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 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
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 226
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 359
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 610
DTLL Signed Letter February 16, 2018 0.2 MiB 153
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 338

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
Workgroup-cco-charter June 9, 2016 79 KiB 487
Consultation Summary 11-30-11 June 9, 2016 98 KiB 313
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 488
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 6
Workgroups-external-roster-full June 9, 2016 0.1 MiB 710

The most recent policy issues for Idaho:

Name Date Size Hits
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 298
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 5
Letter To Debbie Field April 6, 2016 0.1 MiB 300
Save The Date FlyerNov April 6, 2016 0.1 MiB 227
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 181

The most recent policy issues for Washington:

Name Date Size Hits
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 632
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 175
Dear Interested Partners: April 5, 2016 0.6 MiB 967
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 199
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 303