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
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 77
CHAP DTLL 01042017 January 10, 2017 97 KiB 95
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 101
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 366
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 233

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 Northwest Portland Area Indian Health Board’s (NPAIHB) resolution process is an important mechanism for policy making and is used to assist decision makers on Indian health matters. The usefulness and need of the Board’s resolution process and decision making are clear:

* Resolutions are used in the Board’s projects, programs, and policies.

* Resolutions assist in the development of Indian health policies.

* Resolutions are used to unite policies and people.

* Resolutions involve input from Tribal constituents (Tribal Leaders, Health Directors, Indian health policy experts, and other Indian health interests).

* Resolutions provide information about Tribal positions for decision makers.

* Resolution development is a proactive process that works toward positive outcomes.

Resolutions are introduced at NPAIHB Quarterly Board Meetings and carried on for introduction at the annual Affiliated Tribes of Northwest Indians (ATNI) conference.  A number of resolutions adopted by ATNI are later introduced at the National Congress of American Indians (NCAI) and form the basis of becoming national Indian health policy issues.  This process establishes an national Indian health policy agenda that becomes a focal point for Tribal leader and Congressional advocacy.

The Northwest Portland Area Indian Health Board is charged with facilitating State–Tribal relationships in Idaho, Oregon, and Washington.  This important aspect is carried out via quarterly meetings between key representatives from State health agencies, Tribal leaders and Health Directors, as well as other Indian health advocates to assure Tribal interests are taken into account as   health policy is formulated.

Information on state health policy matters and other related information that affects American Indian and Alaska Native health programs in the states of Idaho, Oregon and Washington are listed below:

The most recent State policy issues:

Name Date Size Hits
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 109
Excel Spreadsheet Health Legislation WA 3-16-07 April 4, 2016 48 KiB 138
Fiscal and Economic Impacts of Medicaid April 4, 2016 0.7 MiB 268
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 84
Health Legislation WA 2007 Session Health Bills Passed April 4, 2016 58 KiB 137

The most recent policy issues for Oregon:

Name Date Size Hits
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 154
SB738 March 14, 2017 57 KiB 122
Workgroup-cco-charter June 9, 2016 79 KiB 310
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 259
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 303

The most recent policy issues for Idaho:

Name Date Size Hits
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 66
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 92
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 75
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 13
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 11

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 198
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 117
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 115
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 197
Dear Interested Partners: April 5, 2016 0.6 MiB 565