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 DUIOLL 05102017 May 12, 2017 0.1 MiB 401
03 Aoki SUPP May 4, 2017 0.2 MiB 399
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 225
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 198
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 379
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 215
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 186
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 256
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 199
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 158
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 665
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 152
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 389
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 394
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 387
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 203
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 143
Faq11817 January 20, 2017 0.2 MiB 313
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 368
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 375
CHAP DTLL 01042017 January 10, 2017 97 KiB 222
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 423
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 508
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 249
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 436

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 384

The most recent policy issues for Idaho:

Name Date Size Hits
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 255
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 199
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 228
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 581
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 186
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 291
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 392
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 472
Wildhorse Resort April 6, 2016 56 KiB 523
5 April 6, 2016 14.4 MiB 773
3 April 6, 2016 8.1 MiB 910
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 388
IdahoInsuranceExchange April 6, 2016 0.1 MiB 206
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 289
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 244
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 208
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 319
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 258
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 360
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 278
Oregon Community Partner April 6, 2016 1.7 MiB 422
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 215
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 483
Save The Date FlyerNov April 6, 2016 0.1 MiB 327
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 284

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!