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 Com-
mittee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to provide for 
health data regarding Native Hawaiians and other Pa-
cific Islanders. 
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 and 
Other Pacific Islander Health Data Act of 2009’’. 
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SEC. 2. NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDER 
HEALTH DATA. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317T the following: 
‘‘SEC. 317U. NATIVE HAWAIIAN AND OTHER PACIFIC IS-
LANDER HEALTH DATA. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY GROUP.—The term ‘commu-
nity group’ means a group of NHOPI who are orga-
nized at the community level, and may include a 
church group, social service group, national advocacy 
organization, or cultural group. 
‘‘(2) NONPROFIT, NONGOVERNMENTAL ORGANI-
ZATION.—The term ‘nonprofit, nongovernmental or-
ganization’ means a group of NHOPI with a dem-
onstrated history of addressing NHOPI issues, in-
cluding a NHOPI coalition. 
‘‘(3) DESIGNATED
ORGANIZATION.—The term 
‘designated organization’ means an entity estab-
lished to represent NHOPI populations and which 
has statutory responsibilities to provide, or has com-
munity support for providing, health care. 
‘‘(4) GOVERNMENT
REPRESENTATIVES.—The 
term ‘government representatives’ means representa-
tives from Hawai‘i, American Samoa, the Common-
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wealth of the Northern Mariana Islands, the Fed-
erated States of Micronesia, Guam, the Republic of 
Palau, and the Republic of the Marshall Islands. 
‘‘(5) NATIVE HAWAIIANS AND OTHER PACIFIC 
ISLANDERS OR NHOPI.—The term ‘Native Hawai-
ians and Other Pacific Islanders’ or ‘NHOPI’ means 
people having origins in any of the original peoples 
of American Samoa, the Commonwealth of the 
Northern Mariana Islands, the Federated States of 
Micronesia, Guam, Hawai‘i, the Republic of the 
Marshall Islands, the Republic of Palau, or any 
other Pacific Island. 
‘‘(6) INSULAR AREA.—The term ‘insular area’ 
means Guam, the Commonwealth of Northern Mar-
iana Islands, American Samoa, the United States 
Virgin Islands, the Federated States of Micronesia, 
the Republic of Palau, or the Republic of the Mar-
shall Islands. 
‘‘(b) NATIONAL STRATEGY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the National Center for 
Health Statistics (referred to in this section as 
‘NCHS’) of the Centers for Disease Control and 
Prevention, and other agencies within the Depart-
ment of Health and Human Services as the Sec-
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retary determines appropriate, shall develop and im-
plement an ongoing and sustainable national strat-
egy for identifying and evaluating the health status 
and health care needs of NHOPI populations living 
in the continental United States, Hawai‘i, American 
Samoa, the Commonwealth of the Northern Mariana 
Islands, the Federated States of Micronesia, Guam, 
the Republic of Palau, and the Republic of the Mar-
shall Islands. 
‘‘(2) CONSULTATION.—In developing and imple-
menting a national strategy, as described in para-
graph (1), not later than 180 days after the date of 
enactment of the Native Hawaiian and Other Pacific 
Islander Health Data Act of 2009, the Secretary— 
‘‘(A) shall consult with representatives of 
community groups, designated organizations, 
and nonprofit, nongovernmental organizations 
and with government representatives of NHOPI 
populations; and 
‘‘(B) may solicit the participation of rep-
resentatives from other Federal departments. 
‘‘(c) PRELIMINARY HEALTH SURVEY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of NCHS, shall conduct a pre-
liminary health survey in order to identify the major 
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areas and regions in the continental United States, 
Hawai‘i, American Samoa, the Commonwealth of the 
Northern Mariana Islands, the Federated States of 
Micronesia, Guam, the Republic of Palau, and the 
Republic of the Marshall Islands in which NHOPI 
people reside. 
‘‘(2) CONTENTS.—The health survey described 
in paragraph (1) shall include health data and any 
other data the Secretary determines to be— 
‘‘(A) useful in determining health status 
and health care needs; or 
‘‘(B) required for developing or imple-
menting a national strategy. 
‘‘(3) METHODOLOGY.—Methodology for the 
health survey described in paragraph (1), including 
plans for designing questions, implementation, sam-
pling, and analysis, shall be developed in consulta-
tion with community groups, designated organiza-
tions, nonprofit, nongovernmental organizations, and 
government representatives of NHOPI populations, 
as determined by the Secretary. 
‘‘(4) TIMEFRAME.—The survey required under 
this subsection shall be completed not later than 18 
months after the date of enactment of the Native 
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Hawaiian and Other Pacific Islander Health Data 
Act of 2009. 
‘‘(d) PROGRESS REPORT.—Not later than 2 years 
after the date of enactment of the Native Hawaiian and 
Other Pacific Islander Health Data Act of 2009, the Sec-
retary shall submit to Congress a progress report, which 
shall include the national strategy described in subsection 
(b)(1). 
‘‘(e) STUDY AND REPORT BY THE IOM.— 
‘‘(1) IN GENERAL.—The Secretary shall enter 
into an agreement with the Institute of Medicine to 
conduct a study, with input from stakeholders in in-
sular areas, on the following: 
‘‘(A) The standards and definitions of 
health care applied to health care systems in in-
sular areas and the appropriateness of such 
standards and definitions. 
‘‘(B) The status and performance of health 
care systems in insular areas, evaluated based 
upon standards and definitions, as the Sec-
retary determines. 
‘‘(C) The effectiveness of donor aid in ad-
dressing health care needs and priorities in in-
sular areas. 
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‘‘(D) The progress toward implementation 
of recommendations of the Committee on 
Health Care Services in the United States–As-
sociated Pacific Basin of the Institute of Medi-
cine that are set forth in the 1998 report, ‘Pa-
cific Partnerships for Health: Charting a New 
Course for the 21st Century’. 
‘‘(2) REPORT.—An agreement described in 
paragraph (1) shall require the Institute of Medicine 
to submit to the Secretary and to Congress, not 
later than 2 years after the date of the enactment 
of the Native Hawaiian and Other Pacific Islander 
Health Data Act of 2009, a report containing a de-
scription of the results of the study conducted under 
paragraph (1), including the conclusions and rec-
ommendations of the Institute of Medicine for each 
of the items described in subparagraphs (A) through 
(D) of such paragraph. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2010 through 2015.’’. 
Æ 
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