5079-S SL March 14, 2017 64 KiB 384
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 395
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 561
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 387
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 578
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 335
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 420
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 836
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 712
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 207
Dear Interested Partners: April 5, 2016 0.6 MiB 1136
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 232
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 347

Coming soon!