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
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 204
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 362
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 339
CHAP DTLL 01042017 January 10, 2017 97 KiB 184
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 299
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 273
Faq11817 January 20, 2017 0.2 MiB 247
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 122
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 173
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 309
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 300
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 306
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 113
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 265
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 123
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 154
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 199
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 141
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 167
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 270
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 146
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 178
03 Aoki SUPP May 4, 2017 0.2 MiB 275
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 279
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 309

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
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 7

The most recent policy issues for Idaho:

Name Date Size Hits
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 134
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 423
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 169
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 148
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 192
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 157
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 244
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 130
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 315
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 187
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 139
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 130
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 181
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 70
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 76
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 147
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 131
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 137
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 140
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 148
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 131
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 26
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 6

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!