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
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 303
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 165
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 127
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 181
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 156
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 174
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 305
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 138
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 218
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 380
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 37
THP Training August2017 Final January 11, 2018 1.3 MiB 212
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 461
IHS CHAP Letter Template October 19, 2016 28 KiB 243
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 191
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 332
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 402
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 403
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 354
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 261
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 258
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 129
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 692

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
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 6
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 4
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 4
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 4
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 6
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 5
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 4
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 5
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 5
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 445
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 419
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 265
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 368
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 274
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 287
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 430
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 25
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 635
The HHS Region 10 April 6, 2016 0.1 MiB 397
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 5
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 361
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 373
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 454
DTLL Signed Letter February 16, 2018 0.2 MiB 189
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 11

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 16
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 26
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 17

The most recent policy issues for Oregon:

Name Date Size Hits
Workgroups-external-roster-full June 9, 2016 0.1 MiB 802
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 522
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 512
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 394
Workgroup-cco-charter June 9, 2016 79 KiB 532
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 153
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 8
SB738 March 14, 2017 57 KiB 451
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 8
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 275
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 510
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 411
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 446
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 329
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 353
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 10
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 8
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 9
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 10
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 8
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 575
December 2011 June 9, 2016 0.2 MiB 342
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1010
Consultation Summary 11-30-11 June 9, 2016 98 KiB 358
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 12

The most recent policy issues for Idaho:

Name Date Size Hits
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 156
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 439
Wildhorse Resort April 6, 2016 56 KiB 472
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 18
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 221
Save The Date FlyerNov April 6, 2016 0.1 MiB 262
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 308
Oregon Community Partner April 6, 2016 1.7 MiB 320
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 263
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 273
Letter To Debbie Field April 6, 2016 0.1 MiB 314
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 184
5 April 6, 2016 14.4 MiB 655
IdahoInsuranceExchange April 6, 2016 0.1 MiB 178
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 397
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 325
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 321
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 270
3 April 6, 2016 8.1 MiB 765
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 298
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 161
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 344
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 204
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 175
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 246

The most recent policy issues for Washington:

Name Date Size Hits
Dear Interested Partners: April 5, 2016 0.6 MiB 1093
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 373
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 332
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 383
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 543
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 336
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 198
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 403
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 788
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 222
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 698
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 438
5079-S SL March 14, 2017 64 KiB 374
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 570

Coming soon!