I
107TH CONGRESS
1ST SESSION
H. R. 562
To amend the Native Hawaiian Health Care Improvement Act to revise
and extend such Act.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 13, 2001
Mr. ABERCROMBIE (for himself and Mrs. MINK of Hawaii) introduced the
following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend the Native Hawaiian Health Care Improvement
Act to revise and extend such Act.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Native Hawaiian
Health Care Improvement Act Reauthorization of 2001’’.
SEC. 2. AMENDMENT TO THE NATIVE HAWAIIAN HEALTH
CARE IMPROVEMENT ACT.
The Native Hawaiian Health Care Improvement Act
(42 U.S.C. 11701 et seq.) is amended to read as follows:
‘‘SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
‘‘(a) SHORT TITLE.—This Act may be cited as the
‘Native Hawaiian Health Care Improvement Act’.
‘‘(b) TABLE OF CONTENTS.—The table of contents
of this Act is as follows:
‘‘Sec. 1. Short title; table of contents.
‘‘Sec. 2. Findings.
‘‘Sec. 3. Definitions.
‘‘Sec. 4. Declaration of national Native Hawaiian health policy.
‘‘Sec. 5. Comprehensive health care master plan for Native Hawaiians.
‘‘Sec. 6. Functions of Papa Ola Lokahi and Office of Hawaiian Affairs.
‘‘Sec. 7. Native Hawaiian health care.
‘‘Sec. 8. Administrative grant for Papa Ola Lokahi.
‘‘Sec. 9. Administration of grants and contracts.
‘‘Sec. 10. Assignment of personnel.
‘‘Sec. 11. Native Hawaiian health scholarships and fellowships.
‘‘Sec. 12. Report.
‘‘Sec. 13. Use of Federal Government facilities and sources of supply.
‘‘Sec. 14. Demonstration projects of national significance.
‘‘Sec. 15. National Bipartisan Commission on Native Hawaiian Health
Care Entitlement.
‘‘Sec. 16. Rule of construction.
‘‘Sec. 17. Compliance with Budget Act.
‘‘Sec. 18. Severability.
‘‘SEC. 2. FINDINGS.
‘‘(a) GENERAL FINDINGS.—Congress makes the fol-
lowing findings:
‘‘(1) Native Hawaiians begin their story with
the Kumulipo which details the creation and inter-
relationship of all things, including their evolvement
as healthy and well people.
‘‘(2) Native Hawaiians are a distinct and
unique indigenous peoples with a historical con-
tinuity to the original inhabitants of the Hawaiian
archipelago within Ke Moananui, the Pacific Ocean,
and have a distinct society organized almost 2,000
years ago.
‘‘(3) The health and well-being of Native Ha-
waiians are intrinsically tied to their deep feelings
and attachment to their lands and seas.
‘‘(4) The long-range economic and social
changes in Hawaii over the 19th and early 20th cen-
turies have been devastating to the health and well-
being of Native Hawaiians.
‘‘(5) Native Hawaiians have never directly relin-
quished to the United States their claims to their in-
herent sovereignty as a people or over their national
territory, either through their monarchy or through
a plebiscite or referendum.
‘‘(6) The Native Hawaiian people are deter-
mined to preserve, develop and transmit to future
generations their ancestral territory, and their cul-
tural identity in accordance with their own spiritual
and traditional beliefs, customs, practices, language,
and social institutions. In referring to themselves,
Native Hawaiians use the term ‘Kanaka Maoli’, a
term frequently used in the 19th century to describe
the native people of Hawaii.
‘‘(7) The constitution and statutes of the State
of Hawaii—
‘‘(A) acknowledge the distinct land rights
of Native Hawaiian people as beneficiaries of
the public lands trust; and
‘‘(B) reaffirm and protect the unique right
of the Native Hawaiian people to practice and
perpetuate their cultural and religious customs,
beliefs, practices, and language.
‘‘(8) At the time of the arrival of the first non-
indigenous peoples in Hawaii in 1778, the Native
Hawaiian people lived in a highly organized, self-suf-
ficient, subsistence social system based on communal
land tenure with a sophisticated language, culture,
and religion.
