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
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 293
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 290
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 289
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 287
03 Aoki SUPP May 4, 2017 0.2 MiB 285
Federal Register Updates April 5, 2016 34 KiB 279
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 263
Faq11817 January 20, 2017 0.2 MiB 259
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 253
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 252
67249 April 5, 2016 0.1 MiB 251
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 251
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 251
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 239
IHS CHAP Letter Template October 19, 2016 28 KiB 234
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 211
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 202
THP Training August2017 Final January 11, 2018 1.3 MiB 197
CHAP DTLL 01042017 January 10, 2017 97 KiB 193
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 184
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 176
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 172
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 172
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 172
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 165

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

The most recent policy issues for Oregon:

Name Date Size Hits
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 4

The most recent policy issues for Idaho:

Name Date Size Hits
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 200
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 192
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 191
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 191
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 179
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 175
IdahoInsuranceExchange April 6, 2016 0.1 MiB 171
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 167
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 164
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 159
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 154
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 149
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 145
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 144
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 144
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 142
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 141
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 140
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 140
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 83
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 81
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 30
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 10

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!