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
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 15
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 246
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 361
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 308
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 21
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 274
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 165
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 496
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 476
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 394
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 337
Federal Register Updates April 5, 2016 34 KiB 272
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 407
Faq11817 January 20, 2017 0.2 MiB 246
67249 April 5, 2016 0.1 MiB 243
Enclosure IHS VA CMOP Agreement-1 January 10, 2017 0.3 MiB 298
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 5
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 14
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 5
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 277
DTLL CSC 04132018 April 20, 2018 0.1 MiB 17
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 145
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 118
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 177
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 457

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
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 628
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 374
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 609
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 257
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 254
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 472

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
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 128
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 130
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 25
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 129
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 129
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 138
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 75
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 68
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 178
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 155
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 191
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 147
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 168
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 133
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 357
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 186
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
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 345
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 239
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 255
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 146
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 422

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!