‘‘(9) A unified monarchical government of the
Hawaiian Islands was established in 1810 under Ka-
mehameha I, the first King of Hawaii.
‘‘(10) Throughout the 19th century and until
1893, the United States—
‘‘(A) recognized the independence of the
Hawaiian Nation;
‘‘(B) extended full and complete diplomatic
recognition to the Hawaiian Government; and
‘‘(C) entered into treaties and conventions
with the Hawaiian monarchs to govern com-
merce and navigation in 1826, 1842, 1849,
1875 and 1887.
‘‘(11) In 1893, John L. Stevens, the United
States Minister assigned to the sovereign and inde-
pendent Kingdom of Hawaii, conspired with a small
group of non-Hawaiian residents of the Kingdom,
including citizens of the United States, to overthrow
the indigenous and lawful government of Hawaii.
‘‘(12) In pursuance of that conspiracy, the
United States Minister and the naval representative
of the United States caused armed naval forces of
the United States to invade the sovereign Hawaiian
Nation in support of the overthrow of the indigenous
and lawful Government of Hawaii and the United
States Minister thereupon extended diplomatic rec-
ognition of a provisional government formed by the
conspirators without the consent of the native people
of Hawaii or the lawful Government of Hawaii in
violation of treaties between the 2 nations and of
international law.
‘‘(13) In a message to Congress on December
18, 1893, then President Grover Cleveland reported
fully and accurately on these illegal actions, and ac-
knowledged that by these acts, described by the
President as acts of war, the government of a peace-
ful and friendly people was overthrown, and the
President concluded that a ‘substantial wrong has
thus been done which a due regard for our national
character as well as the rights of the injured people
required that we should endeavor to repair’.
‘‘(14) Queen Lili‘uokalani, the lawful monarch
of Hawaii, and the Hawaiian Patriotic League, rep-
resenting the aboriginal citizens of Hawaii, promptly
petitioned the United States for redress of these
wrongs and for restoration of the indigenous govern-
ment of the Hawaiian nation, but this petition was
not acted upon.
‘‘(15) The United States has acknowledged the
significance of these events and has apologized to
Native Hawaiians on behalf of the people of the
United States for the overthrow of the Kingdom of
Hawaii with the participation of agents and citizens
of the United States, and the resulting deprivation
of the rights of Native Hawaiians to self-determina-
tion in legislation enacted into law in 1993 (Public
Law 103–150; 107 Stat. 1510).
‘‘(16) In 1898, the United States annexed Ha-
waii through the Newlands Resolution without the
consent of or compensation to the indigenous peoples
of Hawaii or their sovereign government who were
that the natives of the islands . . . for whom in a
sense we are trustees, are falling off rapidly in num-
bers and many of them are in poverty.’.
‘‘(19) In 1938, Congress again acknowledged
the unique status of the Native Hawaiian people by
including in the Act of June 20, 1938 (52 Stat. 781
et seq.), a provision to lease lands within the exten-
sion to Native Hawaiians and to permit fishing in
the area ‘only by native Hawaiian residents of said
area or of adjacent villages and by visitors under
their guidance’.
‘‘(20) Under the Act entitled ‘An Act to provide
for the admission of the State of Hawaii into the
Union’, approved March 18, 1959 (73 Stat. 4), the
United States transferred responsibility for the ad-
ministration of the Hawaiian Home Lands to the
State of Hawaii but reaffirmed the trust relationship
which existed between the United States and the
Native Hawaiian people by retaining the exclusive
power to enforce the trust, including the power to
approve land exchanges, and legislative amendments
affecting the rights of beneficiaries under such Act.
‘‘(21) Under the Act entitled ‘An Act to provide
for the admission of the State of Hawaii into the
Union’, approved March 18, 1959 (73 Stat. 4), the
United States transferred responsibility for adminis-
tration over portions of the ceded public lands trust
not retained by the United States to the State of
Hawaii but reaffirmed the trust relationship which
existed between the United States and the Native
Hawaiian people by retaining the legal responsibility
of the State for the betterment of the conditions of
Native Hawaiians under section 5(f) of such Act.
