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
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 386
56995-1-DTLL-IHS-VAInteragencyAgreement-1 January 10, 2017 0.7 MiB 265
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 200
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 671
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 163

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
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 398
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 464
The HHS Region 10 April 6, 2016 0.1 MiB 363
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 242
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 376

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
December 2011 June 9, 2016 0.2 MiB 298
Workgroups-external-roster-full June 9, 2016 0.1 MiB 711
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 6
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 488
Consultation Summary 11-30-11 June 9, 2016 98 KiB 313

The most recent policy issues for Idaho:

Name Date Size Hits
11-3-2016 Tribal Medicaid DRAFT Minutes (3) January 25, 2017 0.4 MiB 411
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 119
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 235
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 187
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 219

The most recent policy issues for Washington:

Name Date Size Hits
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 485
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 341
5079-S SL March 14, 2017 64 KiB 327
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 294
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 404