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
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 121
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 263
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 111
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 304
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 299
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 308
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 172
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 121
Faq11817 January 20, 2017 0.2 MiB 246
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 271
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 298
CHAP DTLL 01042017 January 10, 2017 97 KiB 183
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 337
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 361
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 203
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 318
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 165
IHS CHAP Letter Template October 19, 2016 28 KiB 222
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 476
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 255
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 290
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 428
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 394
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 457
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 677

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
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 339

The most recent policy issues for Idaho:

Name Date Size Hits
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 415
Wildhorse Resort April 6, 2016 56 KiB 439
5 April 6, 2016 14.4 MiB 600
3 April 6, 2016 8.1 MiB 695
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 345
IdahoInsuranceExchange April 6, 2016 0.1 MiB 167
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 255
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 208
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 173
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 247
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 224
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 306
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 239
Oregon Community Partner April 6, 2016 1.7 MiB 280
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 186
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 360
Save The Date FlyerNov April 6, 2016 0.1 MiB 236
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 232
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 280
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
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 286

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!