I 

111TH CONGRESS 

1ST SESSION H. R. 3680 

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

Native Hawaiians and other Pacific Islanders. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 30, 2009 

Ms. BORDALLO (for herself, Mr. HONDA, Mr. FALEOMAVAEGA, and Ms. 

HIRONO) introduced the following bill; which was referred to the Committee on Energy and Commerce 

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’’. 


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1 SEC. 2. NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDER 

2 HEALTH DATA. 

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

4 (42 U.S.C. 243 et seq.) is amended by inserting after sec5 tion 317T the following: 

6 ‘‘SEC. 317U. NATIVE HAWAIIAN AND OTHER PACIFIC IS7 LANDER HEALTH DATA. 

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

9 ‘‘(1) COMMUNITY GROUP.—The term ‘commu10 nity group’ means a group of NHOPI who are orga11 nized at the community level, and may include a 

12 church group, social service group, national advocacy 

13 organization, or cultural group. 

14 ‘‘(2) NONPROFIT, NONGOVERNMENTAL ORGANI15 ZATION.—The term ‘nonprofit, nongovernmental or16 ganization’ means a group of NHOPI with a dem17 onstrated history of addressing NHOPI issues, in18 cluding a NHOPI coalition. 

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

20 ‘designated organization’ means an entity estab21 lished to represent NHOPI populations and which 

22 has statutory responsibilities to provide, or has com23 munity support for providing, health care. 

24 ‘‘(4) GOVERNMENT REPRESENTATIVES.—The 

25 term ‘government representatives’ means representa26 tives from Hawai‘i, American Samoa, the CommonVerDate Nov 24 2008 03:52 Oct 01, 2009 Jkt 079200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3680.IH H3680

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1 wealth of the Northern Mariana Islands, the Fed2 erated States of Micronesia, Guam, the Republic of 

3 Palau, and the Republic of the Marshall Islands. 

4 ‘‘(5) NATIVE HAWAIIANS AND OTHER PACIFIC

5 ISLANDERS OR NHOPI.—The term ‘Native Hawai6 ians and Other Pacific Islanders’ or ‘NHOPI’ means 

7 people having origins in any of the original peoples 

8 of American Samoa, the Commonwealth of the 

9 Northern Mariana Islands, the Federated States of 

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

11 Marshall Islands, the Republic of Palau, or any 

12 other Pacific Island. 

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

14 means Guam, the Commonwealth of Northern Mar15 iana Islands, American Samoa, the United States 

16 Virgin Islands, the Federated States of Micronesia, 

17 the Republic of Palau, or the Republic of the Mar18 shall Islands. 

19 ‘‘(b) NATIONAL STRATEGY.— 

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

21 through the Director of the National Center for 

22 Health Statistics (referred to in this section as 

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

24 Prevention, and other agencies within the Depart25 ment of Health and Human Services as the SecVerDate Nov 24 2008 03:52 Oct 01, 2009 Jkt 079200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H3680.IH H3680

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1 retary determines appropriate, shall develop and im2 plement an ongoing and sustainable national strat3 egy for identifying and evaluating the health status 

4 and health care needs of NHOPI populations living 

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

6 Samoa, the Commonwealth of the Northern Mariana 

7 Islands, the Federated States of Micronesia, Guam, 

8 the Republic of Palau, and the Republic of the Mar9 shall Islands. 

10 ‘‘(2) CONSULTATION.—In developing and imple11 menting a national strategy, as described in para12 graph (1), not later than 180 days after the date of 

13 enactment of the Native Hawaiian and Other Pacific 

14 Islander Health Data Act of 2009, the Secretary— 

15 ‘‘(A) shall consult with representatives of 

16 community groups, designated organizations, 

17 and nonprofit, nongovernmental organizations 

18 and with government representatives of NHOPI 

19 populations; and 

20 ‘‘(B) may solicit the participation of rep21 resentatives from other Federal departments. 

22 ‘‘(c) PRELIMINARY HEALTH SURVEY.— 

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

24 through the Director of NCHS, shall conduct a pre25 liminary health survey in order to identify the major 


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1 areas and regions in the continental United States, 

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

3 Northern Mariana Islands, the Federated States of 

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

5 Republic of the Marshall Islands in which NHOPI 

6 people reside. 

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

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

9 other data the Secretary determines to be— 

10 ‘‘(A) useful in determining health status 

11 and health care needs; or 

12 ‘‘(B) required for developing or imple13 menting a national strategy. 

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

15 health survey described in paragraph (1), including 

16 plans for designing questions, implementation, sam17 pling, and analysis, shall be developed in consulta18 tion with community groups, designated organiza19 tions, nonprofit, nongovernmental organizations, and 

20 government representatives of NHOPI populations, 

21 as determined by the Secretary. 

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

23 this subsection shall be completed not later than 18 

24 months after the date of enactment of the Native 


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1 Hawaiian and Other Pacific Islander Health Data 

2 Act of 2009. 

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

4 after the date of enactment of the Native Hawaiian and 

5 Other Pacific Islander Health Data Act of 2009, the Sec6 retary shall submit to Congress a progress report, which 

7 shall include the national strategy described in subsection 

8 (b)(1). 

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

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

11 into an agreement with the Institute of Medicine to 

12 conduct a study, with input from stakeholders in in13 sular areas, on the following: 

14 ‘‘(A) The standards and definitions of 

15 health care applied to health care systems in in16 sular areas and the appropriateness of such 

17 standards and definitions. 

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

19 care systems in insular areas, evaluated based 

20 upon standards and definitions, as the Sec21 retary determines. 

22 ‘‘(C) The effectiveness of donor aid in ad23 dressing health care needs and priorities in in24 sular areas. 


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1 ‘‘(D) The progress toward implementation 

2 of recommendations of the Committee on 

3 Health Care Services in the United States–As4 sociated Pacific Basin of the Institute of Medi5 cine that are set forth in the 1998 report, ‘Pa6 cific Partnerships for Health: Charting a New 

7 Course for the 21st Century’. 

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

9 paragraph (1) shall require the Institute of Medicine 

10 to submit to the Secretary and to Congress, not 

11 later than 2 years after the date of the enactment 

12 of the Native Hawaiian and Other Pacific Islander 

13 Health Data Act of 2009, a report containing a de14 scription of the results of the study conducted under 

15 paragraph (1), including the conclusions and rec16 ommendations of the Institute of Medicine for each 

17 of the items described in subparagraphs (A) through 

18 (D) of such paragraph. 

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

20 carry out this section, there are authorized to be appro21 priated such sums as may be necessary for fiscal years 

22 2010 through 2015.’’. 

Æ 


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