Rural Health
Resources by State: Guam
Compacts of Free Association: Populations in U.S. Areas Have Grown, with Varying Reported Effects
Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Heart Disease and Stroke Prevention Initiatives in Three USAPI Jurisdictions
Summarizes efforts in Guam, Palau, and the Commonwealth of the Northern Mariana Islands to improve cardiovascular health outcomes. Highlights strategies that can be applied to hypertension control programs and chronic disease prevention projects.
Date: 05/2020
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Summarizes efforts in Guam, Palau, and the Commonwealth of the Northern Mariana Islands to improve cardiovascular health outcomes. Highlights strategies that can be applied to hypertension control programs and chronic disease prevention projects.
Date: 05/2020
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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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 Guam
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam 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 Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Trends in Clinical Research Including Asian American, Native Hawaiian, and Pacific Islander Participants Funded by the US National Institutes of Health, 1992 to 2018
Study in which data from the National Institutes of Health (NIH) system was used to find NIH-funded research focused on Asian American, Native Hawaiian, and Pacific Islander populations. Features statistics including dollar amounts allocated to research, and funding amounts provided to various projects and organizations, with breakdowns by select states plus the District of Columbia and Guam.
Author(s): Lan N. Doan, Yumie Takata, Kari-Lyn K. Sakuma
Citation: JAMA Network Open 2(7)
Date: 07/2019
Type: Document
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Study in which data from the National Institutes of Health (NIH) system was used to find NIH-funded research focused on Asian American, Native Hawaiian, and Pacific Islander populations. Features statistics including dollar amounts allocated to research, and funding amounts provided to various projects and organizations, with breakdowns by select states plus the District of Columbia and Guam.
Author(s): Lan N. Doan, Yumie Takata, Kari-Lyn K. Sakuma
Citation: JAMA Network Open 2(7)
Date: 07/2019
Type: Document
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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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A Unique Partnership Between the University of Hawai'i Cancer Center and the University of Guam: Fifteen Years of Addressing Cancer Health Disparities in Pacific Islanders in Hawai'i and Guam
Highlights a partnership between the University of Guam and the University of Hawaii Cancer Center focused on addressing cancer disparities in Pacific Islanders in Guam, Hawaii, and parts of Micronesia. Summarizes the 3 components of the program (research, research education, and community outreach) and discusses their outcomes and impact. The partnership is part of the National Cancer Institute (NCI) Partnerships to Advance Cancer Health Equity (PACHE) program.
Author(s): Hali R. Robinett, Rachael T. Leon Guerrero, John A. Peterson, et al.
Citation: Hawai'i Journal of Medicine and Public Health, 78(6), 205-207
Date: 06/2019
Type: Document
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Highlights a partnership between the University of Guam and the University of Hawaii Cancer Center focused on addressing cancer disparities in Pacific Islanders in Guam, Hawaii, and parts of Micronesia. Summarizes the 3 components of the program (research, research education, and community outreach) and discusses their outcomes and impact. The partnership is part of the National Cancer Institute (NCI) Partnerships to Advance Cancer Health Equity (PACHE) program.
Author(s): Hali R. Robinett, Rachael T. Leon Guerrero, John A. Peterson, et al.
Citation: Hawai'i Journal of Medicine and Public Health, 78(6), 205-207
Date: 06/2019
Type: Document
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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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Availability and Promotion of Healthful Foods in Stores and Restaurants--Guam, 2015
Assessment of nutrition environment in 114 stores and 63 restaurants in Guam. Includes statistics on availability of various foods and promotion of healthy choices, with breakdowns by store size and restaurant type.
Author(s): Elizabeth A. Lundeen, Brenna K. VanFrank, Sandra L. Jackson, et al.
Citation: Preventing Chronic Disease, 14
Date: 07/2017
Type: Document
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Assessment of nutrition environment in 114 stores and 63 restaurants in Guam. Includes statistics on availability of various foods and promotion of healthy choices, with breakdowns by store size and restaurant type.
Author(s): Elizabeth A. Lundeen, Brenna K. VanFrank, Sandra L. Jackson, et al.
Citation: Preventing Chronic Disease, 14
Date: 07/2017
Type: Document
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