‘‘(B) the amounts and purposes for which 
Federal funds were expended; and 
‘‘(C) such other information as the Sec-
retary may request. 
‘‘(2) AUDITS.—The reports and records of any 
entity concerning any grant or contract under this 
Act shall be subject to audit by— 
‘‘(A) the Secretary; 
‘‘(B) the Inspector General of the Depart-
ment of Health and Human Services; and 
‘‘(C) the Comptroller General of the 
United States. 
‘‘(f) ANNUAL PRIVATE AUDIT.—The Secretary shall 
allow as a cost of any grant made or contract entered into 
under this Act the cost of an annual private audit con-
ducted by a certified public accountant to carry out this 
section. 
‘‘SEC. 10. ASSIGNMENT OF PERSONNEL. 
‘‘(a) IN GENERAL.—The Secretary may enter into an 
agreement with Papa Ola Lokahi or any of the Native Ha-
waiian health care systems for the assignment of personnel 
of the Department of Health and Human Services with 
relevant expertise for the purpose of— 
‘‘(1) conducting research; or 
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‘‘(2) providing comprehensive health promotion 
and disease prevention services and health services 
to Native Hawaiians. 
‘‘(b) APPLICABLE FEDERAL PERSONNEL PROVI-
SIONS.—Any assignment of personnel made by the Sec-
retary under any agreement entered into under subsection 
(a) shall be treated as an assignment of Federal personnel 
to a local government that is made in accordance with sub-
chapter VI of chapter 33 of title 5, United States Code. 
‘‘SEC. 11. NATIVE HAWAIIAN HEALTH SCHOLARSHIPS AND 
FELLOWSHIPS. 
‘‘(a) ELIGIBILITY.—Subject to the availability of 
amounts appropriated under subsection (c), the Secretary 
shall provide to Papa Ola Lokahi, through a direct grant 
or a cooperative agreement, funds for the purpose of pro-
viding scholarship and fellowship assistance, counseling, 
and placement service assistance to students who are Na-
tive Hawaiians. 
‘‘(b) PRIORITY.—A priority for scholarships under 
subsection (a) may be provided to employees of— 
‘‘(1) the Native Hawaiian Health Care Systems; 
and 
‘‘(2) the Native Hawaiian Health Centers. 
‘‘(c) TERMS AND CONDITIONS.— 
‘‘(1) SCHOLARSHIP ASSISTANCE.— 
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‘‘(A) IN
GENERAL.—The scholarship as-
sistance under subsection (a) shall be provided 
in accordance with subparagraphs (B) through 
(G). 
‘‘(B) NEED.—The provision of scholar-
ships in each type of health profession training 
shall correspond to the need for each type of 
health professional to serve the Native Hawai-
ian community in providing health services, as 
identified by Papa Ola Lokahi. 
‘‘(C) ELIGIBLE APPLICANTS.—To the max-
imum extent practicable, the Secretary shall se-
lect scholarship recipients from a list of eligible 
applicants submitted by Papa Ola Lokahi. 
‘‘(D) 
OBLIGATED
SERVICE
REQUIRE-
MENT.— 
‘‘(i) IN GENERAL.—An obligated serv-
ice requirement for each scholarship recipi-
ent (except for a recipient receiving assist-
ance under paragraph (2)) shall be fulfilled 
through service, in order of priority, in— 
‘‘(I) any of the Native Hawaiian 
health care systems; 
‘‘(II) any of the Native Hawaiian 
health centers; 
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‘‘(III) 1 or more health profes-
sions shortage areas, medically under-
served areas, or geographic areas or 
facilities similarly designated by the 
Public Health Service in the State; 
‘‘(IV) a Native Hawaiian organi-
zation that serves a geographical area, 
facility, or organization that serves a 
significant Native Hawaiian popu-
lation; 
‘‘(V) any public agency or non-
profit organization providing services 
to Native Hawaiians; or 
‘‘(VI) any of the uniformed serv-
ices of the United States. 
‘‘(ii) ASSIGNMENT.—The placement 
service for a scholarship shall assign each 
Native Hawaiian scholarship recipient to 1 
or more appropriate sites for service in ac-
cordance with clause (i). 