‘‘(22) In 1978, the people of Hawaii amended
their Constitution to establish the Office of Hawai-
ian Affairs and assigned to that body the authority
to accept and hold real and personal property trans-
ferred from any source in trust for the Native Ha-
waiian people, to receive payments from the State of
Hawaii due to the Native Hawaiian people in satis-
faction of the pro rata share of the proceeds of the
Public Land Trust created under section 5 of the
Admission Act of 1959 (Public Law 83–3), to act as
the lead State agency for matters affecting the Na-
tive Hawaiian people, and to formulate policy on af-
fairs relating to the Native Hawaiian people.
‘‘(23) The authority of the Congress under the
Constitution to legislate in matters affecting the ab-
original or indigenous peoples of the United States
includes the authority to legislate in matters affect-
ing the native peoples of Alaska and Hawaii.
‘‘(24) The United States has recognized the au-
thority of the Native Hawaiian people to continue to
work towards an appropriate form of sovereignty as
defined by the Native Hawaiian people themselves in
provisions set forth in legislation returning the Ha-
waiian Island of Kaho‘olawe to custodial manage-
ment by the State of Hawaii in 1994.
‘‘(25) In furtherance of the trust responsibility
for the betterment of the conditions of Native Ha-
waiians, the United States has established a pro-
gram for the provision of comprehensive health pro-
motion and disease prevention services to maintain
and improve the health status of the Hawaiian peo-
ple. This program is conducted by the Native Ha-
waiian Health Care Systems, the Native Hawaiian
Health Scholarship Program and Papa Ola Lokahi.
Health initiatives from these and other health insti-
tutions and agencies using Federal assistance have
been responsible for reducing the century-old mor-
bidity and mortality rates of Native Hawaiian people
by providing comprehensive disease prevention,
health promotion activities and increasing the num-
ber of Native Hawaiians in the health and allied
health professions. This has been accomplished
through the Native Hawaiian Health Care Act of
1988 (Public Law 100–579) and its reauthorization
in section 9168 of Public Law 102–396 (106 Stat.
1948).
‘‘(26) This historical and unique legal relation-
ship has been consistently recognized and affirmed
by Congress through the enactment of Federal laws
which extend to the Native Hawaiian people the
same rights and privileges accorded to American In-
dian, Alaska Native, Eskimo, and Aleut commu-
nities, including the Native American Programs Act
of 1974 (42 U.S.C. 2991 et seq.), the American In-
dian Religious Freedom Act (42 U.S.C. 1996), the
National Museum of the American Indian Act (20
U.S.C. 80q et seq.), and the Native American
Graves Protection and Repatriation Act (25 U.S.C.
3001 et seq.).
‘‘(27) The United States has also recognized
and reaffirmed the trust relationship to the Native
Hawaiian people through legislation which author-
izes the provision of services to Native Hawaiians,
specifically, the Older Americans Act of 1965 (42
U.S.C. 3001 et seq.), the Developmental Disabilities
Assistance and Bill of Rights Act Amendments of
1987, the Veterans’ Benefits and Services Act of
1988, the Rehabilitation Act of 1973 (29 U.S.C. 701
et seq.), the Native Hawaiian Health Care Act of
1988 (Public Law 100–579), the Health Professions
Reauthorization Act of 1988, the Nursing Shortage
Reduction and Education Extension Act of 1988,
the Handicapped Programs Technical Amendments
Act of 1988, the Indian Health Care Amendments
of 1988, and the Disadvantaged Minority Health
Improvement Act of 1990.
‘‘(28) The United States has also affirmed the
historical and unique legal relationship to the Ha-
waiian people by authorizing the provision of serv-
ices to Native Hawaiians to address problems of al-
cohol and drug abuse under the Anti-Drug Abuse
Act of 1986 (Public Law 99–570).
