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
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 738
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 698
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 686
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 596
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 530
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 523
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 514
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 471
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 444
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 433
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 427
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 415
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 408
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 407
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 395
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 380
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 371
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 368
u April 5, 2016 0.3 MiB 367
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 367
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 346
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 343
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 335
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 332
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 325

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
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 738
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 686
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 667
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 502
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 478
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 458
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 437
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 437
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 408
The HHS Region 10 April 6, 2016 0.1 MiB 403
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 384
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 377
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 371
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 313
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 311
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 293
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 278
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 276
DTLL Signed Letter February 16, 2018 0.2 MiB 204
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 26
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 12
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 12
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 8
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 7
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 7

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 27
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

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 1048
Workgroups-external-roster-full June 9, 2016 0.1 MiB 823
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 598
Workgroup-cco-charter June 9, 2016 79 KiB 548
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 534
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 530
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 521
SB738 March 14, 2017 57 KiB 472
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 462
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 420
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 404
Consultation Summary 11-30-11 June 9, 2016 98 KiB 375
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 360
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 360
December 2011 June 9, 2016 0.2 MiB 358
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 352
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 287
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 159
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 15
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 11
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 11
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 11
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 9
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 9
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 9

The most recent policy issues for Idaho:

Name Date Size Hits
3 April 6, 2016 8.1 MiB 792
5 April 6, 2016 14.4 MiB 672
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 483
Wildhorse Resort April 6, 2016 56 KiB 477
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 447
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 407
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 377
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 362
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 353
Oregon Community Partner April 6, 2016 1.7 MiB 337
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 335
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 330
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 325
Letter To Debbie Field April 6, 2016 0.1 MiB 321
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 314
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 307
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 288
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 274
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 274
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 273
Save The Date FlyerNov April 6, 2016 0.1 MiB 270
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 257
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 252
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 242
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 230

The most recent policy issues for Washington:

Name Date Size Hits
Dear Interested Partners: April 5, 2016 0.6 MiB 1135
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 834
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 712
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 578
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 559
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 451
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 420
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 395
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 386
5079-S SL March 14, 2017 64 KiB 383
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 346
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 343
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 335
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 232
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 207

Coming soon!