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
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 322
67249 April 5, 2016 0.1 MiB 258
Faq11817 January 20, 2017 0.2 MiB 266
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 436
Federal Register Updates April 5, 2016 34 KiB 282
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 360
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 414
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 511
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 523
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 180
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 312
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 26
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 336
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 388
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 256
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 19
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 692
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 129
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 258
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 261
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 354
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 403
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 402
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327

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
Workgroups-external-roster-full June 9, 2016 0.1 MiB 802

The most recent policy issues for Idaho:

Name Date Size Hits
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 175
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 204
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 344
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 161
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 298
3 April 6, 2016 8.1 MiB 765
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 270
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 321
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 325
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 397
IdahoInsuranceExchange April 6, 2016 0.1 MiB 178
5 April 6, 2016 14.4 MiB 655
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 184
Letter To Debbie Field April 6, 2016 0.1 MiB 314
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 273
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 263
Oregon Community Partner April 6, 2016 1.7 MiB 320
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 308
Save The Date FlyerNov April 6, 2016 0.1 MiB 262
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 221
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 18
Wildhorse Resort April 6, 2016 56 KiB 472
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 439
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 156

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!