iana Islands, and American Samoa. The 
enumerations—
‘‘(I) shall be conducted at such 
intervals as the Secretary of the Inte-
rior shall determine, but no less fre-
quently than every five years, begin-
ning in fiscal year 2004; and 
‘‘(II) shall be supervised by the 
United States Bureau of the Census 
or other organization as the Secretary 
of the Interior may select. 
‘‘(iv) ALLOCATION.—The Secretary of 
the Interior shall allocate to each of the 
governments of Guam, the State of Ha-
waii, the Commonwealth of the Northern 
Mariana Islands, and American Samoa, 
grants under clause (i) for a fiscal year on 
the basis of the ratio of the number of 
qualified nonimmigrants (as most recently 
enumerated under clause (iii)) in the re-
spective jurisdiction to the total of such 
numbers for all the jurisdictions.
‘‘(B) TREATMENT
OF
CERTAIN
HEALTH 
CARE
IMPACT
COSTS.—Notwithstanding any 
other provision of law, for purposes of providing
medical assistance for qualified nonimmigrants 
under title XIX of the Social Security Act in 
the case of a State or territory referred to in 
subparagraph (A)(i)—
‘‘(i) such individuals shall be treated 
in the same manner as an individual de-
scribed in section 402(a)(2)(G) of Public 
Law 104–193, as amended; 
‘‘(ii) the Federal medical assistance 
percentage shall be the same percentage as 
is applied to medical assistance for services 
which are received through an Indian 
Health Service facility; and 
‘‘(iii) payments under such title for 
medical assistance for such individuals 
shall not be taken into account in applying 
any limitations under section 1108 of the 
Social Security Act. 
‘‘(C) 
QUALIFIED
NONIMMIGRANT
DE-
FINED.—In this paragraph, term ‘qualified non-
immigrant’ means a person admitted to the 
United States pursuant to—
‘‘(i) section 141 of the Compact of 
Free Association set forth in title II; or
‘‘(ii) section 141 of the Compact of 
Free Association between the United 
States and the Government of Palau.’’. 
(b) EFFECTIVE DATE.—Section 104(e)(6)(B) of the 
Compact of Free Association Act of 1985, as amended by 
subsection (a), shall apply to medical assistance for items 
and services furnished on or after October 1, 2003. 
SEC. 3. ENSURING FOOD STAMPS ELIGIBILITY AS PART OF 
COMPACT-IMPACT AID. 
(a) IN GENERAL.—Section 104(e)(6) of the Compact 
of Free Association Act of 1985 (48 U.S.C. 1904(e)(6)), 
as amended by section 2, is further amended—
(1) by redesignating subparagraph (C) as sub-
paragraph (D); and 
(2) by inserting after subparagraph (B) the fol-
lowing new subparagraph: 
‘‘(C) TREATMENT OF CERTAIN SOCIAL IM-
PACT COSTS.—Notwithstanding any other provi-
sion of law, with respect to the food stamp pro-
gram as defined in section 3(h) of the Food 
Stamp Act of 1977—
‘‘(i) sections 401(a) and 402(a)(1) of 
the Personal Responsibility and Work Op-
portunity Reconciliation Act of 1996 shall 
not apply to a qualified nonimmigrant to
the same extent that such sections 401(a) 
and 402(a)(1) do not apply to the individ-
uals described in section 402(a)(2)(G) of 
the Personal Responsibility and Work Op-
portunity Reconciliation Act of 1996 by 
reason of such section 402(a)(2)(G); and 
‘‘(ii) section 16(e)(1) of the Food 
Stamp Act of 1977 shall not apply to a 
qualified nonimmigrant.’’. 
(b) EFFECTIVE DATE.—Section 104(e)(6)(C) of the 
Compact of Free Association Act of 1985, as inserted by 
subsection (a), shall apply on and after October 1, 2003. 
