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Rural Health
Resources by State: Commonwealth of the Northern Mariana Islands

Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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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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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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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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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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Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016
Reports on estimated coverage for selected vaccines and doses by 2 years of age for children in five United States Affiliated Pacific Islands (USAPI) jurisdictions: American Samoa, Chuuk State in the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, the Republic of the Marshall Islands, and the Republic of Palau.
Author(s): Ashley Tippins, Neil Murthy, Mehreen Meghani, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(20), 579-584
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Commonwealth of the Northern Mariana Islands--WHO Country Cooperation Strategy, 2018-2022
Identifies health and development challenges and priorities, and establishes strategic direction and approaches to facing challenges and achieving national goals, in cooperation with the World Health Organization. Features statistics for health indicators including rates of maternal and adult mortality, suicide, immunization, smoking, and access to drinking water and sanitation facilities.
Date: 2017
Type: Document
Sponsoring organization: World Health Organization Western Pacific Regional Office
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Recent Population Trends for the U.S. Island Areas: 2000 to 2010
Provides data on the populations of American Samoa, Guam, the Commonwealth of the Northern Mariana Islands (CNMI), and the U.S. Virgin Islands. Includes charts and maps describing the population, with information on population density, race and ethnic origin, age, and gender.
Author(s): Justyna Goworowska, Steven Wilson
Date: 04/2015
Type: Document
Sponsoring organization: U.S. Census Bureau
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Mapping an Emerging National Health Equity Network
Results of an online survey of 256 organizations, conducted from April 2013-May 2014, providing basic demographics and information about partnerships which help advance the health and well-being of Asian American, Native Hawaiian, and Pacific Islander communities.
Date: 08/2014
Type: Document
Sponsoring organizations: Asian & Pacific Islander American Health Forum, Social Policy Research Associates, W.K. Kellogg Foundation
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Compacts of Free Association: Improvements Needed to Assess and Address Growing Migration
Describes migration to the U.S. and its territories from the Federated States of Micronesia, the Marshall Islands, and Palau. Discusses financial impact in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands to provide services to these migrants, including health services.
Additional links: Full Report
Date: 11/2011
Type: Document
Sponsoring organization: Government Accountability Office
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