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.