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
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 110
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 217
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 294
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 138
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 252

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
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 452
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 428
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 583
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 307
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 383

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 839
Workgroups-external-roster-full June 9, 2016 0.1 MiB 687
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 476
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 456
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 363

The most recent policy issues for Idaho:

Name Date Size Hits
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 153
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 110
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 128
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 176
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 286

The most recent policy issues for Washington:

Name Date Size Hits
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 477
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 618
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 511
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 313
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 331