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
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 365
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 262
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 227
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 144
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 603

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 IHS Budget updates:

 

Name Date Size Hits
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 603
DTLL Signed Letter February 16, 2018 0.2 MiB 149
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 435
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 336
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 315

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Idaho:

Name Date Size Hits
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 295
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 219
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 182
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 353
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 129

The most recent policy issues for Washington:

Name Date Size Hits
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 634
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 344
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 175
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 301
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 484