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
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 671
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 610
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 595
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 529
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 494
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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
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 18
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 12
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 9

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 873
Workgroups-external-roster-full June 9, 2016 0.1 MiB 710
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 504
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 488
Workgroup-cco-charter June 9, 2016 79 KiB 487
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The most recent policy issues for Idaho:

Name Date Size Hits
3 April 6, 2016 8.1 MiB 680
5 April 6, 2016 14.4 MiB 582
Wildhorse Resort April 6, 2016 56 KiB 429
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 411
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 408
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The most recent policy issues for Washington:

Name Date Size Hits
Dear Interested Partners: April 5, 2016 0.6 MiB 967
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 638
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 632
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 523
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 485