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
Quality Framework Implementation Plan Authored By QF Steering Committee .. November 16, 2016 0.6 MiB 403
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 180
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 692
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 297
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 414
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 256
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 186
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 163
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 268
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 388
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 336
THP Training August2017 Final January 11, 2018 1.3 MiB 212
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 497
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 303
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 261

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:

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The most recent policy issues for Idaho:

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The most recent policy issues for Washington:

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Coming soon!