‘‘(E) COUNSELING, RETENTION, AND SUP-
PORT
SERVICES.—The provision of academic 
and personal counseling, retention and other 
support services— 
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‘‘(i) shall not be limited to scholarship 
recipients under this section; and 
‘‘(ii) shall be made available to recipi-
ents of other scholarship and financial aid 
programs enrolled in appropriate health 
professions training programs. 
‘‘(F) FINANCIAL ASSISTANCE.—After con-
sultation with Papa Ola Lokahi, financial as-
sistance may be provided to a scholarship re-
cipient during the period that the recipient is 
fulfilling the service requirement of the recipi-
ent in any of— 
‘‘(i) the Native Hawaiian health care 
systems; or 
‘‘(ii) the Native Hawaiians health cen-
ters. 
‘‘(G) DISTANCE LEARNING RECIPIENTS.— 
A scholarship may be provided to a Native Ha-
waiian who is enrolled in an appropriate dis-
tance learning program offered by an accredited 
educational institution. 
‘‘(2) FELLOWSHIPS.— 
‘‘(A) IN GENERAL.—Papa Ola Lokahi may 
provide financial assistance in the form of a fel-
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lowship to a Native Hawaiian health profes-
sional who is— 
‘‘(i) a Native Hawaiian community 
health representative, outreach worker, or 
health program administrator in a profes-
sional training program; 
‘‘(ii) a Native Hawaiian providing 
health services; or 
‘‘(iii) a Native Hawaiian enrolled in a 
certificated program provided by tradi-
tional Native Hawaiian healers in any of 
the traditional Native Hawaiian healing 
practices 
(including 
lomi-lomi, 
la‘au 
lapa‘au, and ho‘oponopono). 
‘‘(B) TYPES OF ASSISTANCE.—Assistance 
under subparagraph (A) may include a stipend 
for, or reimbursement for costs associated with, 
participation in a program described in that 
paragraph. 
‘‘(3) RIGHTS
AND
BENEFITS.—An individual 
who is a health professional designated in section 
338A of the Public Health Service Act (42 U.S.C. 
254l) who receives a scholarship under this sub-
section while fulfilling a service requirement under 
that Act shall retain the same rights and benefits as 
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members of the National Health Service Corps dur-
ing the period of service. 
‘‘(4) NO INCLUSION OF ASSISTANCE IN GROSS 
INCOME.—Financial assistance provided under this 
section shall be considered to be qualified scholar-
ships for the purpose of section 117 of the Internal 
Revenue Code of 1986. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out subsections (a) and (c)(2) for each of 
fiscal years 2009 through 2014. 
‘‘SEC. 12. REPORT. 
‘‘For each fiscal year, the President shall, at the time 
at which the budget of the United States is submitted 
under section 1105 of title 31, United States Code, submit 
to Congress a report on the progress made in meeting the 
purposes of this Act, including— 
‘‘(1) a review of programs established or as-
sisted in accordance with this Act; and 
‘‘(2) an assessment of and recommendations for 
additional programs or additional assistance nec-
essary to provide, at a minimum, health services to 
Native Hawaiians, and ensure a health status for 
Native Hawaiians, that are at a parity with the 
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health services available to, and the health status of, 
the general population. 
‘‘SEC. 13. USE OF FEDERAL GOVERNMENT FACILITIES AND 
SOURCES OF SUPPLY. 
‘‘(a) IN GENERAL.—The Secretary shall permit an 
organization that enters into a contract or receives grant 
under this Act to use in carrying out projects or activities 
under the contract or grant all existing facilities under the 
jurisdiction of the Secretary (including all equipment of 
the facilities), in accordance with such terms and condi-
tions as may be agreed on for the use and maintenance 
of the facilities or equipment. 
‘‘(b) DONATION OF PROPERTY.—The Secretary may 
donate to an organization that enters into a contract or 
receives grant under this Act, for use in carrying out a 
project or activity under the contract or grant, any per-
sonal or real property determined to be in excess of the 
needs of the Department or the General Services Adminis-
tration. 
‘‘(c) ACQUISITION
OF SURPLUS PROPERTY.—The 
Secretary may acquire excess or surplus Federal Govern-
ment personal or real property for donation to an organi-
zation under subsection (b) if the Secretary determines 
that the property is appropriate for use by the organiza-
tion for the purpose for which a contract entered into or 
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grant received by the organization is authorized under this 
Act. 
