899 
•HRES 1061 EH 
(3) by adding at the end the following new subpara-
graph: 
‘‘(E) such services furnished on or after March 
9, 2024, and before January 1, 2025, by 2.93 per-
cent.’’. 
SEC. 306. EXTENSION OF INCREASED INPATIENT HOSPITAL 
PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOL-
UME HOSPITALS. 
(a) IN GENERAL.—Section 1886(d)(12) of the Social Se-
curity Act (42 U.S.C. 1395ww(d)(12)) is amended— 
(1) in subparagraph (B), in the matter preceding 
clause (i), by striking ‘‘in fiscal year 2025 and subse-
quent fiscal years’’ and inserting ‘‘during the portion of 
fiscal year 2025 beginning on January 1, 2025, and end-
ing on September 30, 2025, and in fiscal year 2026 and 
subsequent fiscal years’’; 
(2) in subparagraph (C)(i)— 
(A) in the matter preceding subclause (I)— 
(i) by inserting ‘‘or portion of a fiscal 
year’’ after ‘‘for a fiscal year’’; and 
(ii) by inserting ‘‘and the portion of fiscal 
year 2025 beginning on October 1, 2024, and 
ending on December 31, 2024’’ after ‘‘through 
2024’’;
900 
•HRES 1061 EH 
(B) in subclause (III), by inserting ‘‘and the 
portion of fiscal year 2025 beginning on October 1, 
2024, and ending on December 31, 2024’’ after 
‘‘through 2024’’; and 
(C) in subclause (IV), by striking ‘‘fiscal year 
2025’’ and inserting ‘‘the portion of fiscal year 
2025 beginning on January 1, 2025, and ending on 
September 30, 2025, and fiscal year 2026’’; and 
(3) in subparagraph (D)— 
(A) in the matter preceding clause (i), by in-
serting ‘‘or during the portion of fiscal year 2025 
beginning on October 1, 2024, and ending on De-
cember 31, 2024’’ after ‘‘through 2024’’; and 
(B) in clause (ii), by inserting ‘‘and the portion 
of fiscal year 2025 beginning on October 1, 2024, 
and ending on December 31, 2024’’ after ‘‘through 
2024’’. 
(b) IMPLEMENTATION.—Notwithstanding any other pro-
vision of law, the Secretary of Health and Human Services 
may implement the provisions of, including the amendments 
made by, this section by program instruction or otherwise. 
SEC. 307. EXTENSION OF THE MEDICARE-DEPENDENT HOS-
PITAL (MDH) PROGRAM. 
(a) IN GENERAL.—Section 1886(d)(5)(G) of the Social 
Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
901 
•HRES 1061 EH 
(1) in clause (i), by striking ‘‘October 1, 2024’’ and 
inserting ‘‘January 1, 2025’’; and 
(2) in clause (ii)(II), by striking ‘‘October 1, 2024’’ 
and inserting ‘‘January 1, 2025’’. 
(b) CONFORMING AMENDMENTS.— 
(1) EXTENSION
OF
TARGET
AMOUNT.—Section 
1886(b)(3)(D) of the Social Security Act (42 U.S.C. 
1395ww(b)(3)(D)) is amended— 
(A) in the matter preceding clause (i), by strik-
ing ‘‘October 1, 2024’’ and inserting ‘‘January 1, 
2025’’; and 
(B) in clause (iv), by inserting ‘‘and the por-
tion of fiscal year 2025 beginning on October 1, 
2024, and ending on December 31, 2024,’’ after 
‘‘through fiscal year 2024’’. 
(2) PERMITTING HOSPITALS TO DECLINE RECLASSI-
FICATION.—Section 13501(e)(2) of the Omnibus Budget 
Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is 
amended by striking ‘‘or fiscal year 2000’’ and all that 
follows through ‘‘the Secretary’’ and inserting ‘‘fiscal 
year 2000 through fiscal year 2024, or the portion of fis-
cal year 2025 beginning on October 1, 2024, and ending 
on December 31, 2024, the Secretary’’.
902 
•HRES 1061 EH 
SEC. 308. EXTENSION OF ADJUSTMENT TO CALCULATION OF 
HOSPICE CAP AMOUNT UNDER MEDICARE. 
Section 1814(i)(2)(B) of the Social Security Act (42 
U.S.C. 1395f(i)(2)(B)) is amended— 
(1) in clause (ii), by striking ‘‘2032’’ and inserting 
‘‘2033’’; and 
(2) in clause (iii), by striking ‘‘2032’’ and inserting 
‘‘2033’’. 
SEC. 309. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ‘‘$2,197,795,056’’ and 
inserting ‘‘$0’’. 
Subtitle D—Human Services 
SEC. 401. EXTENSION OF TEMPORARY ASSISTANCE FOR NEEDY 
FAMILIES PROGRAM. 
Activities authorized by part A of title IV (other than 
under section 403(c) or 418) and section 1108(b) of the So-
cial Security Act shall continue through September 30, 2024, 
in the manner authorized for fiscal year 2023, and out of any 
money in the Treasury of the United States not otherwise ap-
propriated, there are hereby appropriated such sums as may 
be necessary for such purpose. 
SEC. 402. EXTENSION OF CHILD AND FAMILY SERVICES PRO-
GRAMS. 
Activities authorized by part B of title IV of the Social 
Security Act shall continue through December 31, 2024, in
903 
•HRES 1061 EH 
the manner authorized for fiscal year 2023, and out of any 
money in the Treasury of the United States not otherwise ap-
propriated, there are hereby appropriated such sums as may 
be necessary for such purpose. 
SEC. 403. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION. 
Section 510 of the Social Security Act (42 U.S.C. 710), 
as amended by section 142 of subtitle D of title I of division 
B of the Further Additional Continuing Appropriations and 
Other Extensions Act, 2024 (Public Law 118–35), is further 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and’’ after ‘‘January 19, 
2024,’’; 
(ii) by inserting ‘‘for the period beginning 
on March 9, 2024, and ending on September 
30, 2024, and for the period beginning on Oc-
tober 1, 2024, and ending on December 31, 
2024,’’ after ‘‘March 8, 2024,’’; and 
(iii) by inserting ‘‘or 2025’’ after ‘‘for fis-
cal year 2024’’; and 
(B) in paragraph (2), by inserting ‘‘or 2025’’ 
after ‘‘with respect to fiscal year 2024’’ each place 
it appears; and 
(2) in subsection (f)(1)—
904 
•HRES 1061 EH 
(A) by striking ‘‘and’’ before ‘‘for the period 
beginning on January 20, 2024,’’; and 
(B) by striking the period at the end and in-
serting ‘‘, for the period beginning on March 9, 
2024, and ending on September 30, 2024, an 
amount equal to the pro rata portion of the amount 
appropriated for the corresponding period for fiscal 
year 2023, and for the period beginning on October 
1, 2024, and ending on December 31, 2024, an 
amount equal to the pro rata portion of the amount 
appropriated for the corresponding period for fiscal 
year 2024.’’. 
SEC. 404. PERSONAL RESPONSIBILITY EDUCATION EXTENSION. 
Section 513 of the Social Security Act (42 U.S.C. 713), 
as amended by section 143 of subtitle D of title I of division 
B of the Further Additional Continuing Appropriations and 
Other Extensions Act, 2024 (Public Law 118–35), is further 
amended— 
(1) in subsection (a)(1)— 
(A) in subparagraph (A), in the matter pre-
ceding clause (i)— 
(i) by striking ‘‘and’’ after ‘‘January 19, 
2024,’’; and 
(ii) by inserting ‘‘for the period beginning 
on March 9, 2024, and ending on September
905 
•HRES 1061 EH 
30, 2024, and for the period beginning on Oc-
tober 1, 2024, and ending on December 31, 
2024,’’ after ‘‘March 8, 2024,’’; and 
(B) in subparagraph (B)(i)— 
(i) by striking ‘‘and’’ after ‘‘January 19, 
2024,’’; and 
(ii) by striking the period at the end and 
inserting ‘‘, for the period beginning on March 
9, 2024, and ending on September 30, 2024, 
and for the period beginning on October 1, 
2024, and ending on December 31, 2024.’’; 
(2) in subsection (c)(3), by inserting ‘‘or 2025’’ 
after ‘‘fiscal year 2024’’; and 
(3) in subsection (f)— 
(A) by striking ‘‘and’’ before ‘‘for the period 
beginning on January 20, 2024,’’; and 
(B) by striking ‘‘fiscal year 2023.’’ and insert-
ing ‘‘fiscal year 2023, for the period beginning on 
March 9, 2024, and ending on September 30, 2024, 
an amount equal to the pro rata portion of the 
amount appropriated for the corresponding period 
for fiscal year 2023, and for the period beginning 
on October 1, 2024, and ending on December 31, 
2024, an amount equal to the pro rata portion of
906 
•HRES 1061 EH 
the amount appropriated for the corresponding pe-
riod for fiscal year 2024.’’. 
SEC. 405. EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY 
HEALTH INFORMATION CENTERS. 
Section 501(c)(1)(A) of the Social Security Act (42 
U.S.C. 701(c)(1)(A)) is amended— 
(1) in clause (vi), by striking ‘‘and’’ after the semi-
colon; 
(2) in clause (vii), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by inserting after clause (vii), the following new 
clause: 
‘‘(viii) $1,500,000 for the portion of fiscal year 
2025 before January 1, 2025.’’. 
TITLE II—AMENDING COMPACTS 
OF FREE ASSOCIATION 
SEC. 201. SHORT TITLE. 
This title may be cited as the ‘‘Compact of Free Associa-
tion Amendments Act of 2024’’. 
SEC. 202. FINDINGS. 
Congress finds the following: 
(1) The United States (in accordance with the 
Trusteeship Agreement for the Trust Territory of the 
Pacific Islands, the United Nations Charter, and the ob-
jectives of the international trusteeship system of the
907 
•HRES 1061 EH 
United Nations) fulfilled its obligations to promote the 
development of the people of the Trust Territory toward 
self-government or independence, as appropriate, to the 
particular circumstances of the Trust Territory and the 
people of the Trust Territory and the freely expressed 
wishes of the people concerned. 
(2) The United States, the Federated States of Mi-
cronesia, and the Republic of the Marshall Islands en-
tered into the Compact of Free Association set forth in 
section 201 of the Compact of Free Association Act of 
1985 (48 U.S.C. 1901 note; Public Law 99–239) and 
the United States and the Republic of Palau entered 
into the Compact of Free Association set forth in section 
201 of Public Law 99–658 (48 U.S.C. 1931 note) to 
create and maintain a close and mutually beneficial rela-
tionship. 
(3) The ‘‘Compact of Free Association, as amended, 
between the Government of the United States of Amer-
ica and the Government of the Federated States of Mi-
cronesia’’, the ‘‘Compact of Free Association, as amend-
ed, between the Government of the United States of 
America and the Government of the Republic of the 
Marshall Islands’’, and related agreements were signed 
by the Government of the United States and the Govern-
ments of the Federated States of Micronesia and the Re-
908 
•HRES 1061 EH 
public of the Marshall Islands and approved, as applica-
ble, by section 201 of the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921 note; Public 
Law 108–188). 