‘‘(29) Further, the United States has recog-
nized that Native Hawaiians, as aboriginal, indige-
nous, native peoples of Hawaii, are a unique popu-
lation group in Hawaii and in the continental United
States and has so declared in Office of Management
and Budget Circular 15 in 1997 and Presidential
Executive Order No. 13125, dated June 7, 1999.
‘‘(30) Despite the United States having ex-
pressed its commitment to a policy of reconciliation
with the Native Hawaiian people for past grievances
in Public Law 103–150 (107 Stat. 1510) the unmet
health needs of the Native Hawaiian people remain
severe and their health status continues to be far
below that of the general population of the United
States.
‘‘(b) UNMET NEEDS AND HEALTH DISPARITIES.—
Congress finds that the unmet needs and serious health
disparities that adversely affect the Native Hawaiian peo-
ple include the following:
‘‘(1) CHRONIC DISEASE AND ILLNESS.—
‘‘(A) CANCER.—
‘‘(i) IN GENERAL.—With respect to all
cancer—
‘‘(I) Native Hawaiians have the
highest cancer mortality rates in the
State of Hawaii (231.0 out of every
100,000 residents), 45 percent higher
than that for the total State popu-
lation (159.7 out of every 100,000
residents);
‘‘(II) Native Hawaiian males
have the highest cancer mortality
rates in the State of Hawaii for can-
cers of the lung, liver and pancreas
and for all cancers combined;
‘‘(III) Native Hawaiian females
ranked highest in the State of Hawaii
for cancers of the lung, liver, pan-
creas, breast, cervix uteri, corpus
uteri, stomach, and rectum, and for
all cancers combined;
‘‘(IV) Native Hawaiian males
have the highest years of productive
life lost from cancer in the State of
Hawaii with 8.7 years compared to
6.4 years for all males; and
‘‘(V) Native Hawaiian females
have 8.2 years of productive life lost
from cancer in the State of Hawaii as
compared to 6.4 years for all females
in the State of Hawaii;
‘‘(ii) BREAST CANCER.—With respect
to breast cancer—
‘‘(I) Native Hawaiians have the
highest mortality rates in the State of
Hawaii from breast cancer (37.96 out
of every 100,000 residents), which is
25 percent higher than that for Cau-
casian Americans (30.25 out of every
100,000 residents) and 106 percent
higher than that for Chinese Ameri-
cans (18.39 out of every 100,000 resi-
dents); and
‘‘(II) nationally, Native Hawai-
ians have the third highest mortality
rates due to breast cancer (25.0 out
of every 100,000 residents) following
African Americans (31.4 out of every
100,000 residents) and Caucasian
Americans (27.0 out of every 100,000
residents).
‘‘(iii) CANCER OF THE CERVIX.—Na-
tive Hawaiians have the highest mortality
rates from cancer of the cervix in the State
of Hawaii (3.82 out of every 100,000 resi-
dents) followed by Filipino Americans
(3.33 out of every 100,000 residents) and
Caucasian Americans (2.61 out of every
100,000 residents).
‘‘(iv) LUNG CANCER.—Native Hawai-
ians have the highest mortality rates from
lung cancer in the State of Hawaii (90.70
out of every 100,000 residents), which is
61 percent higher than Caucasian Ameri-
cans, who rank second and 161 percent
higher than Japanese Americans, who rank
third.
‘‘(v) PROSTATE CANCER.—Native Ha-
waiian males have the second highest mor-
tality rates due to prostate cancer in the
State of Hawaii (25.86 out of every
100,000 residents) with Caucasian Ameri-
cans having the highest mortality rate
from prostate cancer (30.55 out of every
100,000 residents).
‘‘(B) DIABETES.—With respect to diabe-
tes, for the years 1989 through 1991—
‘‘(i) Native Hawaiians had the highest
mortality rate due to diabetes mellitis
(34.7 out of every 100,000 residents) in
the State of Hawaii which is 130 percent
higher than the statewide rate for all other
races (15.1 out of every 100,000 resi-
dents);
‘‘(ii) full-blood Hawaiians had a mor-
tality rate of 93.3 out of every 100,000
residents, which is 518 percent higher than
the rate for the statewide population of all
other races; and
‘‘(iii) Native Hawaiians who are less
than full-blood had a mortality rate of 27.1
out of every 100,000 residents, which is 79
percent higher than the rate for the state-
wide population of all other races.
