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
CHAP DTLL 01042017 January 10, 2017 97 KiB 202
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 211
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 224
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 230
THP Training August2017 Final January 11, 2018 1.3 MiB 236
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 245
IHS CHAP Letter Template October 19, 2016 28 KiB 249
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 258
67249 April 5, 2016 0.1 MiB 260
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 265
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 271
Faq11817 January 20, 2017 0.2 MiB 274
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 276
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 279
Federal Register Updates April 5, 2016 34 KiB 284
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 308
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 312
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 316
03 Aoki SUPP May 4, 2017 0.2 MiB 320
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 324
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 325
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 332
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 335
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 343
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 347

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 1049

The most recent policy issues for Idaho:

Name Date Size Hits
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 231
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 243
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 252
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 257
Save The Date FlyerNov April 6, 2016 0.1 MiB 270
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 273
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 274
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 274
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 288
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 307
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 314
Letter To Debbie Field April 6, 2016 0.1 MiB 321
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 325
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 330
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 335
Oregon Community Partner April 6, 2016 1.7 MiB 340
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 353
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 362
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 377
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 407
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 448
Wildhorse Resort April 6, 2016 56 KiB 479
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 484
5 April 6, 2016 14.4 MiB 674
3 April 6, 2016 8.1 MiB 792

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!