(4) The ‘‘Agreement between the Government of the 
United States of America and the Government of the 
Republic of Palau Following the Compact of Free Asso-
ciation Section 432 Review’’, was signed by the Govern-
ment of the United States and the Government of the 
Republic of Palau on September 3, 2010, and amended 
on September 19, 2018. 
(5) On May 22, 2023, the United States signed the 
‘‘Agreement between the Government of the United 
States of America and the Government of the Republic 
of Palau Resulting From the 2023 Compact of Free As-
sociation Section 432 Review’’. 
(6) On May 23, 2023, the United States signed 3 
agreements related to the U.S.-FSM Compact of Free 
Association, including an Agreement to Amend the Com-
pact, as amended, a new fiscal procedures agreement, 
and a new trust fund agreement and on September 28, 
2023, the United States signed a Federal Programs and 
Services agreement related to the U.S.-FSM Compact of 
Free Association.
909 
•HRES 1061 EH 
(7) On October 16, 2023, the United States signed 
3 agreements relating to the U.S.-RMI Compact of Free 
Association, including an Agreement to Amend the Com-
pact, as amended, a new fiscal procedures agreement, 
and a new trust fund agreement. 
SEC. 203. DEFINITIONS. 
In this title: 
(1) 1986 COMPACT.—The term ‘‘1986 Compact’’ 
means the Compact of Free Association between the 
Government of the United States and the Governments 
of the Marshall Islands and the Federated States of Mi-
cronesia set forth in section 201 of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1901 note; Public 
Law 99–239). 
(2) 2003 AMENDED U.S.-FSM COMPACT.—The term 
‘‘2003 Amended U.S.-FSM Compact’’ means the Com-
pact of Free Association amending the 1986 Compact 
entitled the ‘‘Compact of Free Association, as amended, 
between the Government of the United States of Amer-
ica and the Government of the Federated States of Mi-
cronesia’’ set forth in section 201(a) of the Compact of 
Free Association Amendments Act of 2003 (48 U.S.C. 
1921 note; Public Law 108–188). 
(3) 2003 AMENDED U.S.-RMI COMPACT.—The term 
‘‘2003 Amended U.S.-RMI Compact’’ means the Com-
910 
•HRES 1061 EH 
pact of Free Association amending the 1986 Compact 
entitled ‘‘Compact of Free Association, as amended, be-
tween the Government of the United States of America 
and the Government of the Republic of the Marshall Is-
lands’’ set forth in section 201(b) of the Compact of 
Free Association Amendments Act of 2003 (48 U.S.C. 
1921 note; Public Law 108–188). 
(4) 2023 AGREEMENT
TO
AMEND
THE
U.S.-FSM 
COMPACT.—The term ‘‘2023 Agreement to Amend the 
U.S.-FSM Compact’’ means the Agreement between the 
Government of the United States of America and the 
Government of the Federated States of Micronesia to 
Amend the Compact of Free Association, as Amended, 
done at Palikir May 23, 2023. 
(5) 2023 AGREEMENT
TO
AMEND
THE
U.S.-RMI 
COMPACT.—The term ‘‘2023 Agreement to Amend the 
U.S.-RMI Compact’’ means the Agreement between the 
Government of the United States of America and the 
Government of the Republic of the Marshall Islands to 
Amend the Compact of Free Association, as Amended, 
done at Honolulu October 16, 2023. 
(6) 2023 AMENDED U.S.-FSM COMPACT.—The term 
‘‘2023 Amended U.S.-FSM Compact’’ means the 2003 
Amended U.S.-FSM Compact, as amended by the 2023 
Agreement to Amend the U.S.-FSM Compact.
911 
•HRES 1061 EH 
(7) 2023 AMENDED U.S.-RMI COMPACT.—The term 
‘‘2023 Amended U.S.-RMI Compact’’ means the 2003 
Amended U.S.-RMI Compact, as amended by the 2023 
Agreement to Amend the U.S.-RMI Compact. 
(8) 2023 U.S.-FSM FEDERAL PROGRAMS AND SERV-
ICES AGREEMENT.—The term ‘‘2023 U.S.-FSM Federal 
Programs and Services Agreement’’ means the 2023 
Federal Programs and Services Agreement between the 
Government of the United States of America and the 
Government of the Federated States of Micronesia, done 
at Washington September 28, 2023. 
(9) 2023 U.S.-FSM
FISCAL
PROCEDURES
AGREE-
MENT.—The term ‘‘2023 U.S.-FSM Fiscal Procedures 
Agreement’’ means the Agreement Concerning Proce-
dures for the Implementation of United States Economic 
Assistance provided in the 2023 Amended U.S.-FSM 
Compact between the Government of the United States 
of America and the Government of the Federated States 
of Micronesia, done at Palikir May 23, 2023. 
(10) 2023 U.S.-FSM TRUST FUND AGREEMENT.— 
The term ‘‘2023 U.S.-FSM Trust Fund Agreement’’ 
means the Agreement between the Government of the 
United States of America and the Government of the 
Federated States of Micronesia Regarding the Compact 
Trust Fund, done at Palikir May 23, 2023.
912 
•HRES 1061 EH 
(11) 2023 U.S.-PALAU
COMPACT
REVIEW
AGREE-
MENT.—The term ‘‘2023 U.S.-Palau Compact Review 
Agreement’’ means the Agreement between the Govern-
ment of the United States of America and the Govern-
ment of the Republic of Palau Resulting From the 2023 
Compact of Free Association Section 432 Review, done 
at Port Moresby May 22, 2023. 
(12) 2023 U.S.-RMI FISCAL PROCEDURES AGREE-
MENT.—The term ‘‘2023 U.S.-RMI Fiscal Procedures 
Agreement’’ means the Agreement Concerning Proce-
dures for the Implementation of United States Economic 
Assistance Provided in the 2023 Amended Compact Be-
tween the Government of the United States of America 
and the Government of the Republic of the Marshall Is-
lands, done at Honolulu October 16, 2023. 
(13) 2023 U.S.-RMI
TRUST
FUND
AGREEMENT.— 
The term ‘‘2023 U.S.-RMI Trust Fund Agreement’’ 
means the Agreement between the Government of the 
United States of America and the Government of the 
Republic of the Marshall Islands Regarding the Compact 
Trust Fund, done at Honolulu October 16, 2023. 
(14) APPROPRIATE COMMITTEES OF CONGRESS.— 
The 
term 
‘‘appropriate 
committees 
of 
Congress’’ 
means—
913 
•HRES 1061 EH 
(A) the Committee on Energy and Natural Re-
sources of the Senate; 
(B) the Committee on Foreign Relations of the 
Senate; 
(C) the Committee on Natural Resources of 
the House of Representatives; and 
(D) the Committee on Foreign Affairs of the 
House of Representatives. 
(15) FREELY
ASSOCIATED
STATES.—The term 
‘‘Freely Associated States’’ means— 
(A) the Federated States of Micronesia; 
(B) the Republic of the Marshall Islands; and 
(C) the Republic of Palau. 
(16) SUBSIDIARY
AGREEMENT.—The term ‘‘sub-
sidiary agreement’’ means any of the following: 
(A) The 2023 U.S.-FSM Federal Programs 
and Services Agreement. 
(B) The 2023 U.S.-FSM Fiscal Procedures 
Agreement. 
(C) The 2023 U.S.-FSM Trust Fund Agree-
ment. 
(D) The 2023 U.S.-RMI Fiscal Procedures 
Agreement. 
(E) The 2023 U.S.-RMI Trust Fund Agree-
ment.
914 
•HRES 1061 EH 
(F) Any Federal Programs and Services Agree-
ment in force between the United States and the 
Republic of the Marshall Islands. 
(G) Any Federal Programs and Services Agree-
ment in force between the United States and the 
Republic of Palau. 
(H) Any other agreement that the United 
States may from time-to-time enter into with the 
Government of the Federated States of Micronesia, 
the Government of the Republic of Palau, or the 
Government of the Republic of the Marshall Is-
lands, in accordance with— 
(i) the 2023 Amended U.S.-FSM Com-
pact; 
(ii) the 2023 U.S.-Palau Compact Review 
Agreement; or 
(iii) the 2023 Amended U.S.-RMI Com-
pact. 
(17) U.S.-PALAU COMPACT.—The term ‘‘U.S.-Palau 
Compact’’ means the Compact of Free Association be-
tween the United States and the Government of Palau 
set forth in section 201 of Public Law 99–658 (48 
U.S.C. 1931 note).
915 
•HRES 1061 EH 
SEC. 204. APPROVAL OF 2023 AGREEMENT TO AMEND THE U.S.- 
FSM COMPACT, 2023 AGREEMENT TO AMEND THE 
U.S.-RMI COMPACT, 2023 U.S.-PALAU COMPACT RE-
VIEW 
AGREEMENT, 
AND 
SUBSIDIARY 
AGREE-
MENTS. 
(a) FEDERATED STATES OF MICRONESIA.— 
(1) APPROVAL.—The 2023 Agreement to Amend 
the U.S.-FSM Compact and the 2023 U.S.-FSM Trust 
Fund Agreement, as submitted to Congress on June 15, 
2023, are approved and incorporated by reference. 
(2) CONSENT
OF
CONGRESS.—Congress consents 
to— 
(A) the 2023 U.S.-FSM Fiscal Procedures 
Agreement, as submitted to Congress on June 15, 
2023; and 
(B) the 2023 U.S.-FSM Federal Programs and 
Services Agreement. 
(3) AUTHORITY OF PRESIDENT.—Notwithstanding 
section 101(f) of the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921(f)), the 
President is authorized to bring into force and imple-
ment the agreements described in paragraphs (1) and 
(2). 
(b) REPUBLIC OF THE MARSHALL ISLANDS.— 
(1) APPROVAL.—The 2023 Agreement to Amend 
the U.S.-RMI Compact and the 2023 U.S.-RMI Trust
916 
•HRES 1061 EH 
Fund Agreement, as submitted to Congress on October 
17, 2023, are approved and incorporated by reference. 
(2) CONSENT OF CONGRESS.—Congress consents to 
the 2023 U.S.-RMI Fiscal Procedures Agreement, as 
submitted to Congress on October 17, 2023. 
(3) AUTHORITY OF PRESIDENT.—Notwithstanding 
section 101(f) of the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921(f)), the 
President is authorized to bring into force and imple-
ment the agreements described in paragraphs (1) and 
(2). 
(c) REPUBLIC OF PALAU.— 
(1) APPROVAL.—The 2023 U.S.-Palau Compact 
Review Agreement, as submitted to Congress on June 
15, 2023, is approved. 
(2) AUTHORITY OF PRESIDENT.—The President is 
authorized to bring into force and implement the 2023 
U.S.-Palau Compact Review Agreement. 
