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
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 243
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 290
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 457
THP Training August2017 Final January 11, 2018 1.3 MiB 186
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 308
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 361
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 255
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 145
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 151
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 246
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 394
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 271
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 203
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 677
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 165
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 361
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 21
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 268
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 197
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 298
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 166
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 375
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 318
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 299
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 121

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
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 535
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 0
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 2
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 326
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 0
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 257
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 0
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 440
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 21
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 2
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 0
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 0
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 347
DTLL Signed Letter February 16, 2018 0.2 MiB 161
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 628
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 372
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 234
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 0
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 0
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 404
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 472
The HHS Region 10 April 6, 2016 0.1 MiB 373
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 254
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 1
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 390

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
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 10
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 12

The most recent policy issues for Oregon:

Name Date Size Hits
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 385
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 120
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 516
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 339
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 475
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 267
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 3
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 2
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 335
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 377
December 2011 June 9, 2016 0.2 MiB 311
Workgroups-external-roster-full June 9, 2016 0.1 MiB 732
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 6
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 495
Consultation Summary 11-30-11 June 9, 2016 98 KiB 320
Workgroup-cco-charter June 9, 2016 79 KiB 494
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 477
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 4
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 242
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 5
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 3
SB738 March 14, 2017 57 KiB 408
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 401
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 896
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 3

The most recent policy issues for Idaho:

Name Date Size Hits
5 April 6, 2016 14.4 MiB 600
3 April 6, 2016 8.1 MiB 695
Oregon Community Partner April 6, 2016 1.7 MiB 280
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 208
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 135
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 68
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 130
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 255
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 345
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 75
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 422
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 128
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 239
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 191
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 224
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 173
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 155
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 247
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 314
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 168
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 357
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 147
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 239
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 133
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 129

The most recent policy issues for Washington:

Name Date Size Hits
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 308
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 203
Dear Interested Partners: April 5, 2016 0.6 MiB 994
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 180
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 646
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 671
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 363
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 299
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 533
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 331
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 500
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 348
5079-S SL March 14, 2017 64 KiB 338
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 304
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 408

Coming soon!