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
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 310
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 303
TSGAC Memo-Comparison House Repub Plan Vs Current Law-ACA As Of 2017-03- .. March 16, 2017 0.4 MiB 303
03 Aoki SUPP May 4, 2017 0.2 MiB 299
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 297
Federal Register Updates April 5, 2016 34 KiB 282
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 268
Faq11817 January 20, 2017 0.2 MiB 265
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 263
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 261
67249 April 5, 2016 0.1 MiB 258
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 258
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 256
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 242
IHS CHAP Letter Template October 19, 2016 28 KiB 242
TSGAC Memo-ACA In 2017 And Trump-Ryan Health Care Plans – 2017-01-06a February 28, 2017 0.3 MiB 217
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216
THP Training August2017 Final January 11, 2018 1.3 MiB 211
CHAP DTLL 01042017 January 10, 2017 97 KiB 198
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 192
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 190
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 185
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 183
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 179
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 179

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
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 8

The most recent policy issues for Idaho:

Name Date Size Hits
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 211
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 209
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 204
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 195
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 187
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 183
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 179
IdahoInsuranceExchange April 6, 2016 0.1 MiB 177
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 177
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 175
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 166
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 163
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 161
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 160
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 156
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 154
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 153
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 149
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 146
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 94
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 92
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 39
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 18
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 4

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!