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
03 Aoki SUPP May 4, 2017 0.2 MiB 301
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 361
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 312
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 19
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 711
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 360
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 191
Faq11817 January 20, 2017 0.2 MiB 266
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 9
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 174
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 436
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 380
u April 5, 2016 0.3 MiB 361
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 127
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 156
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 138
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 354
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 402
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 181
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 322
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 218
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 305
CMS Medicaid And CHIP Managed Care Proposed Rule Comments January 14- 2019 January 15, 2019 0.4 MiB 2
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 26

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
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 411

The most recent policy issues for Idaho:

Name Date Size Hits
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 263
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 163
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 369
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 188
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 344
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 270
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 178
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 184
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 234
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 209
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 252
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 153
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 462
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 95
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 359
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 267
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 154
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 92
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 161
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 221
Oregon Community Partner April 6, 2016 1.7 MiB 320
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 4
3 April 6, 2016 8.1 MiB 765
5 April 6, 2016 14.4 MiB 655

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!