‘‘(C) ASTHMA.—With respect to asthma—
‘‘(i) in 1990, Native Hawaiians com-
prised 44 percent of all asthma cases in
the State of Hawaii for those 18 years of
age and younger, and 35 percent of all
asthma cases reported; and
‘‘(ii) in 1992, the Native Hawaiian
rate for asthma was 81.7 out of every
1000 residents, which was 73 percent high-
er than the rate for the total statewide
population of 47.3 out of every 1000 resi-
dents.
‘‘(D) CIRCULATORY DISEASES.—
‘‘(i) HEART
DISEASE.—With respect
to heart disease—
‘‘(I) the death rate for Native
Hawaiians from heart disease (333.4
out of every 100,000 residents) is 66
percent higher than for the entire
State of Hawaii (201.1 out of every
100,000 residents); and
‘‘(II) Native Hawaiian males
have the greatest years of productive
life lost in the State of Hawaii where
Native Hawaiian males lose an aver-
age of 15.5 years and Native Hawai-
ian females lose an average of 8.2
years due to heart disease, as com-
pared to 7.5 years for all males in the
State of Hawaii and 6.4 years for all
females.
‘‘(ii) 
HYPERTENSION.—The 
death
rate for Native Hawaiians from hyper-
tension (3.5 out of every 100,000 resi-
dents) is 84 percent higher than that for
the entire State (1.9 out of every 100,000
residents).
‘‘(iii) STROKE.—The death rate for
Native Hawaiians from stroke (58.3 out of
every 100,000 residents) is 13 percent
higher than that for the entire State (51.8
out of every 100,000 residents).
‘‘(2) INFECTIOUS DISEASE AND ILLNESS.—The
incidence of AIDS for Native Hawaiians is at least
twice as high per 100,000 residents (10.5 percent)
than that for any other non-Caucasian group in the
State of Hawaii.
‘‘(3) INJURIES.—With respect to injuries—
‘‘(A) the death rate for Native Hawaiians
from injuries (38.8 out of every 100,000 resi-
dents) is 45 percent higher than that for the
entire State (26.8 out of every 100,000 resi-
dents);
‘‘(B) Native Hawaiian males lose an aver-
age of 14 years of productive life lost from inju-
ries as compared to 9.8 years for all other
males in Hawaii; and
‘‘(C) Native Hawaiian females lose an av-
erage of 4 years of productive life lost from in-
juries but this rate is the highest rate among
all females in the State of Hawaii.
‘‘(4) DENTAL HEALTH.—With respect to dental
health—
‘‘(A) Native Hawaiian children exhibit
among the highest rates of dental caries in the
nation, and the highest in the State of Hawaii
as compared to the 5 other major ethnic groups
in the State;
‘‘(B) the average number of decayed or
filled primary teeth for Native Hawaiian chil-
dren ages 5 through 9 years was 4.3 as com-
pared with 3.7 for the entire State of Hawaii
and 1.9 for the United States; and
‘‘(C) the proportion of Native Hawaiian
children ages 5 through 12 years with unmet
treatment needs (defined as having active den-
tal caries requiring treatment) is 40 percent as
compared with 33 percent for all other races in
the State of Hawaii.
‘‘(5) LIFE EXPECTANCY.—With respect to life
expectancy—
‘‘(A) Native Hawaiians have the lowest life
expectancy of all population groups in the State
of Hawaii;
‘‘(B) between 1910 and 1980, the life ex-
pectancy of Native Hawaiians from birth has
ranged from 5 to 10 years less than that of
the overall State population average; and
‘‘(C) the most recent tables for 1990 show
Native Hawaiian life expectancy at birth (74.27
years) to be about 5 years less than that of the
total State population (78.85 years).