(d) AMENDMENTS, CHANGES, OR
TERMINATION
TO 
COMPACTS AND CERTAIN AGREEMENTS.— 
(1) IN GENERAL.—Any amendment to, change to, 
or termination of all or any part of the 2023 Amended 
U.S.-FSM Compact, 2023 Amended U.S.-RMI Compact, 
or the U.S.-Palau Compact, by mutual agreement or 
unilateral action of the Government of the United
917 
•HRES 1061 EH 
States, shall not enter into force until the date on which 
Congress has incorporated the applicable amendment, 
change, or termination into an Act of Congress. 
(2) ADDITIONAL ACTIONS AND AGREEMENTS.—In 
addition to the Compacts described in paragraph (1), the 
requirements of that paragraph shall apply to— 
(A) any action of the Government of the 
United States under the 2023 Amended U.S.-FSM 
Compact, 2023 Amended U.S.-RMI Compact, or 
U.S.-Palau Compact, including an action taken pur-
suant to section 431, 441, or 442 of the 2023 
Amended U.S.-FSM Compact, 2023 Amended U.S.- 
RMI Compact, or U.S.-Palau Compact; and 
(B) any amendment to, change to, or termi-
nation of— 
(i) the agreement described in section 
462(a)(2) of the 2023 Amended U.S.-FSM 
Compact; 
(ii) the agreement described in section 
462(a)(5) of the 2023 Amended U.S.-RMI 
Compact; 
(iii) an agreement concluded pursuant to 
section 265 of the 2023 Amended U.S.-FSM 
Compact;
918 
•HRES 1061 EH 
(iv) an agreement concluded pursuant to 
section 265 of the 2023 Amended U.S.-RMI 
Compact; 
(v) an agreement concluded pursuant to 
section 177 of the 2023 Amended U.S.-RMI 
Compact; 
(vi) Articles III and IV of the agreement 
described in section 462(b)(6) of the 2023 
Amended U.S.-FSM Compact; 
(vii) Articles III, IV, and X of the agree-
ment described in section 462(b)(6) of the 
2023 Amended U.S.-RMI Compact; 
(viii) the agreement described in section 
462(h) of the U.S.-Palau Compact; and 
(ix) Articles VI, XV, and XVII of the 
agreement described in section 462(b)(7) of the 
2023 Amended U.S.-FSM Compact and 2023 
Amended U.S.-RMI Compact and section 
462(i) of the U.S.-Palau Compact. 
(e) ENTRY INTO FORCE OF FUTURE AMENDMENTS TO 
SUBSIDIARY
AGREEMENTS.—An agreement between the 
United States and the Government of the Federated States 
of Micronesia, the Government of the Republic of the Mar-
shall Islands, or the Government of the Republic of Palau 
that would amend, change, or terminate any subsidiary agree-
919 
•HRES 1061 EH 
ment or portion of a subsidiary agreement (other than an 
amendment to, change to, or termination of an agreement de-
scribed in subsection (d)) shall not enter into force until the 
date that is 90 days after the date on which the President 
has transmitted to the President of the Senate and the 
Speaker of the House of Representatives— 
(1) the agreement to amend, change, or terminate 
the subsidiary agreement; 
(2) an explanation of the amendment, change, or 
termination; 
(3) a description of the reasons for the amendment, 
change, or termination; and 
(4) in the case of an agreement that would amend, 
change, or terminate any agreement described in section 
462(b)(3) of the 2023 Amended U.S.-FSM Compact or 
the 2023 Amended U.S.-RMI Compact, a statement by 
the Secretary of Labor that describes— 
(A) the necessity of the amendment, change, or 
termination; and 
(B) any impacts of the amendment, change, or 
termination. 
SEC. 205. AGREEMENTS WITH FEDERATED STATES OF MICRO-
NESIA. 
(a) LAW ENFORCEMENT ASSISTANCE.—
920 
•HRES 1061 EH 
(1) IN GENERAL.—Pursuant to sections 222 and 
224 of the 2023 Amended U.S.-FSM Compact, the 
United States shall provide nonreimbursable technical 
and training assistance, as appropriate, including train-
ing and equipment for postal inspection of illicit drugs 
and other contraband, to enable the Government of the 
Federated States of Micronesia— 
(A) to develop and adequately enforce laws of 
the Federated States of Micronesia; and 
(B) to cooperate with the United States in the 
enforcement of criminal laws of the United States. 
(2) USE OF APPROPRIATED FUNDS.—Funds appro-
priated pursuant to subsection (j) of section 105 of the 
Compact of Free Association Amendments Act of 2003 
(48 U.S.C. 1921d) (as amended by section 209(j)) may 
be used in accordance with section 102(a) of the Com-
pact of Free Association Amendments Act of 2003 (48 
U.S.C. 1921a(a)). 
(b) UNITED STATES APPOINTEES TO JOINT ECONOMIC 
MANAGEMENT COMMITTEE.— 
(1) IN GENERAL.—The 3 United States appointees 
(which are composed of the United States chair and 2 
other members from the Government of the United 
States) to the Joint Economic Management Committee 
established under section 213 of the 2023 Amended
921 
•HRES 1061 EH 
U.S.-FSM Compact (referred to in this subsection as the 
‘‘Committee’’) shall— 
(A) be voting members of the Committee; and 
(B) continue to be officers or employees of the 
Federal Government. 
(2) TERM; APPOINTMENT.—The 3 United States 
members of the Committee described in paragraph (1) 
shall be appointed for a term of 2 years as follows: 
(A) 1 member shall be appointed by the Sec-
retary of State, in consultation with the Secretary 
of the Treasury. 
(B) 1 member shall be appointed by the Sec-
retary of the Interior, in consultation with the Sec-
retary of the Treasury. 
(C) 1 member shall be appointed by the Inter-
agency Group on Freely Associated States estab-
lished under section 208(d)(1). 
(3) REAPPOINTMENT.—A United States member of 
the Committee appointed under paragraph (2) may be 
reappointed for not more than 2 additional 2-year terms. 
(4) QUALIFICATIONS.—Not fewer than 2 United 
States members of the Committee appointed under para-
graph (2) shall be individuals who— 
(A) by reason of knowledge, experience, or 
training, are especially qualified in accounting, au-
922 
•HRES 1061 EH 
diting, budget analysis, compliance, grant adminis-
tration, program management, or international eco-
nomics; and 
(B) possess not less than 5 years of full-time 
experience in accounting, auditing, budget analysis, 
compliance, grant administration, program manage-
ment, or international economics. 
(5) NOTICE.— 
(A) IN
GENERAL.—Not later than 90 days 
after the date of appointment of a United States 
member of the Committee under paragraph (2), the 
Secretary of the Interior shall notify the appro-
priate committees of Congress that an individual 
has been appointed as a voting member of the Com-
mittee under that paragraph, including a statement 
prepared by the Secretary of the Interior attesting 
to the qualifications of the member described in 
paragraph (4), subject to subparagraph (B). 
(B) REQUIREMENT.—For purposes of a state-
ment required under subparagraph (A)— 
(i) in the case of a member appointed 
under paragraph (2)(A), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by
923 
•HRES 1061 EH 
the Secretary of State on request of the Sec-
retary of the Interior; and 
(ii) in the case of a member appointed 
under paragraph (2)(C), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by 
the Interagency Group on Freely Associated 
States established under section 208(d)(1) on 
request of the Secretary of the Interior. 
(6) REPORTS TO CONGRESS.—Not later than 90 
days after the date on which the Committee receives or 
completes any report required under the 2023 Amended 
U.S.-FSM Compact, or any related subsidiary agree-
ment, the Secretary of the Interior shall submit the re-
port to the appropriate committees of Congress. 
(7) NOTICE TO CONGRESS.—Not later than 90 days 
after the date on which the Government of the Fed-
erated States of Micronesia submits to the Committee a 
report required under the 2023 Amended U.S.-FSM 
Compact, or any related subsidiary agreement, the Sec-
retary of the Interior shall submit to the appropriate 
committees of Congress— 
(A) if the report is submitted by the applicable 
deadline, written notice attesting that the report is 
complete and accurate; or
924 
•HRES 1061 EH 
(B) if the report is not submitted by the appli-
cable deadline, written notice that the report has 
not been timely submitted. 
(c) UNITED STATES APPOINTEES
TO JOINT TRUST 
FUND COMMITTEE.— 
(1) IN
GENERAL.—The 3 United States voting 
members (which are composed of the United States chair 
and 2 other members from the Government of the 
United States) to the Joint Trust Fund Committee es-
tablished pursuant to the agreement described in section 
462(b)(5) of the 2023 Amended U.S.-FSM Compact (re-
ferred to in this subsection as the ‘‘Committee’’) shall 
continue to be officers or employees of the Federal Gov-
ernment. 
(2) TERM; APPOINTMENT.—The 3 United States 
members of the Committee described in paragraph (1) 
shall be appointed for a term not more than 2 years as 
follows: 
(A) 1 member shall be appointed by the Sec-
retary of State. 
(B) 1 member shall be appointed by the Sec-
retary of the Interior. 
(C) 1 member shall be appointed by the Sec-
retary of the Treasury.
925 
•HRES 1061 EH 
(3) REAPPOINTMENT.—A United States member of 
the Committee appointed under paragraph (2) may be 
reappointed for not more than 2 additional 2-year terms. 
(4) QUALIFICATIONS.—Not fewer than 2 members 
of the Committee appointed under paragraph (2) shall 
be individuals who— 
(A) by reason of knowledge, experience, or 
training, are especially qualified in accounting, au-
diting, budget analysis, compliance, financial invest-
ment, grant administration, program management, 
or international economics; and 
(B) possess not less than 5 years of full-time 
experience in accounting, auditing, budget analysis, 
compliance, financial investment, grant administra-
tion, program management, or international eco-
nomics. 
(5) NOTICE.— 
(A) IN
GENERAL.—Not later than 90 days 
after the date of appointment of a United States 
member to the Committee under paragraph (2), the 
Secretary of the Interior shall notify the appro-
priate committees of Congress that an individual 
has been appointed as a voting member of the Com-
mittee under that paragraph, including a statement 
attesting to the qualifications of the member de-
926 
•HRES 1061 EH 
scribed in paragraph (4), subject to subparagraph 
(B). 
(B) REQUIREMENT.—For purposes of a state-
ment required under subparagraph (A)— 
(i) in the case of a member appointed 
under paragraph (2)(A), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by 
the Secretary of State on request of the Sec-
retary of the Interior; and 
(ii) in the case of a member appointed 
under paragraph (2)(C), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by 
the Secretary of the Treasury on request of the 
Secretary of the Interior. 
(6) REPORTS TO CONGRESS.—Not later than 90 
days after the date on which the Committee receives or 
completes any report required under the 2023 Amended 
U.S.-FSM Compact, or any related subsidiary agree-
ment, the Secretary of the Interior shall submit the re-
port to the appropriate committees of Congress. 
