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
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 463
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 435
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 416
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 394
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 386

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
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 394
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 369
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 365
The HHS Region 10 April 6, 2016 0.1 MiB 360
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 357

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 465
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 463
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 387
SB738 March 14, 2017 57 KiB 382
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 373

The most recent policy issues for Idaho:

Name Date Size Hits
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 353
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 347
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 343
Letter To Debbie Field April 6, 2016 0.1 MiB 300
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 300

The most recent policy issues for Washington:

Name Date Size Hits
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 403
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 344
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 338
5079-S SL March 14, 2017 64 KiB 322
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 319