SEC. 4. ENSURING THE CONTROL AND PREVENTION OF 
COMMUNICABLE DISEASES AS PART OF COM-
PACT-IMPACT AID. 
Section 105(o) of the Compact of Free Association 
Act of 1985 (48 U.S.C. 1905(o)) is amended to read as 
follows: 
‘‘(o) COMMUNICABLE
DISEASE
CONTROL
PRO-
GRAMS.—There are authorized to be appropriated for 
grants to the Governments of the Federated States of Mi-
cronesia, the Republic of the Marshall Islands, the Repub-
lic of Palau, Guam, the State of Hawaii, the Common-
wealth of the Northern Mariana Islands, and American 
Samoa such sums as may be necessary for purposes of
establishing or continuing programs for the control and 
prevention of communicable diseases, including (but not 
limited to) cholera and Hansen’s Disease. The Secretary 
of the Interior shall assist the Governments of the Fed-
erated States of Micronesia, the Republic of the Marshall 
Islands, the Republic of Palau, Guam, the State of Ha-
waii, the Commonwealth of the Northern Mariana Islands, 
and American Samoa in designing and implementing such 
programs.’’. 
SEC. 5. ENSURING AVAILABILITY OF DEPARTMENT OF DE-
FENSE MEDICAL FACILITIES AND NATIONAL 
HEALTH SERVICE CORPS SERVICES AS PART 
OF COMPACT-IMPACT AID. 
Section 105(k) of the Compact of Free Association 
Act of 1985 (48 U.S.C. 1905(k)) is amended to read as 
follows: 
‘‘(k) AVAILABILITY OF DEFENSE MEDICAL FACILI-
TIES AND NATIONAL HEALTH SERVICE CORPS SERV-
ICES.—
‘‘(1) DEPARTMENT OF DEFENSE FACILITIES.—
The Secretary of Defense shall make available the 
medical facilities of the Department of Defense for 
use by individuals from the Federated States of Mi-
cronesia, the Republic of the Marshall Islands, and 
the Republic of Palau who are properly referred to
such facilities by government authorities responsible 
for provision of medical services in the Federated 
States of Micronesia, the Republic of the Marshall 
Islands, the Republic of Palau, Guam, the State of 
Hawaii, the Commonwealth of the Northern Mar-
iana Islands, and American Samoa. 
‘‘(2) NATIONAL HEALTH SERVICE CORPS SERV-
ICES.—The Secretary of Health and Human Serv-
ices shall continue to make the services of the Na-
tional Health Service Corps available to the resi-
dents of the Federated States of Micronesia, the Re-
public of the Marshall Islands, and the Republic of 
Palau, to the same extent and for long as such serv-
ices are authorized to be provided to persons resid-
ing in any other areas within or outside the United 
States.’’. 
SEC. 6. ENSURING RETIREMENT OF MEDICAL REFERRAL 
DEBTS AS PART OF COMPACT-IMPACT AID. 
Section 105(d) of the Compact of Free Association 
Act of 1985 (48 U.S.C. 1905(d)) is amended—
(1) by striking paragraphs (1) and (2) and in-
serting the following: 
‘‘(1) IN GENERAL.—In addition to the funds 
provided in Title Two, Article II, section 221(b) of 
the Compact, the United States shall make available
to the Governments of the Federated States of Mi-
cronesia, the Republic of the Marshall Islands, and 
the Republic of Palau such sums as may be nec-
essary for the payment of the obligations incurred 
for the use of medical facilities in the United States, 
including any territories and commonwealths, by in-
dividuals from the Federated States of Micronesia, 
the Republic of the Marshall Islands, and the Re-
public of Palau, before October 1, 2003.’’; 
(2) by redesignating paragraphs (3) and (4) as 
paragraphs (2) and (3), respectively; and 
(3) in paragraph (2), as so redesignated, by 
striking ‘‘or (2) of this subsection, as the case may 
be’’.
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