‘‘(6) MATERNAL AND CHILD HEALTH.—
‘‘(A) PRENATAL
CARE.—With respect to
prenatal care—
‘‘(i) as of 1996, Native Hawaiian
women have the highest prevalence (21
percent) of having had no prenatal care
during their first trimester of pregnancy
when compared to the 5 largest ethnic
groups in the State of Hawaii;
‘‘(ii) of the mothers in the State of
Hawaii who received no prenatal care
throughout their pregnancy in 1996, 44
percent were Native Hawaiian;
‘‘(iii) over 65 percent of the referrals
to Healthy Start in fiscal years 1996 and
1997 were Native Hawaiian newborns; and
‘‘(iv) in every region of the State of
Hawaii, many Native Hawaiian newborns
begin life in a potentially hazardous cir-
cumstance, far higher than any other ra-
cial group.
‘‘(B) BIRTHS.—With respect to births—
‘‘(i) in 1996, 45 percent of the live
births to Native Hawaiian mothers were
infants born to single mothers which sta-
tistics indicate put infants at higher risk of
low birth weight and infant mortality;
‘‘(ii) in 1996, of the births to Native
Hawaiian single mothers, 8 percent were
low birth weight (under 2500 grams); and
‘‘(iii) of all low birth weight babies
born to single mothers in the State of Ha-
waii, 44 percent were Native Hawaiian.
‘‘(C) TEEN PREGNANCIES.—With respect
to births—
‘‘(i) in 1993 and 1994, Native Hawai-
ians had the highest percentage of teen
(individuals who were less than 18 years of
age) births (8.1 percent) compared to the
rate for all other races in the State of Ha-
waii (3.6 percent);
‘‘(ii) in 1996, nearly 53 percent of all
mothers in Hawaii under 18 years of age
were Native Hawaiian;
‘‘(iii) lower rates of abortion (a third
lower than for the statewide population)
among Hawaiian women may account in
part, for the higher percentage of live
births;
‘‘(iv) in 1995, of the births to mothers
age 14 years and younger in Hawaii, 66
percent were Native Hawaiian; and
‘‘(v) in 1996, of the births in this
same group, 48 percent were Native Ha-
waiian.
‘‘(D) FETAL MORTALITY.—In 1996, Na-
tive Hawaiian fetal mortality rates comprised
15 percent of all fetal deaths for the State of
Hawaii. However, for fetal deaths occurring in
mothers under the age of 18 years, 32 percent
were Native Hawaiian, and for mothers 18
through 24 years of age, 28 percent were Na-
tive Hawaiians.
‘‘(7) MENTAL HEALTH.—
‘‘(A) ALCOHOL AND DRUG ABUSE.—With
respect to alcohol and drug abuse—
‘‘(i) Native Hawaiians represent 38
percent of the total admissions to Depart-
ment of Health, Alcohol, Drugs and Other
Drugs, funded substance abuse treatment
programs;
‘‘(ii) in 1997, the prevalence of ciga-
rette smoking by Native Hawaiians was
28.5 percent, a rate that is 53 percent
higher than that for all other races in the
State of Hawaii which is 18.6 percent;
‘‘(iii) Native Hawaiians have the high-
est prevalence rates of acute alcohol drink-
ing (31 percent), a rate that is 79 percent
higher than that for all other races in the
State of Hawaii;
‘‘(iv) the chronic alcohol drinking rate
among Native Hawaiians is 54 percent
higher than that for all other races in the
State of Hawaii;
‘‘(v) in 1991, 40 percent of the Native
Hawaiian adults surveyed reported having
used marijuana compared with 30 percent
for all other races in the State of Hawaii;
and
‘‘(vi) nine percent of the Native Ha-
waiian adults surveyed reported that they
are current users (within the past year) of
marijuana, compared with 6 percent for all
other races in the State of Hawaii.