(7) NOTICE TO CONGRESS.—Not later than 90 days 
after the date on which the Government of the Fed-
erated States of Micronesia submits to the Committee a
927 
•HRES 1061 EH 
report required under the 2023 Amended U.S.-FSM 
Compact, or any related subsidiary agreement, the Sec-
retary of the Interior shall submit to the appropriate 
committees of Congress— 
(A) if the report is submitted by the applicable 
deadline, written notice attesting that the report is 
complete and accurate; or 
(B) if the report is not submitted by the appli-
cable deadline, written notice that the report has 
not been timely submitted. 
SEC. 206. AGREEMENTS WITH AND OTHER PROVISIONS RE-
LATED TO THE REPUBLIC OF THE MARSHALL IS-
LANDS. 
(a) LAW ENFORCEMENT ASSISTANCE.— 
(1) IN GENERAL.—Pursuant to sections 222 and 
224 of the 2023 Amended U.S.-RMI Compact, the 
United States shall provide nonreimbursable technical 
and training assistance, as appropriate, including train-
ing and equipment for postal inspection of illicit drugs 
and other contraband, to enable the Government of the 
Republic of the Marshall Islands— 
(A) to develop and adequately enforce laws of 
the Marshall Islands; and 
(B) to cooperate with the United States in the 
enforcement of criminal laws of the United States.
928 
•HRES 1061 EH 
(2) USE OF APPROPRIATED FUNDS.—Funds appro-
priated pursuant to subsection (j) of section 105 of the 
Compact of Free Association Amendments Act of 2003 
(48 U.S.C. 1921d) (as amended by section 209(j)) may 
be used in accordance with section 103(a) of the Com-
pact of Free Association Amendments Act of 2003 (48 
U.S.C. 1921b(a)). 
(b) ESPOUSAL PROVISIONS.— 
(1) IN GENERAL.—Congress reaffirms that— 
(A) section 103(g)(1) of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1903(g)(1)) 
and section 103(e)(1) of the Compact of Free Asso-
ciation Amendments Act of 2003 (48 U.S.C. 
1921b(e)(1)) provided that ‘‘It is the intention of 
the Congress of the United States that the provi-
sions of section 177 of the Compact of Free Asso-
ciation and the Agreement between the Government 
of the United States and the Government of the 
Marshall Islands for the Implementation of Section 
177 of the Compact (hereafter in this subsection re-
ferred to as the ‘Section 177 Agreement’) constitute 
a full and final settlement of all claims described in 
Articles X and XI of the Section 177 Agreement, 
and that any such claims be terminated and barred
929 
•HRES 1061 EH 
except insofar as provided for in the Section 177 
Agreement.’’; and 
(B) section 103(g)(2) of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1903(g)(2)) 
and section 103(e)(2) of the Compact of Free Asso-
ciation Amendments Act of 2003 (48 U.S.C. 
1921b(e)(2)) provided that ‘‘In furtherance of the 
intention of Congress as stated in paragraph (1) of 
this subsection, the Section 177 Agreement is here-
by ratified and approved. It is the explicit under-
standing and intent of Congress that the jurisdic-
tional limitations set forth in Article XII of such 
Agreement are enacted solely and exclusively to ac-
complish the objective of Article X of such Agree-
ment and only as a clarification of the effect of Ar-
ticle X, and are not to be construed or implemented 
separately from Article X.’’. 
(2) EFFECT.—Nothing in the 2023 Agreement to 
Amend the U.S.-RMI Compact affects the application of 
the provisions of law reaffirmed by paragraph (1). 
(c) CERTAIN SECTION 177 AGREEMENT PROVISIONS.— 
Congress reaffirms that— 
(1) Article IX of the Agreement Between the Gov-
ernment of the United States and the Government of the 
Marshall Islands for the Implementation of Section 177
930 
•HRES 1061 EH 
of the Compact of Free Association, done at Majuro 
June 25, 1983, provided that ‘‘If loss or damage to 
property and person of the citizens of the Marshall Is-
lands, resulting from the Nuclear Testing Program, 
arises or is discovered after the effective date of this 
Agreement, and such injuries were not and could not 
reasonably have been identified as of the effective date 
of this Agreement, and if such injuries render the provi-
sions of this Agreement manifestly inadequate, the Gov-
ernment of the Marshall Islands may request that the 
Government of the United States provide for such inju-
ries by submitting such a request to the Congress of the 
United States for its consideration. It is understood that 
this Article does not commit the Congress of the United 
States to authorize and appropriate funds.’’; and 
(2) section 3(a) of Article XIII of the agreement de-
scribed in paragraph (1) provided that ‘‘The Government 
of the United States and the Government of the Mar-
shall Islands shall consult at the request of either of 
them on matters relating to the provisions of this Agree-
ment.’’. 
(d) UNITED STATES APPOINTEES TO JOINT ECONOMIC 
MANAGEMENT
AND
FINANCIAL
ACCOUNTABILITY
COM-
MITTEE.—
931 
•HRES 1061 EH 
(1) IN GENERAL.—The 2 United States appointees 
(which are composed of the United States chair and 1 
other member from the Government of the United 
States) to the Joint Economic Management and Finan-
cial Accountability Committee established under section 
214 of the 2003 Amended U.S.-RMI Compact (referred 
to in this subsection as the ‘‘Committee’’) shall— 
(A) be voting members of the Committee; and 
(B) continue to be officers or employees of the 
Federal Government. 
(2) TERM; APPOINTMENT.—The 2 United States 
members of the Committee described in paragraph (1) 
shall be appointed for a term of 2 years as follows: 
(A) 1 member shall be appointed by the Sec-
retary of State, in consultation with the Secretary 
of the Treasury. 
(B) 1 member shall be appointed by the Sec-
retary of the Interior, in consultation with the Sec-
retary of the Treasury. 
(3) REAPPOINTMENT.—A United States member of 
the Committee appointed under paragraph (2) may be 
reappointed for not more than 2 additional 2-year terms. 
(4) QUALIFICATIONS.—At least 1 United States 
member of the Committee appointed under paragraph 
(2) shall be an individual who—
932 
•HRES 1061 EH 
(A) by reason of knowledge, experience, or 
training, is especially qualified in accounting, audit-
ing, budget analysis, compliance, grant administra-
tion, program management, or international eco-
nomics; and 
(B) possesses not less than 5 years of full-time 
experience in accounting, auditing, budget analysis, 
compliance, grant administration, program manage-
ment, or international economics. 
(5) NOTICE.— 
(A) IN
GENERAL.—Not later than 90 days 
after the date of appointment of a United States 
member under paragraph (2), the Secretary of the 
Interior shall notify the appropriate committees of 
Congress that an individual has been appointed as 
a voting member of the Committee under that para-
graph, including a statement attesting to the quali-
fications of the member described in paragraph (4), 
subject to subparagraph (B). 
(B) REQUIREMENT.—For purposes of a state-
ment required under subparagraph (A), in the case 
of a member appointed under paragraph (2)(A), the 
Secretary of the Interior shall compile information 
on the member provided to the Secretary of the In-
933 
•HRES 1061 EH 
terior by the Secretary of State on request of the 
Secretary of the Interior. 
(6) REPORTS TO CONGRESS.—Not later than 90 
days after the date on which the Committee receives or 
completes any report required under the 2023 Amended 
U.S.-RMI Compact, or any related subsidiary agreement, 
the Secretary of the Interior shall submit the report to 
the appropriate committees of Congress. 
(7) NOTICE TO CONGRESS.—Not later than 90 days 
after the date on which the Government of the Republic 
of the Marshall Islands submits to the Committee a re-
port required under the 2023 Amended U.S.-RMI Com-
pact, or any related subsidiary agreement, the Secretary 
of the Interior shall submit to the appropriate commit-
tees of Congress— 
(A) if the report is submitted by the applicable 
deadline, written notice attesting that the report is 
complete and accurate; or 
(B) if the report is not submitted by the appli-
cable deadline, written notice that the report has 
not been timely submitted. 
(e) UNITED STATES APPOINTEES
TO TRUST FUND 
COMMITTEE.— 
(1) IN
GENERAL.—The 3 United States voting 
members (which are composed of the United States chair
934 
•HRES 1061 EH 
and 2 other members from the Government of the 
United States) to the Trust Fund Committee established 
pursuant to the agreement described in section 
462(b)(5) of the 2003 Amended U.S.-RMI Compact (re-
ferred to in this subsection as the ‘‘Committee’’) shall 
continue to be officers or employees of the Federal Gov-
ernment. 
(2) TERM; APPOINTMENT.—The 3 United States 
members of the Committee described in paragraph (1) 
shall be appointed for a term not more than 5 years as 
follows: 
(A) 1 member shall be appointed by the Sec-
retary of State. 
(B) 1 member shall be appointed by the Sec-
retary of the Interior. 
(C) 1 member shall be appointed by the Sec-
retary of the Treasury. 
(3) REAPPOINTMENT.—A United States member of 
the Committee appointed under paragraph (2) may be 
reappointed for not more than 2 additional 2-year terms. 
(4) QUALIFICATIONS.—Not fewer than 2 members 
of the Committee appointed under paragraph (2) shall 
be individuals who— 
(A) by reason of knowledge, experience, or 
training, are especially qualified in accounting, au-
935 
•HRES 1061 EH 
diting, budget analysis, compliance, financial invest-
ment, grant administration, program management, 
or international economics; and 
(B) possess not less than 5 years of full-time 
experience in accounting, auditing, budget analysis, 
compliance, financial investment, grant administra-
tion, program management, or international eco-
nomics. 
(5) NOTICE.— 
(A) IN
GENERAL.—Not later than 90 days 
after the date of appointment of a United States 
Member under paragraph (2), the Secretary of the 
Interior shall notify the appropriate committees of 
Congress that an individual has been appointed as 
a voting member of the Committee under that para-
graph, including a statement attesting to the quali-
fications of the appointee described in paragraph 
(4), subject to subparagraph (B). 
(B) REQUIREMENT.—For purposes of a state-
ment required under subparagraph (A)— 
(i) in the case of a member appointed 
under paragraph (2)(A), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by
936 
•HRES 1061 EH 
the Secretary of State on request of the Sec-
retary of the Interior; and 
(ii) in the case of a member appointed 
under paragraph (2)(C), the Secretary of the 
Interior shall compile information on the mem-
ber provided to the Secretary of the Interior by 
the Secretary of the Treasury on request of the 
Secretary of the Interior. 
(6) REPORTS TO CONGRESS.—Not later than 90 
days after the date on which the Committee receives or 
completes any report required under the 2023 Amended 
U.S.-RMI Compact, or any related subsidiary agreement, 
the Secretary of the Interior shall submit the report to 
the appropriate committees of Congress. 
