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 – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 174
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 138
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 380
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 127
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 332
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 336
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 183
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 129
Faq11817 January 20, 2017 0.2 MiB 266
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 297
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 322
CHAP DTLL 01042017 January 10, 2017 97 KiB 198
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 360
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 403
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 354
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 180
IHS CHAP Letter Template October 19, 2016 28 KiB 243
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 511
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 268
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 303
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 461
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 414
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 497

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
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 354

The most recent policy issues for Idaho:

Name Date Size Hits
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 369
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 439
Wildhorse Resort April 6, 2016 56 KiB 472
5 April 6, 2016 14.4 MiB 655
3 April 6, 2016 8.1 MiB 765
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 359
IdahoInsuranceExchange April 6, 2016 0.1 MiB 178
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 267
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 221
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 184
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 270
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 234
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 330
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 252
Oregon Community Partner April 6, 2016 1.7 MiB 320
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 198
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 397
Save The Date FlyerNov April 6, 2016 0.1 MiB 262
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 246
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 308
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 325
Letter To Debbie Field April 6, 2016 0.1 MiB 314
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 321
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 298

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!