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.

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 VA Mission Act Roll Out June 19, 2019 0.4 MiB 0
NPAIHB Native Veterans Needs VA MISSION ACT June 13, 2019 0.3 MiB 0
NPAIHB CHAP Interim Policy Comment FINAL SUBMITTED June 13, 2019 0.1 MiB 7
Letter To Tribal Leaders April 19, 2019 59 KiB 4
DRAFT AGENDA TOPICS SG Conference Jan 30 February 4, 2019 0.9 MiB 8
SELFGOVERNANCE CONFERENCE 2019 February 4, 2019 0.1 MiB 7
SPONSOR PACKAGE 2019 February 4, 2019 0.5 MiB 6
NPAIHB ONC Health IT Strategy FINAL January 29, 2019 0.1 MiB 15
CMS Medicaid And CHIP Managed Care Proposed Rule Comments January 14- 2019 January 15, 2019 0.4 MiB 12
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 15
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 11
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 22
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 54
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 33
DTLL CSC 04132018 April 20, 2018 0.1 MiB 23
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 20
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 263
THP Training August2017 Final January 11, 2018 1.3 MiB 290
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 246
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 158
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 334
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 447
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 213
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 380
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 432

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 18
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 9
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 7
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 6
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 10
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 8
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 10
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 7
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 9
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 9
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 14
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 29
DTLL Signed Letter February 16, 2018 0.2 MiB 244
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 377
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 384
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 600
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 516
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 341
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 831
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 464
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 801
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 533
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 499
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 829
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 408

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 19
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 30
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 20

The most recent policy issues for Oregon:

Name Date Size Hits
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 20
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 13
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 11
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 10
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 10
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 12
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 12
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 14
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 205
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 427
SB738 March 14, 2017 57 KiB 558
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 576
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1178
Workgroups-external-roster-full June 9, 2016 0.1 MiB 965
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 591
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 594
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 422
Workgroup-cco-charter June 9, 2016 79 KiB 621
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 321
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 460
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 536
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 387
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 740
December 2011 June 9, 2016 0.2 MiB 414
Consultation Summary 11-30-11 June 9, 2016 98 KiB 432

The most recent policy issues for Idaho:

Name Date Size Hits
19-0008T Healthy Connections Fixed Enrollment Tribal Notice Sign March 27, 2019 1.9 MiB 2
19-0009 4 Walls IHS Tribal Solicitation FINAL 031219 Sign March 14, 2019 1.6 MiB 2
Tribal Mtg Coordination 2019 February 15, 2019 92 KiB 4
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 10
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 38
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 59
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 188
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 235
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 193
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 203
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 190
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 224
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 121
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 127
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 291
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 189
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 185
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 232
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 404
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 175
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 345
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 218
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 246
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 196
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 225

The most recent policy issues for Washington:

Name Date Size Hits
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 1537
5079-S SL March 14, 2017 64 KiB 437
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 801
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 379
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 379
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 379
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 228
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 256
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 489
Dear Interested Partners: April 5, 2016 0.6 MiB 1311
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 630
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 823
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 627
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 454
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 436

Coming soon!