(7) NOTICE TO CONGRESS.—Not later than 90 days 
after the date on which the Government of the Republic 
of the Marshall Islands submits to the Committee a re-
port required under the 2023 Amended U.S.-RMI Com-
pact, or any related subsidiary agreement, the Secretary 
of the Interior shall submit to the appropriate commit-
tees of Congress— 
(A) if the report is submitted by the applicable 
deadline, written notice attesting that the report is 
complete and accurate; or
937 
•HRES 1061 EH 
(B) if the report is not submitted by the appli-
cable deadline, written notice that the report has 
not been timely submitted. 
(f) FOUR ATOLL HEALTH CARE PROGRAM.—Congress 
reaffirms that— 
(1) section 103(j)(1) of the Compact of Free Asso-
ciation Act of 1985 (48 U.S.C. 1903(j)(1)) and section 
103(h)(1) of the Compact of Free Association Amend-
ments Act of 2003 (48 U.S.C. 1921b(h)(1)) provided 
that services ‘‘provided by the United States Public 
Health Service or any other United States agency pursu-
ant to section 1(a) of Article II of the Agreement for the 
Implementation of Section 177 of the Compact (here-
after in this subsection referred to as the ‘Section 177 
Agreement’) shall be only for services to the people of 
the Atolls of Bikini, Enewetak, Rongelap, and Utrik who 
were affected by the consequences of the United States 
nuclear testing program, pursuant to the program de-
scribed in Public Law 95–134 and Public Law 96–205 
and their descendants (and any other persons identified 
as having been so affected if such identification occurs 
in the manner described in such public laws). Nothing 
in this subsection shall be construed as prejudicial to the 
views or policies of the Government of the Marshall Is-
938 
•HRES 1061 EH 
lands as to the persons affected by the consequences of 
the United States nuclear testing program.’’; 
(2) section 103(j)(2) of the Compact of Free Asso-
ciation Act of 1985 (48 U.S.C. 1903(j)(2)) and section 
103(h)(2) of the Compact of Free Association Amend-
ments Act of 2003 (48 U.S.C. 1921b(h)(2)) provided 
that ‘‘at the end of the first year after the effective date 
of the Compact and at the end of each year thereafter, 
the providing agency or agencies shall return to the Gov-
ernment of the Marshall Islands any unexpended funds 
to be returned to the Fund Manager (as described in Ar-
ticle I of the Section 177 Agreement) to be covered into 
the Fund to be available for future use.’’; and 
(3) section 103(j)(3) of the Compact of Free Asso-
ciation Act of 1985 (48 U.S.C. 1903(j)(3)) and section 
103(h)(3) of the Compact of Free Association Amend-
ments Act of 2003 (48 U.S.C. 1921b(h)(3)) provided 
that ‘‘the Fund Manager shall retain the funds returned 
by the Government of the Marshall Islands pursuant to 
paragraph (2) of this subsection, shall invest and man-
age such funds, and at the end of 15 years after the ef-
fective date of the Compact, shall make from the total 
amount so retained and the proceeds thereof annual dis-
bursements sufficient to continue to make payments for 
the provision of health services as specified in paragraph
939 
•HRES 1061 EH 
(1) of this subsection to such extent as may be provided 
in contracts between the Government of the Marshall Is-
lands and appropriate United States providers of such 
health services.’’. 
(g) RADIOLOGICAL HEALTH CARE PROGRAM.—Notwith-
standing any other provision of law, on the request of the 
Government of the Republic of the Marshall Islands, the 
President (through an appropriate department or agency of 
the United States) shall continue to provide special medical 
care and logistical support for the remaining members of the 
population of Rongelap and Utrik who were exposed to radi-
ation resulting from the 1954 United States thermonuclear 
‘‘Bravo’’ test, pursuant to Public Law 95–134 (91 Stat. 
1159) and Public Law 96–205 (94 Stat. 84). 
(h) AGRICULTURAL AND FOOD PROGRAMS.— 
(1) IN GENERAL.—Congress reaffirms that— 
(A) section 103(h)(2) of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1903(h)(2)) 
and section 103(f)(2)(A) of the Compact of Free 
Association Amendments Act of 2003 (48 U.S.C. 
1921b(f)(2)(A)) provided that notwithstanding ‘‘any 
other provision of law, upon the request of the Gov-
ernment of the Marshall Islands, for the first fifteen 
years after the effective date of the Compact, the 
President (either through an appropriate depart-
940 
•HRES 1061 EH 
ment or agency of the United States or by contract 
with a United States firm or by a grant to the Gov-
ernment of the Republic of the Marshall Islands 
which may further contract only with a United 
States firm or a Republic of the Marshall Islands 
firm, the owners, officers and majority of the em-
ployees of which are citizens of the United States 
or the Republic of the Marshall Islands) shall pro-
vide technical and other assistance without reim-
bursement, to continue the planting and agricul-
tural maintenance program on Enewetak; without 
reimbursement, to continue the food programs of 
the Bikini, Rongelap, Utrik, and Enewetak people 
described in section 1(d) of Article II of the Sub-
sidiary Agreement for the Implementation of Sec-
tion 177 of the Compact and for continued water-
borne transportation of agricultural products to 
Enewetak including operations and maintenance of 
the vessel used for such purposes.’’; 
(B) section 103(h)(2) of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1903(h)(2)) 
and section 103(f)(2)(B) of the Compact of Free 
Association Amendments Act of 2003 (48 U.S.C. 
1921b(f)(2)(B)) provided that ‘‘The President shall 
ensure the assistance provided under these pro-
941 
•HRES 1061 EH 
grams reflects the changes in the population since 
the inception of such programs.’’; and 
(C) section 103(h)(3) of the Compact of Free 
Association Act of 1985 (48 U.S.C. 1903(h)(3)) 
and section 103(f)(3) of the Compact of Free Asso-
ciation Amendments Act of 2003 (48 U.S.C. 
1921b(f)(3)) provided that ‘‘payments under this 
subsection shall be provided to such extent or in 
such amounts as are necessary for services and 
other assistance provided pursuant to this sub-
section. It is the sense of Congress that after the 
periods of time specified in paragraphs (1) and (2) 
of this subsection, consideration will be given to 
such additional funding for these programs as may 
be necessary.’’. 
(2) PLANTING AND AGRICULTURAL MAINTENANCE 
PROGRAM.—The Secretary of the Interior may provide 
grants to the Government of the Republic of the Mar-
shall Islands to carry out a planting and agricultural 
maintenance program on Bikini, Enewetak, Rongelap, 
and Utrik. 
(3) FOOD
PROGRAMS.—The Secretary of Agri-
culture may provide, without reimbursement, food pro-
grams to the people of the Republic of the Marshall Is-
lands.
942 
•HRES 1061 EH 
SEC. 207. AGREEMENTS WITH AND OTHER PROVISIONS RE-
LATED TO THE REPUBLIC OF PALAU. 
(a) BILATERAL
ECONOMIC
CONSULTATIONS.—United 
States participation in the annual economic consultations re-
ferred to in Article 8 of the 2023 U.S.-Palau Compact Re-
view Agreement shall be by officers or employees of the Fed-
eral Government. 
(b) ECONOMIC ADVISORY GROUP.— 
(1) QUALIFICATIONS.—A member of the Economic 
Advisory Group described in Article 7 of the 2023 U.S.- 
Palau Compact Review Agreement (referred to in this 
subsection as the ‘‘Advisory Group’’) who is appointed 
by the Secretary of the Interior shall be an individual 
who, by reason of knowledge, experience, or training, is 
especially qualified in private sector business develop-
ment, economic development, or national development. 
(2) FUNDS.—With respect to the Advisory Group, 
the Secretary of the Interior may use available funds 
for— 
(A) the costs of the 2 members of the Advisory 
Group designated by the United States in accord-
ance with Article 7 of the 2023 U.S.-Palau Com-
pact Review Agreement; 
(B) 50 percent of the costs of the 5th member 
of the Advisory Group designated by the Secretary
943 
•HRES 1061 EH 
of the Interior in accordance with the Article de-
scribed in subparagraph (A); and 
(C) the costs of— 
(i) technical and administrative assistance 
for the Advisory Group; and 
(ii) other support necessary for the Advi-
sory Group to accomplish the purpose of the 
Advisory Group. 
(3) REPORTS TO CONGRESS.—Not later than 90 
days after the date on which the Advisory Group receives 
or completes any report required under the 2023 U.S.- 
Palau Compact Review Agreement, or any related sub-
sidiary agreement, the Secretary of the Interior shall 
submit the report to the appropriate committees of Con-
gress. 
(c) REPORTS TO CONGRESS.— 
(1) IN GENERAL.—Not later than 90 days after the 
date on which the Government of the Republic of Palau 
completes any report required under the 2023 U.S.- 
Palau Compact Review Agreement, or any related sub-
sidiary agreement, the Secretary of the Interior shall 
submit the report to the appropriate committees of Con-
gress. 
(2) NOTICE TO CONGRESS.—Not later than 90 days 
after the date on which the Government of the Republic
944 
•HRES 1061 EH 
of Palau submits a report required under the 2023 U.S.- 
Palau Compact Review Agreement, or any related sub-
sidiary agreement, the Secretary of the Interior shall 
submit to the appropriate committees of Congress— 
(A) if the report is submitted by the applicable 
deadline, written notice attesting that the report is 
complete and accurate; or 
(B) if the report is not submitted by the appli-
cable deadline, written notice that the report has 
not been timely submitted. 
SEC. 208. OVERSIGHT PROVISIONS. 
(a) AUTHORITIES AND DUTIES OF THE COMPTROLLER 
GENERAL OF THE UNITED STATES.— 
(1) IN GENERAL.—The Comptroller General of the 
United States (including any duly authorized representa-
tive of the Comptroller General of the United States) 
shall have the authorities necessary to carry out the re-
sponsibilities of the Comptroller General of the United 
States under— 
(A) the 2023 Amended U.S.-FSM Compact 
and related subsidiary agreements, including the 
authorities and privileges described in section 
102(b) of the Compact of Free Association Amend-
ments Act of 2003 (48 U.S.C. 1921a(b));
945 
•HRES 1061 EH 
(B) the 2023 Amended U.S.-RMI Compact 
and related subsidiary agreements, including the 
authorities and privileges described in section 
103(k) of the Compact of Free Association Amend-
ments Act of 2003 (48 U.S.C. 1921b(k)); and 
(C) the 2023 U.S.-Palau Compact Review 
Agreement, related subsidiary agreements, and the 
authorities described in appendix D of the ‘‘Agree-
ment between the Government of the United States 
of America and the Government of the Republic of 
Palau Following the Compact of Free Association 
Section 432 Review’’ signed by the United States 
and the Republic of Palau on September 3, 2010. 
(2) REPORTS.—Not later than 18 months after the 
date of the enactment of this Act, and every 4 years 
thereafter, the Comptroller General of the United States 
shall submit to the appropriate committees of Congress 
a report with respect to the Freely Associated States, in-
cluding addressing— 
(A) the topics described in subparagraphs (A) 
through (E) of section 104(h)(1) of the Compact of 
Free Association Amendments Act of 2003 (48 
U.S.C. 1921c(h)(1)), except that for purposes of a 
report submitted under this paragraph, the report
946 
•HRES 1061 EH 
shall address those topics with respect to each of 
the Freely Associated States; and 
(B) the effectiveness of administrative over-
sight by the United States of the Freely Associated 
States. 
