This site, 2012-1015, supported state-level involvement of tribes, urban Indian health organizations and Indian health organizations at the sub-national level including; multistate/regional, IHS area, state, and inter-tribal.  

The most detailed information is for the Portland Area States of Idaho, Oregon and Washington.  Editor  Ed Fox  360 710 0728
105 Maple Park Ave SE Olympia,WA 98501
Free and unlimited use granted, citation appreciated
 October 4, 2014
Suggested Citation: Health Care Reform for American Indians and Alaska Natives, Ed Fox, 2016 Website.
Free and unlimited use granted with citation (suggested citation above).  
2016 Victory lap