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
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 141
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 113
u April 5, 2016 0.3 MiB 337
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 265
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 409
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 154
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 6
Faq11817 January 20, 2017 0.2 MiB 247
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 158
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 339
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 633
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 16
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 275
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 324
03 Aoki SUPP May 4, 2017 0.2 MiB 275
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 279
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 122
67249 April 5, 2016 0.1 MiB 244
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 173
DTLL CSC 04132018 April 20, 2018 0.1 MiB 18
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 15
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 6
CHAP DTLL 01042017 January 10, 2017 97 KiB 184
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 149
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 238

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 4

The most recent policy issues for Idaho:

Name Date Size Hits
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 148
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 187
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 139
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 306
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 287
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 244
IdahoInsuranceExchange April 6, 2016 0.1 MiB 168
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 281
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 187
Save The Date FlyerNov April 6, 2016 0.1 MiB 237
Letter To Debbie Field April 6, 2016 0.1 MiB 304
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 6
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 308
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 233
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 290
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 147
Wildhorse Resort April 6, 2016 56 KiB 440
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 26
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 361
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 131
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 181
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 416
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 140

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!