Rural Health
Resources by State: American Samoa
Lessons Learned from the U.S. Affiliated Pacific Islands COVID-19 Response
Blog post describing the ways in which public health officials used collaboration, communication, and partnership in their response to COVID-19 in American Samoa, the Commonwealth of the Northern Marianna Islands, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau. Includes information about other health-related challenges faced by these islands.
Author(s): Karl Ensign
Date: 01/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Blog post describing the ways in which public health officials used collaboration, communication, and partnership in their response to COVID-19 in American Samoa, the Commonwealth of the Northern Marianna Islands, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau. Includes information about other health-related challenges faced by these islands.
Author(s): Karl Ensign
Date: 01/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Progress Toward Rubella Elimination — Western Pacific Region, 2000–2019
Reports on rubella vaccination coverage levels and rubella supplementary immunization activities by country and area in the Pacific. Includes data for American Samoa, the Northern Mariana Islands, Guam, Micronesia, Palau, and the Marshall Islands.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 744-750
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on rubella vaccination coverage levels and rubella supplementary immunization activities by country and area in the Pacific. Includes data for American Samoa, the Northern Mariana Islands, Guam, Micronesia, Palau, and the Marshall Islands.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 744-750
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in American Samoa
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Territory of American Samoa's Response and Action Plan to Combat the Coronavirus Pandemic
Comprehensive plan documenting American Samoa's response to COVID-19. Includes guidance and advisories, as well as an overview of the healthcare infrastructure and systems.
Date: 03/2020
Type: Document
Sponsoring organization: American Samoa Government
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Comprehensive plan documenting American Samoa's response to COVID-19. Includes guidance and advisories, as well as an overview of the healthcare infrastructure and systems.
Date: 03/2020
Type: Document
Sponsoring organization: American Samoa Government
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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When Will the U.S. Territories Exhaust Federal Medicaid Funding?
Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Strengthening Health Care in the U.S. Territories for Today and Into the Future
Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: KFF
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Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: KFF
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Vital Signs: Zika-Associated Birth Defects and Neurodevelopmental Abnormalities Possibly Associated with Congenital Zika Virus Infection — U.S. Territories and Freely Associated States, 2018
Focuses on children one year of age or younger born in the U.S. territories and freely associated states whose mothers had laboratory evidence of confirmed or possible Zika virus infection during pregnancy and who had follow-up care reported. Reports data on Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Author(s): Marion E. Rice, Romeo R. Galang, Nicole M. Roth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(31), 858-867
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Focuses on children one year of age or younger born in the U.S. territories and freely associated states whose mothers had laboratory evidence of confirmed or possible Zika virus infection during pregnancy and who had follow-up care reported. Reports data on Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Author(s): Marion E. Rice, Romeo R. Galang, Nicole M. Roth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(31), 858-867
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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