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:
|DTLL FY18 IHCIFAllocations 08172018||August 20, 2018||0.2 MiB||1|
|Enclosure FY18 IHCIF Allocations||August 20, 2018||0.1 MiB||1|
|NPAIHB Comment SDPI FY 19 Funding Distribution Final||May 23, 2018||0.2 MiB||11|
|DTLL SDPI 04132018||April 20, 2018||0.1 MiB||13|
|DTLL CSC 04132018||April 20, 2018||0.1 MiB||15|
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:
|NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final||May 23, 2018||0.3 MiB||13|
|DTLL Signed Letter||February 16, 2018||0.2 MiB||135|
|Portland Area – FY 2019 Budget Formulation Presentation HQ||June 15, 2017||0.1 MiB||215|
|2020 Budget Formulation Deliverables||November 1, 2017||0.1 MiB||225|
|2020-Budget Formulation Support Docs||November 1, 2017||0.7 MiB||227|
The most recent policy issues for Oregon:
|Health Care Agenda 9.7.18 FINAL||September 13, 2018||0.2 MiB||1|
|FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates||September 13, 2018||62 KiB||1|
|FW Oregon Health Authority To Present At OrOHC Fall Conference||September 13, 2018||76 KiB||1|
|FW CCO RAC Stakeholders List Update Request||September 13, 2018||61 KiB||1|
|Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3||March 2, 2018||3.5 MiB||97|
The most recent policy issues for Idaho:
|2-22-2018 Idaho Tribes DRAFT Minutes||May 10, 2018||46 KiB||20|
|17-229 Tribal Notice 1915i HCBS Adult DD SPA||October 30, 2017||0.6 MiB||55|
|17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab||October 30, 2017||0.5 MiB||68|
|18-001 Tribal Notice IDEA ITP SPA||January 31, 2018||41 KiB||108|
|Adult DD 1915i HCBS Tribal Notice||September 28, 2017||0.4 MiB||110|
The most recent policy issues for Washington:
|Gov Inslee Finance Dem Medicaid Letter||February 17, 2017||0.5 MiB||169|
|Dental Proviso Report Follow Up 122016||January 3, 2017||1.0 MiB||193|
|Senate Finance Committee, Response Letter, 02152017||February 17, 2017||57 KiB||280|
|Senate Finance Attachment, 02152017||February 17, 2017||0.3 MiB||282|
|Letter-to-Governors-and-Commissioners||February 17, 2017||1.1 MiB||291|