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.

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
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 219
IHS CHAP Letter Template October 19, 2016 28 KiB 279
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 596
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 314
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 337
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 533
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 480
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 631
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 734
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 513
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 495
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 853
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 285
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 572
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 665
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 466
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 872
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 291
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 299
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 460
Federal Register Updates April 5, 2016 34 KiB 311
67249 April 5, 2016 0.1 MiB 287
u April 5, 2016 0.3 MiB 422
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 282

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:

 

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The most recent Portland Area Facilities (PAFAC) updates:

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The most recent policy issues for Oregon:

Name Date Size Hits

The most recent policy issues for Idaho:

Name Date Size Hits
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 291
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 343
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 397
Letter To Debbie Field April 6, 2016 0.1 MiB 348
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 345
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 340

The most recent policy issues for Washington:

Name Date Size Hits

Coming soon!