II 

111TH CONGRESS 

1ST SESSION S. 1732 

To amend the Public Health Service Act to provide for health data regarding 

Native Hawaiians and other Pacific Islanders. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 30, 2009 

Mr. INOUYE (for himself and Mr. AKAKA) introduced the following bill; which 

was read twice and referred to the Committee on Indian Affairs 

A BILL 

To amend the Public Health Service Act to provide for 

health data regarding Native Hawaiians and other Pacific Islanders. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Native Hawaiian and 

5 Other Pacific Islander Health Data Act of 2009’’. 

6 SEC. 2. NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDER 

7 HEALTH DATA. 

8 Part B of title III of the Public Health Service Act 

9 (42 U.S.C. 243 et seq.) is amended by inserting after sec10 tion 317T the following: 


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1 ‘‘SEC. 317U. NATIVE HAWAIIAN AND OTHER PACIFIC IS2 LANDER HEALTH DATA. 

3 ‘‘(a) DEFINITIONS.—In this section: 

4 ‘‘(1) COMMUNITY GROUP.—The term ‘commu5 nity group’ means a group of NHOPI who are orga6 nized at the community level, and may include a 

7 church group, social service group, national advocacy 

8 organization, or cultural group. 

9 ‘‘(2) NONPROFIT, NONGOVERNMENTAL ORGANI10 ZATION.—The term ‘nonprofit, nongovernmental or11 ganization’ means a group of NHOPI with a dem12 onstrated history of addressing NHOPI issues, in13 cluding a NHOPI coalition. 

14 ‘‘(3) DESIGNATED ORGANIZATION.—The term 

15 ‘designated organization’ means an entity estab16 lished to represent NHOPI populations and which 

17 has statutory responsibilities to provide, or has com18 munity support for providing, health care. 

19 ‘‘(4) GOVERNMENT REPRESENTATIVES.—The 

20 term ‘government representatives’ means representa21 tives from Hawai‘i, American Samoa, the Common22 wealth of the Northern Mariana Islands, the Fed23 erated States of Micronesia, Guam, the Republic of 

24 Palau, and the Republic of the Marshall Islands. 

25 ‘‘(5) NATIVE HAWAIIANS AND OTHER PACIFIC

26 ISLANDERS OR NHOPI.—The term ‘Native HawaiVerDate Nov 24 2008 02:16 Oct 01, 2009 Jkt 079200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1732.IS S1732

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1 ians and Other Pacific Islanders’ or ‘NHOPI’ means 

2 people having origins in any of the original peoples 

3 of American Samoa, the Commonwealth of the 

4 Northern Mariana Islands, the Federated States of 

5 Micronesia, Guam, Hawai‘i, the Republic of the 

6 Marshall Islands, the Republic of Palau, or any 

7 other Pacific Island. 

8 ‘‘(6) INSULAR AREA.—The term ‘insular area’ 

9 means Guam, the Commonwealth of Northern Mar10 iana Islands, American Samoa, the United States 

11 Virgin Islands, the Federated States of Micronesia, 

12 the Republic of Palau, or the Republic of the Mar13 shall Islands. 

14 ‘‘(b) NATIONAL STRATEGY.— 

15 ‘‘(1) IN GENERAL.—The Secretary, acting 

16 through the Director of the National Center for 

17 Health Statistics (referred to in this section as 

18 ‘NCHS’) of the Centers for Disease Control and 

19 Prevention, and other agencies within the Depart20 ment of Health and Human Services as the Sec21 retary determines appropriate, shall develop and im22 plement an ongoing and sustainable national strat23 egy for identifying and evaluating the health status 

24 and health care needs of NHOPI populations living 

25 in the continental United States, Hawai‘i, American 


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1 Samoa, the Commonwealth of the Northern Mariana 

2 Islands, the Federated States of Micronesia, Guam, 

3 the Republic of Palau, and the Republic of the Mar4 shall Islands. 