‘‘SEC. 14. DEMONSTRATION PROJECTS OF NATIONAL SIG-
NIFICANCE. 
‘‘(a) AUTHORITY AND AREAS OF INTEREST.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with Papa Ola Lokahi, may allocate amounts 
made available under this Act, or any other Act, to 
carry out Native Hawaiian demonstration projects of 
national significance. 
‘‘(2) AREAS
OF
INTEREST.—A demonstration 
project described in paragraph (1) may relate to 
such areas of interest as— 
‘‘(A) the development of a centralized 
database and information system relating to the 
health care status, health care needs, and 
wellness of Native Hawaiians; 
‘‘(B) the education of health professionals, 
and other individuals in institutions of higher 
learning, in health and allied health programs 
in healing practices, including Native Hawaiian 
healing practices; 
‘‘(C) the integration of Western medicine 
with complementary healing practices, including 
traditional Native Hawaiian healing practices; 
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‘‘(D) the use of telehealth and tele-
communications in— 
‘‘(i) chronic and infectious disease 
management; and 
‘‘(ii) health promotion and disease 
prevention; 
‘‘(E) the development of appropriate mod-
els of health care for Native Hawaiians and 
other indigenous people, including— 
‘‘(i) the provision of culturally com-
petent health services; 
‘‘(ii) related activities focusing on 
wellness concepts; 
‘‘(iii) the development of appropriate 
kupuna care programs; and 
‘‘(iv) the development of financial 
mechanisms and collaborative relationships 
leading to universal access to health care; 
and 
‘‘(F) the establishment of— 
‘‘(i) a Native Hawaiian Center of Ex-
cellence for Nursing at the University of 
Hawai’i at Hilo; 
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‘‘(ii) a Native Hawaiian Center of Ex-
cellence for Mental Health at the Univer-
sity of Hawai’i at Manoa; 
‘‘(iii) a Native Hawaiian Center of 
Excellence for Maternal Health and Nutri-
tion at the Waimanalo Health Center; 
‘‘(iv) a Native Hawaiian Center of Ex-
cellence for Research, Training, Integrated 
Medicine at Molokai General Hospital; and 
‘‘(v) a Native Hawaiian Center of Ex-
cellence for Complementary Health and 
Health Education and Training at the 
Waianae 
Coast 
Comprehensive 
Health 
Center. 
‘‘(3) CENTERS
OF
EXCELLENCE.—Papa Ola 
Lokahi, and any centers established under para-
graph (2)(F), shall be considered to be qualified as 
Centers of Excellence under sections 485F and 
903(b)(2)(A) of the Public Health Service Act (42 
U.S.C. 287c–32, 299a–1). 
‘‘(b) NONREDUCTION IN OTHER FUNDING.—The al-
location of funds for demonstration projects under sub-
section (a) shall not result in any reduction in funds re-
quired by the Native Hawaiian health care systems, the 
Native Hawaiian Health Centers, the Native Hawaiian 
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Health Scholarship Program, or Papa Ola Lokahi to carry 
out the respective responsibilities of those entities under 
this Act. 
‘‘SEC. 15. RULE OF CONSTRUCTION. 
‘‘Nothing in this Act restricts the authority of the 
State to require licensing of, and issue licenses to, health 
practitioners. 
‘‘SEC. 16. COMPLIANCE WITH BUDGET ACT. 
‘‘Any new spending authority described in subpara-
graph (A) or (B) of section 401(c)(2) of the Congressional 
Budget Act of 1974 (2 U.S.C. 651(c)(2)) that is provided 
under this Act shall be effective for any fiscal year only 
to such extent or in such amounts as are provided for in 
Acts of appropriation. 
‘‘SEC. 17. SEVERABILITY. 
‘‘If any provision of this Act, or the application of 
any such provision to any person or circumstance, is deter-
mined by a court of competent jurisdiction to be invalid, 
the remainder of this Act, and the application of the provi-
sion to a person or circumstance other than that to which 
the provision is held invalid, shall not be affected by that 
holding.’’. 
Æ 
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