(b) SECRETARY OF THE INTERIOR OVERSIGHT AUTHOR-
ITY.—The Secretary of the Interior shall have the authority 
necessary to fulfill the responsibilities for monitoring and 
managing the funds appropriated to the Compact of Free As-
sociation account of the Department of the Interior by sec-
tion 211(a) to carry out— 
(1) the 2023 Amended U.S.-FSM Compact; 
(2) the 2023 Amended U.S.-RMI Compact; 
(3) the 2023 U.S.-Palau Compact Review Agree-
ment; and 
(4) subsidiary agreements. 
(c) POSTMASTER GENERAL OVERSIGHT AUTHORITY.— 
The Postmaster General shall have the authority necessary to 
fulfill the responsibilities for monitoring and managing the 
funds appropriated to the United States Postal Service under 
paragraph (1) of section 211(b) and deposited in the Postal 
Service Fund under paragraph (2)(A) of that section to carry 
out— 
(1) section 221(a)(2) of the 2023 Amended U.S.- 
FSM Compact;
947 
•HRES 1061 EH 
(2) section 221(a)(2) of the 2023 Amended U.S.- 
RMI Compact; 
(3) section 221(a)(2) of the U.S.-Palau Compact; 
and 
(4) Article 6(a) of the 2023 U.S.-Palau Compact 
Review Agreement. 
(d) INTERAGENCY GROUP
ON FREELY ASSOCIATED 
STATES.— 
(1) ESTABLISHMENT.—The President, in consulta-
tion with the Secretary of State, the Secretary of the In-
terior, and the Secretary of Defense, shall establish an 
Interagency Group on Freely Associated States (referred 
to in this subsection as the ‘‘Interagency Group’’). 
(2) PURPOSE.—The purposes of the Interagency 
Group are— 
(A) to coordinate development and implementa-
tion of executive branch policies, programs, services, 
and other activities in or relating to the Freely As-
sociated States; and 
(B) to provide policy guidance, recommenda-
tions, and oversight to Federal agencies, depart-
ments, and instrumentalities with respect to the im-
plementation of— 
(i) the 2023 Amended U.S.-FSM Com-
pact;
948 
•HRES 1061 EH 
(ii) the 2023 Amended U.S.-RMI Com-
pact; and 
(iii) the 2023 U.S.-Palau Compact Review 
Agreement. 
(3) MEMBERSHIP.—The Interagency Group shall 
consist of— 
(A) the Secretary of State, who shall serve as 
co-chair of the Interagency Group; 
(B) the Secretary of the Interior, who shall 
serve as co-chair of the Interagency Group; 
(C) the Secretary of Defense; 
(D) the Secretary of the Treasury; 
(E) the heads of relevant Federal agencies, de-
partments, and instrumentalities carrying out obli-
gations under— 
(i) sections 131 and 132 of the 2003 
Amended U.S.-FSM Compact and subsections 
(a) and (b) of section 221 and section 261 of 
the 2023 Amended U.S.-FSM Compact; 
(ii) sections 131 and 132 of the 2003 
Amended U.S.-RMI Compact and subsections 
(a) and (b) of section 221 and section 261 of 
the 2023 Amended U.S.-RMI Compact;
949 
•HRES 1061 EH 
(iii) sections 131 and 132 and subsections 
(a) and (b) of section 221 of the U.S.-Palau 
Compact; 
(iv) Article 6 of the 2023 U.S.-Palau 
Compact Review Agreement; 
(v) any applicable subsidiary agreement; 
and 
(vi) section 209; and 
(F) the head of any other Federal agency, de-
partment, or instrumentality that the Secretary of 
State or the Secretary of the Interior may des-
ignate. 
(4) DUTIES OF SECRETARY OF STATE AND SEC-
RETARY OF THE INTERIOR.—The Secretary of State (or 
a senior official designee of the Secretary of State) and 
the Secretary of the Interior (or a senior official des-
ignee of the Secretary of the Interior) shall— 
(A) co-lead and preside at a meeting of the 
Interagency Group not less frequently than annu-
ally; 
(B) determine, in consultation with the Sec-
retary of Defense, the agenda for meetings of the 
Interagency Group; and 
(C) facilitate and coordinate the work of the 
Interagency Group.
950 
•HRES 1061 EH 
(5) DUTIES OF THE INTERAGENCY GROUP.—The 
Interagency Group shall— 
(A) provide advice on the establishment or im-
plementation of policies relating to the Freely Asso-
ciated States to the President, acting through the 
Office of Intergovernmental Affairs, in the form of 
a written report not less frequently than annually; 
(B) obtain information and advice relating to 
the Freely Associated States from the Presidents, 
other elected officials, and members of civil society 
of the Freely Associated States, including through 
the members of the Interagency Group (including 
senior official designees of the members) meeting 
not less frequently than annually with any Presi-
dents of the Freely Associated States who elect to 
participate; 
(C) at the request of the head of any Federal 
agency (or a senior official designee of the head of 
a Federal agency) who is a member of the Inter-
agency Group, promptly review and provide advice 
on a policy or policy implementation action affecting 
1 or more of the Freely Associated States proposed 
by the Federal agency, department, or instrumen-
tality; and
951 
•HRES 1061 EH 
(D) facilitate coordination of relevant policies, 
programs, initiatives, and activities involving 1 or 
more of the Freely Associated States, including en-
suring coherence and avoiding duplication between 
programs, initiatives, and activities conducted pur-
suant to a Compact with a Freely Associated State 
and non-Compact programs, initiatives, and activi-
ties. 
(6) REPORTS.—Not later than 1 year after the date 
of the enactment of this Act and each year thereafter in 
which a Compact of Free Association with a Freely As-
sociated State is in effect, the President shall submit to 
the majority leader and minority leader of the Senate, 
the Speaker and minority leader of the House of Rep-
resentatives, and the appropriate committees of Congress 
a report that describes the activities and recommenda-
tions of the Interagency Group during the applicable 
year. 
(e) FEDERAL AGENCY COORDINATION.—The head of 
any Federal agency providing programs and services to the 
Federated States of Micronesia, the Republic of the Marshall 
Islands, or the Republic of Palau shall coordinate with the 
Secretary of the Interior and the Secretary of State regarding 
the provision of the programs and services.
952 
•HRES 1061 EH 
(f) FOREIGN LOANS
OR DEBT.—Congress reaffirms 
that— 
(1) the foreign loans or debt of the Government of 
the Federated States of Micronesia, the Government of 
the Republic of the Marshall Islands, or the Government 
of the Republic of Palau shall not constitute an obliga-
tion of the United States; and 
(2) the full faith and credit of the United States 
Government shall not be pledged for the payment and 
performance of any foreign loan or debt referred to in 
paragraph (1) without specific further authorization. 
(g) COMPACT COMPILATION.—Not later than 180 days 
after the date of enactment of this Act, the Secretary of the 
Interior shall submit a report to the appropriate committees 
of Congress that includes a compilation of the Compact of 
Free Association with the Federated State of Micronesia, the 
Compact of Free Association with the Republic of Palau, and 
the Compact of Free Association with Republic of the Mar-
shall Islands. 
(h) PUBLICATION; REVISION BY OFFICE OF THE LAW 
REVISION COUNSEL.— 
(1) PUBLICATION.—In publishing this title in slip 
form and in the United States Statutes at Large pursu-
ant to section 112 of title 1, United States Code, the Ar-
chivist of the United States shall include after the date
953 
•HRES 1061 EH 
of approval at the end an appendix setting forth the text 
of— 
(A) the 2023 Agreement to Amend the U.S.- 
FSM Compact; and 
(B) the 2023 Agreement to Amend the U.S.- 
RMI Compact. 
(2) REVISION BY OFFICE OF THE LAW REVISION 
COUNSEL.—The Office of the Law Revision Counsel is 
directed to revise— 
(A) the 2003 Amended U.S.-FSM Compact set 
forth in the note following section 1921 of title 48, 
United States Code, to reflect the amendments to 
the 2003 Amended U.S.-FSM Compact made by 
the 2023 Agreement to Amend the U.S.-FSM Com-
pact; and 
(B) the 2003 Amended U.S.-RMI Compact set 
forth in the note following section 1921 of title 48, 
United States Code, to reflect the amendments to 
the 2003 Amended U.S.-RMI Compact made by the 
2023 Agreement to Amend the U.S.-RMI Compact. 
SEC. 209. UNITED STATES POLICY REGARDING THE FREELY AS-
SOCIATED STATES. 
(a) AUTHORIZATION FOR VETERANS’ SERVICES.—
954 
•HRES 1061 EH 
(1) DEFINITION OF FREELY ASSOCIATED STATES.— 
In this subsection, the term ‘‘Freely Associated States’’ 
means— 
(A) the Federated States of Micronesia, during 
such time as it is a party to the Compact of Free 
Association set forth in section 201 of the Compact 
of Free Association Act of 1985 (Public Law 99– 
239; 48 U.S.C. 1901 note); 
(B) the Republic of the Marshall Islands, dur-
ing such time as it is a party to the Compact of 
Free Association set forth in section 201 of the 
Compact of Free Association Act of 1985 (Public 
Law 99–239; 48 U.S.C. 1901 note); and 
(C) the Republic of Palau, during such time as 
it is a party to the Compact of Free Association be-
tween the United States and the Government of 
Palau set forth in section 201 of Joint Resolution 
entitled ‘‘Joint Resolution to approve the ‘Compact 
of Free Association’ between the United States and 
the Government of Palau, and for other purposes’’ 
(Public Law 99–658; 48 U.S.C. 1931 note). 
(2) HOSPITAL
CARE, MEDICAL
SERVICES, AND 
NURSING HOME CARE ABROAD.—Section 1724 of title 
38, United States Code, is amended—
955 
•HRES 1061 EH 
(A) in subsection (a), by striking ‘‘subsections 
(b) and (c)’’ and inserting ‘‘subsections (b), (c), and 
(f)’’; and 
(B) by adding at the end the following: 
‘‘(f)(1)(A) The Secretary may furnish hospital care and 
medical services in the Freely Associated States, subject to 
agreements the Secretary shall enter into with the govern-
ments of the Freely Associated States as described in section 
209(a)(4)(A) of the Compact of Free Association Amend-
ments Act of 2024, and subject to subparagraph (B), to a 
veteran who is otherwise eligible to receive hospital care and 
medical services. 
‘‘(B) The agreements described in subparagraph (A) 
shall incorporate, to the extent practicable, the applicable 
laws of the Freely Associated States and define the care and 
services that can be legally provided by the Secretary in the 
Freely Associated States. 
‘‘(2) In furnishing hospital care and medical services 
under paragraph (1), the Secretary may furnish hospital care 
and medical services through— 
‘‘(A) contracts or other agreements; 
‘‘(B) reimbursement; or 
‘‘(C) the direct provision of care by health care per-
sonnel of the Department.