5 ‘‘(2) CONSULTATION.—In developing and imple6 menting a national strategy, as described in para7 graph (1), not later than 180 days after the date of 

8 enactment of the Native Hawaiian and Other Pacific 

9 Islander Health Data Act of 2009, the Secretary— 

10 ‘‘(A) shall consult with representatives of 

11 community groups, designated organizations, 

12 and nonprofit, nongovernmental organizations 

13 and with government representatives of NHOPI 

14 populations; and 

15 ‘‘(B) may solicit the participation of rep16 resentatives from other Federal departments. 

17 ‘‘(c) PRELIMINARY HEALTH SURVEY.— 

18 ‘‘(1) IN GENERAL.—The Secretary, acting 

19 through the Director of NCHS, shall conduct a pre20 liminary health survey in order to identify the major 

21 areas and regions in the continental United States, 

22 Hawai‘i, American Samoa, the Commonwealth of the 

23 Northern Mariana Islands, the Federated States of 

24 Micronesia, Guam, the Republic of Palau, and the 


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1 Republic of the Marshall Islands in which NHOPI 

2 people reside. 

3 ‘‘(2) CONTENTS.—The health survey described 

4 in paragraph (1) shall include health data and any 

5 other data the Secretary determines to be— 

6 ‘‘(A) useful in determining health status 

7 and health care needs; or 

8 ‘‘(B) required for developing or imple9 menting a national strategy. 

10 ‘‘(3) METHODOLOGY.—Methodology for the 

11 health survey described in paragraph (1), including 

12 plans for designing questions, implementation, sam13 pling, and analysis, shall be developed in consulta14 tion with community groups, designated organiza15 tions, nonprofit, nongovernmental organizations, and 

16 government representatives of NHOPI populations, 

17 as determined by the Secretary. 

18 ‘‘(4) TIMEFRAME.—The survey required under 

19 this subsection shall be completed not later than 18 

20 months after the date of enactment of the Native 

21 Hawaiian and Other Pacific Islander Health Data 

22 Act of 2009. 

23 ‘‘(d) PROGRESS REPORT.—Not later than 2 years 

24 after the date of enactment of the Native Hawaiian and 

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1 retary shall submit to Congress a progress report, which 

2 shall include the national strategy described in subsection 

3 (b)(1). 

4 ‘‘(e) STUDY AND REPORT BY THE IOM.— 

5 ‘‘(1) IN GENERAL.—The Secretary shall enter 

6 into an agreement with the Institute of Medicine to 

7 conduct a study, with input from stakeholders in in8 sular areas, on the following: 

9 ‘‘(A) The standards and definitions of 

10 health care applied to health care systems in in11 sular areas and the appropriateness of such 

12 standards and definitions. 

13 ‘‘(B) The status and performance of health 

14 care systems in insular areas, evaluated based 

15 upon standards and definitions, as the Sec16 retary determines. 

17 ‘‘(C) The effectiveness of donor aid in ad18 dressing health care needs and priorities in in19 sular areas. 

20 ‘‘(D) The progress toward implementation 

21 of recommendations of the Committee on 

22 Health Care Services in the United States–As23 sociated Pacific Basin of the Institute of Medi24 cine that are set forth in the 1998 report, ‘PaVerDate Nov 24 2008 02:16 Oct 01, 2009 Jkt 079200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S1732.IS S1732

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1 cific Partnerships for Health: Charting a New 

2 Course for the 21st Century’. 

3 ‘‘(2) REPORT.—An agreement described in 

4 paragraph (1) shall require the Institute of Medicine 

5 to submit to the Secretary and to Congress, not 

6 later than 2 years after the date of the enactment 

7 of the Native Hawaiian and Other Pacific Islander 

8 Health Data Act of 2009, a report containing a de9 scription of the results of the study conducted under 

10 paragraph (1), including the conclusions and rec11 ommendations of the Institute of Medicine for each 

12 of the items described in subparagraphs (A) through 

13 (D) of such paragraph. 

14 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To 

15 carry out this section, there are authorized to be appro16 priated such sums as may be necessary for fiscal years 

17 2010 through 2015.’’. 

Æ 


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