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 138
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 156
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 125
u April 5, 2016 0.3 MiB 361
TSGAC Brief – CMS Restrictions On Billing Medicaid For Services Outside .. February 28, 2017 0.3 MiB 376
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 436
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 172
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 9
Faq11817 January 20, 2017 0.2 MiB 265
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 190
FINAL 11-30-16 Letter To Administration On Dental Therapy Issues December 1, 2016 0.2 MiB 360
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 710
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 19
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 310
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 359
03 Aoki SUPP May 4, 2017 0.2 MiB 299
DTLL DUIOLL 05102017 May 12, 2017 0.1 MiB 313
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 129
67249 April 5, 2016 0.1 MiB 258
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 183
DTLL CSC 04132018 April 20, 2018 0.1 MiB 21
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 18
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 12
CHAP DTLL 01042017 January 10, 2017 97 KiB 198
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 165

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
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 8

The most recent policy issues for Idaho:

Name Date Size Hits
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 146
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 179
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 195
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 156
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 320
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 298
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 272
IdahoInsuranceExchange April 6, 2016 0.1 MiB 177
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 308
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 204
Save The Date FlyerNov April 6, 2016 0.1 MiB 262
Letter To Debbie Field April 6, 2016 0.1 MiB 314
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 18
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 329
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 246
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 325
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 175
Wildhorse Resort April 6, 2016 56 KiB 472
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 39
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 395
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 160
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 211
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 439
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 166

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!