956 
•HRES 1061 EH 
‘‘(3) In furnishing hospital care and medical services 
under paragraph (1), the Secretary may furnish hospital care 
and medical services for any condition regardless of whether 
the condition is connected to the service of the veteran in the 
Armed Forces. 
‘‘(4)(A) A veteran who has received hospital care or 
medical services in a country pursuant to this subsection 
shall remain eligible, to the extent determined advisable and 
practicable by the Secretary, for hospital care or medical 
services in that country regardless of whether the country 
continues to qualify as a Freely Associated State for purposes 
of this subsection. 
‘‘(B) If the Secretary determines it is no longer advis-
able or practicable to allow veterans described in subpara-
graph (A) to remain eligible for hospital care or medical serv-
ices pursuant to such subparagraph, the Secretary shall— 
‘‘(i) provide direct notice of that determination to 
such veterans; and 
‘‘(ii) publish that determination and the reasons for 
that determination in the Federal Register. 
‘‘(5) In this subsection, the term ‘Freely Associated 
States’ means— 
‘‘(A) the Federated States of Micronesia, during 
such time as it is a party to the Compact of Free Asso-
ciation set forth in section 201 of the Compact of Free
957 
•HRES 1061 EH 
Association Act of 1985 (Public Law 99–239; 48 U.S.C. 
1901 note); 
‘‘(B) the Republic of the Marshall Islands, during 
such time as it is a party to the Compact of Free Asso-
ciation set forth in section 201 of the Compact of Free 
Association Act of 1985 (Public Law 99–239; 48 U.S.C. 
1901 note); and 
‘‘(C) the Republic of Palau, during such time as it 
is a party to the Compact of Free Association between 
the United States and the Government of Palau set 
forth in section 201 of Joint Resolution entitled ‘Joint 
Resolution to approve the ‘‘Compact of Free Associa-
tion’’ between the United States and the Government of 
Palau, and for other purposes’ (Public Law 99–658; 48 
U.S.C. 1931 note).’’. 
(3) BENEFICIARY TRAVEL.—Section 111 of title 38, 
United States Code, is amended by adding at the end 
the following: 
‘‘(h)(1) Notwithstanding any other provision of law, the 
Secretary may make payments to or for any person traveling 
in, to, or from the Freely Associated States for receipt of 
care or services authorized to be legally provided by the Sec-
retary in the Freely Associated States under section 
1724(f)(1) of this title.
958 
•HRES 1061 EH 
‘‘(2) A person who has received payment for travel in a 
country pursuant to this subsection shall remain eligible for 
payment for such travel in that country regardless of whether 
the country continues to qualify as a Freely Associated State 
for purposes of this subsection. 
‘‘(3) The Secretary shall prescribe regulations to carry 
out this subsection. 
‘‘(4) In this subsection, the term ‘Freely Associated 
States’ means— 
‘‘(A) the Federated States of Micronesia, during 
such time as it is a party to the Compact of Free Asso-
ciation set forth in section 201 of the Compact of Free 
Association Act of 1985 (Public Law 99–239; 48 U.S.C. 
1901 note); 
‘‘(B) the Republic of the Marshall Islands, during 
such time as it is a party to the Compact of Free Asso-
ciation set forth in section 201 of the Compact of Free 
Association Act of 1985 (Public Law 99–239; 48 U.S.C. 
1901 note); and 
‘‘(C) the Republic of Palau, during such time as it 
is a party to the Compact of Free Association between 
the United States and the Government of Palau set 
forth in section 201 of Joint Resolution entitled ‘Joint 
Resolution to approve the ‘‘Compact of Free Associa-
tion’’ between the United States and the Government of
959 
•HRES 1061 EH 
Palau, and for other purposes’ (Public Law 99–658; 48 
U.S.C. 1931 note).’’. 
(4) LEGAL ISSUES.— 
(A) AGREEMENTS
TO
FURNISH
CARE
AND 
SERVICES.— 
(i) IN GENERAL.—Before delivering hos-
pital care or medical services under subsection 
(f) of section 1724 of title 38, United States 
Code, as added by paragraph (2)(B), the Sec-
retary of Veterans Affairs, in consultation with 
the Secretary of State, shall enter into agree-
ments with the governments of the Freely As-
sociated States to— 
(I) facilitate the furnishing of health 
services, including telehealth, under the 
laws administered by the Secretary of Vet-
erans Affairs to veterans in the Freely As-
sociated States, such as by addressing— 
(aa) licensure, certification, reg-
istration, and tort issues relating to 
health care personnel; 
(bb) the scope of health services 
the Secretary may furnish, as well as 
the means for furnishing such serv-
ices; and
960 
•HRES 1061 EH 
(cc) matters relating to delivery 
of pharmaceutical products and med-
ical surgical products, including deliv-
ery of such products through the 
Consolidated Mail Outpatient Phar-
macy of the Department of Veterans 
Affairs, to the Freely Associated 
States; 
(II) clarify the authority of the Sec-
retary of Veterans Affairs to pay for tort 
claims as set forth under subparagraph 
(C); and 
(III) clarify authority and responsi-
bility on any other matters determined rel-
evant by the Secretary of Veterans Affairs 
or the governments of the Freely Associ-
ated States. 
(ii) SCOPE OF AGREEMENTS.—The agree-
ments described in clause (i) shall incorporate, 
to the extent practicable, the applicable laws of 
the Freely Associated States and define the 
care and services that can be legally provided 
by the Secretary of Veterans Affairs in the 
Freely Associated States. 
(iii) REPORT TO CONGRESS.—
961 
•HRES 1061 EH 
(I) IN GENERAL.—Not later than 90 
days after entering into an agreement de-
scribed in clause (i), the Secretary of Vet-
erans Affairs shall submit the agreement 
to the appropriate committees of Con-
gress. 
(II) APPROPRIATE
COMMITTEES
OF 
CONGRESS DEFINED.—In this clause, the 
term ‘‘appropriate committees of Con-
gress’’ means— 
(aa) the Committee on Energy 
and Natural Resources, the Com-
mittee on Foreign Relations, and the 
Committee on Veterans’ Affairs of 
the Senate; and 
(bb) the Committee on Natural 
Resources, the Committee on Foreign 
Affairs, and the Committee on Vet-
erans’ Affairs of the House of Rep-
resentatives. 
(B) LICENSURE
OF
HEALTH
CARE
PROFES-
SIONALS
PROVIDING
TREATMENT
VIA
TELEMEDI-
CINE IN THE FREELY ASSOCIATED STATES.—Sec-
tion 1730C(a) of title 38, United States Code, is 
amended by striking ‘‘any State’’ and inserting
962 
•HRES 1061 EH 
‘‘any State or any of the Freely Associated States 
(as defined in section 1724(f) of this title)’’. 
(C) PAYMENT OF CLAIMS.—The Secretary of 
Veterans Affairs may pay tort claims, in the man-
ner authorized in the first paragraph of section 
2672 of title 28, United States Code, when such 
claims arise in the Freely Associated States in con-
nection with furnishing hospital care or medical 
services or providing medical consultation or med-
ical advice to a veteran under the laws administered 
by the Secretary, including through a remote or 
telehealth program. 
(5) OUTREACH AND ASSESSMENT OF OPTIONS.— 
During the 1-year period beginning on the date of enact-
ment of this Act, the Secretary of Veterans Affairs shall, 
subject to the availability of appropriations— 
(A) conduct robust outreach to, and engage 
with, each government of the Freely Associated 
States; 
(B) assess options for the delivery of care 
through the use of authorities provided pursuant to 
the amendments made by this subsection; and 
(C) increase staffing as necessary to conduct 
outreach under subparagraph (A). 
(b) AUTHORIZATION OF EDUCATION PROGRAMS.—
963 
•HRES 1061 EH 
(1) ELIGIBILITY.—For fiscal year 2024 and each 
fiscal year thereafter, the Government of the United 
States shall— 
(A) continue to make available to the Fed-
erated States of Micronesia, the Republic of the 
Marshall Islands, and the Republic of Palau, grants 
for services to individuals eligible for such services 
under part B of the Individuals with Disabilities 
Education Act (20 U.S.C. 1411 et seq.) to the ex-
tent that those services continue to be available to 
individuals in the United States; 
(B) continue to make available to the Fed-
erated States of Micronesia and the Republic of the 
Marshall Islands and make available to the Republic 
of Palau, competitive grants under the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 
6301 et seq.), the Carl D. Perkins Career and 
Technical Education Act of 2006 (20 U.S.C. 2301 
et seq.), and part D of the Individuals with Disabil-
ities Education Act (20 U.S.C. 1450 et seq.), to the 
extent that those grants continue to be available to 
State and local governments in the United States; 
(C) continue to make grants available to the 
Republic of Palau under part A of title I of the Ele-
mentary and Secondary Education Act of 1965 (20
964 
•HRES 1061 EH 
U.S.C. 6311 et seq.), the Adult Education and 
Family Literacy Act (29 U.S.C. 3271 et seq.), and 
the Carl D. Perkins Career and Technical Edu-
cation Act of 2006 (20 U.S.C. 2301 et seq.); 
(D) continue to make available to eligible insti-
tutions of higher education in the Republic of Palau 
and make available to eligible institutions of higher 
education in the Federated States of Micronesia 
and the Republic of the Marshall Islands and to 
students enrolled in those institutions of higher edu-
cation, and to students who are citizens of the Fed-
erated States of Micronesia, the Republic of the 
Marshall Islands, and the Republic of Palau and en-
rolled in institutions of higher education in the 
United States and territories of the United States, 
grants under— 
(i) subpart 1 of part A of title IV of the 
Higher Education Act of 1965 (20 U.S.C. 
1070a et seq.); 
(ii) subpart 3 of part A of title IV of the 
Higher Education Act of 1965 (20 U.S.C. 
1070b et seq.); and 
(iii) part C of title IV of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1087–51 et 
seq.);
965 
•HRES 1061 EH 
(E) require, as a condition of eligibility for a 
public institution of higher education in any State 
(as defined in section 103 of the Higher Education 
Act of 1965 (20 U.S.C. 1003)) that is not a Freely 
Associated State to participate in or receive funds 
under any program under title IV of such Act (20 
U.S.C. 1070 et seq.), that the institution charge 
students who are citizens of the Federated States of 
Micronesia, the Republic of the Marshall Islands, or 
the Republic of Palau tuition for attendance at a 
rate that is not greater than the rate charged for 
residents of the State in which such public institu-
tion of higher education is located; and 
(F) continue to make available, to eligible insti-
tutions of higher education, secondary schools, and 
nonprofit organizations in the Federated States of 
Micronesia, the Republic of the Marshall Islands, 
and the Republic of Palau, competitive grants under 
the Higher Education Act of 1965 (20 U.S.C. 1001 
et seq.). 
