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
IHS CHAP Letter Template October 19, 2016 28 KiB 222
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 232
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 237
67249 April 5, 2016 0.1 MiB 243
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 243
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 245
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 246
Faq11817 January 20, 2017 0.2 MiB 246
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 255
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 263
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 268
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 271
Federal Register Updates April 5, 2016 34 KiB 272
03 Aoki SUPP May 4, 2017 0.2 MiB 274
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 274
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 277
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 290
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 298
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 299
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 304
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 307
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 308
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 318
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 322
u April 5, 2016 0.3 MiB 336

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
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 896

The most recent policy issues for Idaho:

Name Date Size Hits
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 232
Save The Date FlyerNov April 6, 2016 0.1 MiB 236
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 239
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 239
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 242
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 247
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 255
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 280
Oregon Community Partner April 6, 2016 1.7 MiB 280
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 286
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 288
Letter To Debbie Field April 6, 2016 0.1 MiB 303
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 305
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 306
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 314
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 345
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 357
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 360
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 415
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 422
Wildhorse Resort April 6, 2016 56 KiB 439
5 April 6, 2016 14.4 MiB 600
3 April 6, 2016 8.1 MiB 695

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!