‘‘(B) CRIME.—With respect to crime—
‘‘(i) in 1996, of the 5,944 arrests that
were made for property crimes in the State
of Hawaii, arrests of Native Hawaiians
comprised 20 percent of that total;
‘‘(ii) Native Hawaiian juveniles com-
prised a third of all juvenile arrests in
1996;
‘‘(iii) In 1996, Native Hawaiians rep-
resented 21 percent of the 8,000 adults ar-
rested for violent crimes in the State of
Hawaii, and 38 percent of the 4,066 juve-
nile arrests;
‘‘(iv) Native Hawaiians are over-rep-
resented in the prison population in Ha-
waii;
‘‘(v) in 1995 and 1996 Native Hawai-
ians comprised 36.5 percent of the sen-
tenced felon prison population in Hawaii,
as compared to 20.5 percent for Caucasian
Americans, 3.7 percent for Japanese
Americans, and 6 percent for Chinese
Americans;
‘‘(vi) in 1995 and 1996 Native Ha-
waiians made up 45.4 percent of the tech-
nical violator population, and at the Ha-
waii Youth Correctional Facility, Native
Hawaiians constituted 51.6 percent of all
detainees in fiscal year 1997; and
‘‘(vii) based on anecdotal information
from inmates at the Halawa Correction
Facilities, Native Hawaiians are estimated
to comprise between 60 and 70 percent of
all inmates.
‘‘(8) HEALTH
PROFESSIONS
EDUCATION
AND
TRAINING.—With respect to health professions edu-
cation and training—
‘‘(A) Native Hawaiians age 25 years and
older have a comparable rate of high school
completion, however, the rates of baccalaureate
degree achievement amongst Native Hawaiians
are less than the norm in the State of Hawaii
(6.9 percent and 15.76 percent respectively);
‘‘(B) Native Hawaiian physicians make up
4 percent of the total physician workforce in the
State of Hawaii; and
‘‘(C) in fiscal year 1997, Native Hawaiians
comprised 8 percent of those individuals who
earned Bachelor’s Degrees, 14 percent of those
individuals who earned professional diplomas, 6
percent of those individuals who earned Mas-
waiian healing practices by Native Hawaiian
healers.
‘‘(c) REPORT.—The Secretary shall submit to the
President, for inclusion in each report required to be
transmitted to Congress under section 12, a report on the
progress made towards meeting the National policy as set
forth in this section.
‘‘SEC. 5. COMPREHENSIVE HEALTH CARE MASTER PLAN
FOR NATIVE HAWAIIANS.
‘‘(a) DEVELOPMENT.—
‘‘(1) IN GENERAL.—The Secretary may make a
grant to, or enter into a contract with, Papa Ola
Lokahi for the purpose of coordinating, imple-
menting and updating a Native Hawaiian com-
prehensive health care master plan designed to pro-
mote comprehensive health promotion and disease
prevention services and to maintain and improve the
health status of Native Hawaiians, and to support
community-based initiatives that are reflective of ho-
listic approaches to health.
‘‘(2) CONSULTATION.—
‘‘(A) IN GENERAL.—Papa Ola Lokahi and
the Office of Hawaiian Affairs shall consult
with the Native Hawaiian health care systems,
Native Hawaiian health centers, and the Native
Commission as the Commission determines to be
necessary to carry out its duties.
‘‘(6) USE OF MAILS.—The Commission may use
the United States mails in the same manner and
under the same conditions as Federal agencies and
shall, for purposes of the frank, be considered a
commission of Congress as described in section 3215
of title 39, United States Code.
‘‘(7) OBTAINING INFORMATION.—The Commis-
sion may secure directly from any Federal agency
information necessary to enable the Commission to
carry out its duties, if the information may be dis-
closed under section 552 of title 5, United States
Code. Upon request of the chairperson of the Com-
mission, the head of such agency shall furnish such
information to the Commission.
‘‘(8) SUPPORT SERVICES.—Upon the request of
the Commission, the Administrator of General Serv-
ices shall provide to the Commission on a reimburs-
able basis such administrative support services as
the Commission may request.
‘‘(9) PRINTING.—For purposes of costs relating
to printing and binding, including the cost of per-
sonnel detailed from the Government Printing Of-