(2) OTHER FORMULA GRANTS.—Except as provided 
in paragraph (1), the Secretary of Education shall not 
make a grant under any formula grant program admin-
istered by the Department of Education to the Fed-
966 
•HRES 1061 EH 
erated States of Micronesia, the Republic of the Mar-
shall Islands, or the Republic of Palau. 
(3) GRANTS TO THE FREELY ASSOCIATED STATES 
UNDER PART B OF THE INDIVIDUALS WITH DISABILITIES 
EDUCATION ACT.—Section 611(b)(1) of the Individuals 
with Disabilities Education Act (20 U.S.C. 1411(b)(1)) 
is amended by striking subparagraph (A) and inserting 
the following: 
‘‘(A) FUNDS
RESERVED.—From the amount 
appropriated for any fiscal year under subsection 
(i), the Secretary shall reserve not more than 1 per-
cent, which shall be used as follows: 
‘‘(i) To provide assistance to the outlying 
areas in accordance with their respective popu-
lations of individuals aged 3 through 21. 
‘‘(ii)(I) To provide each freely associated 
State a grant so that no freely associated State 
receives a lesser share of the total funds re-
served for the freely associated State than the 
freely associated State received of those funds 
for fiscal year 2023. 
‘‘(II) Each freely associated State shall estab-
lish its eligibility under this subparagraph con-
sistent with the requirements for a State under sec-
tion 612.
967 
•HRES 1061 EH 
‘‘(III) The funds provided to each freely associ-
ated State under this part may be used to provide, 
to each infant or toddler with a disability (as de-
fined in section 632), either a free appropriate pub-
lic education, consistent with section 612, or early 
intervention services consistent with part C, not-
withstanding the application and eligibility require-
ments of sections 634(2), 635, and 637.’’. 
(4) TECHNICAL
AMENDMENTS
TO
THE
ELEMEN-
TARY AND SECONDARY EDUCATION ACT OF 1965.—The 
Elementary and Secondary Education Act of 1965 (20 
U.S.C. 6301 et seq.) is amended— 
(A) by striking subparagraph (A) of section 
1121(b)(1) (20 U.S.C. 6331(b)(1)) and inserting 
the following: 
‘‘(A) first reserve $1,000,000 for the Republic 
of Palau, subject to such terms and conditions as 
the Secretary may establish, except that Public Law 
95–134, permitting the consolidation of grants, 
shall not apply; and’’; and 
(B) in section 8101 (20 U.S.C. 7801), by 
amending paragraph (36) to read as follows: 
‘‘(36) 
OUTLYING
AREA.—The 
term 
‘outlying 
area’—
968 
•HRES 1061 EH 
‘‘(A) means American Samoa, the Common-
wealth of the Northern Mariana Islands, Guam, and 
the United States Virgin Islands; and 
‘‘(B) for the purpose of any discretionary grant 
program under this Act, includes the Republic of 
the Marshall Islands, the Federated States of Mi-
cronesia, and the Republic of Palau, to the extent 
that any such grant program continues to be avail-
able to State and local governments in the United 
States.’’. 
(5) TECHNICAL AMENDMENT TO THE COMPACT OF 
FREE ASSOCIATION AMENDMENTS ACT OF 2003.—Section 
105(f)(1)(B) of the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921d(f)(1)(B)) is 
amended by striking clause (ix). 
(6) HEAD START PROGRAMS.— 
(A) DEFINITIONS.—Section 637 of the Head 
Start Act (42 U.S.C. 9832) is amended, in the 
paragraph defining the term ‘‘State’’, by striking 
the second sentence and inserting ‘‘The term ‘State’ 
includes the Federated States of Micronesia, the 
Republic of the Marshall Islands, and the Republic 
of Palau.’’.
969 
•HRES 1061 EH 
(B) 
ALLOTMENT
OF
FUNDS.—Section 
640(a)(2)(B) of the Head Start Act (42 U.S.C. 
9835(a)(2)(B)) is amended— 
(i) in clause (iv), by inserting ‘‘the Repub-
lic of Palau,’’ before ‘‘and the Virgin Islands’’; 
and 
(ii) by amending clause (v) to read as fol-
lows: 
‘‘(v) if a base grant has been established 
through appropriations for the Federated 
States of Micronesia or the Republic of the 
Marshall Islands, to provide an amount for 
that jurisdiction (for Head Start agencies (in-
cluding Early Head Start agencies) in the ju-
risdiction) that is equal to the amount provided 
for base grants for such jurisdiction under this 
subchapter for the prior fiscal year, by allot-
ting to each agency described in this clause an 
amount equal to that agency’s base grant for 
the prior fiscal year; and’’. 
(7) COORDINATION REQUIRED.—The Secretary of 
the Interior, in coordination with the Secretary of Edu-
cation and the Secretary of Health and Human Services, 
as applicable, shall, to the maximum extent practicable, 
coordinate with the 3 United States appointees to the
970 
•HRES 1061 EH 
Joint Economic Management Committee described in 
section 205(b)(1) and the 2 United States appointees to 
the Joint Economic Management and Financial Account-
ability Committee described in section 206(d)(1) to avoid 
duplication of economic assistance for education provided 
under section 261(a)(1) of the 2023 Amended U.S.-FSM 
Compact or section 261(a)(1) of the 2023 Amended 
U.S.-RMI Compact of activities or services provided 
under— 
(A) the Head Start Act (42 U.S.C. 9831 et 
seq.); 
(B) subpart 3 of part A of title IV of the 
Higher Education Act of 1965 (20 U.S.C. 1070b et 
seq.); or 
(C) part C of title IV of the Higher Education 
Act of 1965 (20 U.S.C. 1087–51 et seq.). 
(c) AUTHORIZATION
OF DEPARTMENT
OF DEFENSE 
PROGRAMS.— 
(1) DEPARTMENT OF DEFENSE MEDICAL FACILI-
TIES.—The Secretary of Defense shall make available, 
on a space available and reimbursable basis, the medical 
facilities of the Department of Defense for use by citi-
zens of the Federated States of Micronesia, the Republic 
of the Marshall Islands, and the Republic of Palau, who 
are properly referred to the facilities by government au-
971 
•HRES 1061 EH 
thorities responsible for provision of medical services in 
the Federated States of Micronesia, the Republic of the 
Marshall Islands, the Republic of Palau, and the affected 
jurisdictions (as defined in section 104(e)(2) of the Com-
pact of Free Association Amendments Act of 2003 (48 
U.S.C. 1921c(e)(2))). 
(2) PARTICIPATION
BY
SECONDARY
SCHOOLS
IN 
THE ARMED SERVICES VOCATIONAL APTITUDE BATTERY 
STUDENT TESTING PROGRAM.—It is the sense of Con-
gress that the Department of Defense may extend the 
Armed Services Vocational Aptitude Battery (ASVAB) 
Student Testing Program and the ASVAB Career Ex-
ploration Program to selected secondary schools in the 
Federated States of Micronesia, the Republic of the 
Marshall Islands, and the Republic of Palau to the ex-
tent such programs are available to Department of De-
fense dependent secondary schools established under sec-
tion 2164 of title 10, United States Code, and located 
outside the United States. 
(d) JUDICIAL TRAINING.—In addition to amounts pro-
vided under section 261(a)(4) of the 2023 Amended U.S.- 
FSM Compact and the 2023 Amended U.S.-RMI Compact 
and under subsections (a) and (b) of Article 1 of the 2023 
U.S.-Palau Compact Review Agreement, for each of fiscal 
years 2024 through 2043, the Secretary of the Interior shall
972 
•HRES 1061 EH 
use the amounts made available to the Secretary of the Inte-
rior under section 211(c) to train judges and officials of the 
judiciary in the Federated States of Micronesia, the Republic 
of the Marshall Islands, and the Republic of Palau, in co-
operation with the Pacific Islands Committee of the judicial 
council of the ninth judicial circuit of the United States. 
(e) ELIGIBILITY FOR THE REPUBLIC OF PALAU.— 
(1) NATIONAL HEALTH SERVICE CORPS.—The Sec-
retary of Health and Human Services shall make the 
services of the National Health Service Corps available 
to the residents of the Federated States of Micronesia, 
the Republic of the Marshall Islands, and the Republic 
of Palau to the same extent, and for the same duration, 
as services are authorized to be provided to persons re-
siding in any other areas within or outside the United 
States. 
(2) ADDITIONAL PROGRAMS AND SERVICES.—The 
Republic of Palau shall be eligible for the programs and 
services made available to the Federated States of Mi-
cronesia and the Republic of the Marshall Islands under 
section 108(a) of the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921g(a)). 
(3) PROGRAMS AND SERVICES OF CERTAIN AGEN-
CIES.—In addition to the programs and services set 
forth in the operative Federal Programs and Services
973 
•HRES 1061 EH 
Agreement between the United States and the Republic 
of Palau, the programs and services of the following 
agencies shall be made available to the Republic of 
Palau: 
(A) The Legal Services Corporation. 
(B) The Public Health Service. 
(C) The Rural Housing Service. 
(f) COMPACT IMPACT FAIRNESS.— 
(1) IN GENERAL.—Section 402 of the Personal Re-
sponsibility and Work Opportunity Reconciliation Act of 
1996 (8 U.S.C. 1612) is amended— 
(A) in subsection (a)(2), by adding at the end 
the following: 
‘‘(N) EXCEPTION
FOR
CITIZENS
OF
FREELY 
ASSOCIATED STATES.—With respect to eligibility for 
benefits for any specified Federal program, para-
graph (1) shall not apply to any individual who law-
fully resides in the United States in accordance 
with section 141 of the Compacts of Free Associa-
tion between the Government of the United States 
and the Governments of the Federated States of 
Micronesia, the Republic of the Marshall Islands, 
and the Republic of Palau.’’; and 
(B) in subsection (b)(2)(G)—
984 
•HRES 1061 EH 
(2) remaining balances appropriated to carry out 
sections 211, 213(b), 216, and 218 of the 2023 Amend-
ed U.S.-RMI Compact, shall be programmed pursuant to 
Article XI of the 2023 U.S.-RMI Fiscal Procedures 
Agreement. 
(d) GRANTS.—Notwithstanding any other provision of 
law— 
(1) contributions under the 2023 Amended U.S.- 
FSM Compact, the 2023 U.S.-Palau Compact Review 
Agreement, and the 2023 Amended U.S.-RMI Compact 
may be provided as grants for purposes of implementa-
tion of the 2023 Amended U.S.-FSM Compact, the 2023 
U.S.-Palau Compact Review Agreement, and the 2023 
Amended U.S.-RMI Compact under the laws of the 
United States; and 
(2) funds appropriated pursuant to section 211 may 
be deposited in interest-bearing accounts and any inter-
est earned may be retained in and form part of those ac-
counts for use consistent with the purpose of the deposit. 
(e) RULE
OF CONSTRUCTION.—Except as specifically 
provided, nothing in this title or the amendments made by 
this title amends the following: 
(1) Title I of the Compact of Free Association Act 
of 1985 (48 U.S.C. 1901 et seq.).