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
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 371
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 335
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 143
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 165
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 134
u April 5, 2016 0.3 MiB 367
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 433
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 444
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 181
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 10
Faq11817 January 20, 2017 0.2 MiB 274
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 211
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 368
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 738
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 21
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 326
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 380
03 Aoki SUPP May 4, 2017 0.2 MiB 320
SELFGOVERNANCE CONFERENCE 2019 February 4, 2019 0.1 MiB 2
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 324
NPAIHB ONC Health IT Strategy FINAL January 29, 2019 0.1 MiB 4
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 130
67249 April 5, 2016 0.1 MiB 260
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 186
DTLL CSC 04132018 April 20, 2018 0.1 MiB 22

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
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
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 153
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 198
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 203
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 163
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 325
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
IdahoInsuranceExchange April 6, 2016 0.1 MiB 181
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 314
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 213
Save The Date FlyerNov April 6, 2016 0.1 MiB 270
Letter To Debbie Field April 6, 2016 0.1 MiB 321
Tribal Mtg Coordination 2019 February 15, 2019 92 KiB 1
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 26
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 335
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 252
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 330
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 186
Wildhorse Resort April 6, 2016 56 KiB 479
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 46
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 407
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 166
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 231
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 448
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 174

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!