Native Hawaiian Health Care Improvement Act Reauthorization of 2000
Referred to the Subcommittee on Health and Environment.
Congressional Research Service
Official summary
Version 00 · Introduced in Senate · Nov 16, 1999
Native Hawaiian Health Care Improvement Act Reauthorization of 1999 - Amends the Native Hawaiian Health Care Improvement Act (the Act) to find that the unmet needs and serious health disparities that adversely affect Native Hawaiians include cancer, diabetes, asthma, heart disease, hypertension, strokes, infectious disease and illness, dental health, life expectancy, maternal and child health, mental health (including alcohol and drug abuse), and health professions education and training.Expresses as the intent of Congress: (1) the establishment and implementation of health care programs which substantially reduce or eliminate the over-representation of Native Hawaiians among those suffering from chronic and acute disease and illness and addressing Native Hawaiian health needs; and (2) to meet the Healthy People 2010 and Kanaka Maoli health objectives (objectives designed to combat the unmet Native Hawaiian needs and serious health disparities described above). Directs the Secretary of Health and Human Services to report to Congress on the progress made in achieving such objectives.Authorizes the Secretary to contract with Papa Ola Lokahi (an organization of public agencies and private organizations focused on improving the health status of Native Hawaiians) to support community-based initiatives that are reflective of holistic approaches to health. Authorizes appropriations. Directs the Secretary to consult periodically with Papa Ola Lokahi in maintaining an established clearinghouse for the collection and maintenance of data associated with the health status of Native Hawaiians. Directs Papa Ola Lokahi to make annual recommendations to the Secretary with respect to the allocation of all amounts appropriated under the Act.Limits to eight the number of Native Hawaiian health care systems that the Secretary may award a grant to or contract with to provide comprehensive health promotion and disease prevention services for Native Hawaiians. Authorizes the Secretary, in addition to such grants and contracts, to make a grant to or contract with Papa Ola Lokahi for planning with Native Hawaiian health care systems to serve the health needs of Native Hawaiian communities on each of the islands of Oahu, Molokai, Maui, Hawaii, Lanai, Kauai, and Niihau. Adds to the services authorized under all such grants and contracts the support of culturally appropriate activities enhancing health and wellness, including land-, water-, ocean-, and spiritually-based projects and programs. Extends through FY 2010 the authorization of appropriations for such grants.Extends through FY 2010 the authorization of appropriations for administrative grants for Papa Ola Lokahi.Limits to 15 (currently ten) the percentage of grant funds that may be used by an entity for administrative purposes. Changes reporting requirements of such entities from a quarterly to an annual basis.Allows the Secretary to provide funds to an appropriate Native Hawaiian organization or health care organization (currently, only to Kamehameha Schools Bishop Estate) to provide scholarship assistance to Native Hawaiian students enrolled in health professions courses or programs. Adds the provision of fellowships to authorized fund uses. Extends through FY 2010 the authorization of appropriations for such scholarships and fellowships.Authorizes the Secretary to provide funds to carry out Native Hawaiian demonstration projects of national significance. Prohibits such funding from reducing other funding provided under this Act.Establishes a National Bipartisan Native Hawaiian Health Care Entitlement Commission: (1) to establish a study committee to collect and compile data concerning Native Hawaiian needs with regard to the provision of health services; and (2) after reviewing the study committee's report, to make recommendations to Congress for the provision of such services as an entitlement. Authorizes appropriations.
Referred to the Subcommittee on Health and Environment.
Referred to the House Committee on Commerce.
Received in the House.
Message on Senate action sent to the House.
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S9318-9326; text as passed Senate: CR S9318-9326)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S9318-9326; text as passed Senate: CR S9318-9326)
Placed on Senate Legislative Calendar under General Orders. Calendar No. 765.
Committee on Indian Affairs. Reported by Senator Campbell under authority of the order of the Senate of 07/26/2000 with an amendment in the nature of a substitute. With written report No. 106-389.
Committee on Indian Affairs. Reported by Senator Campbell under authority of the order of the Senate of 07/26/2000 with an amendment in the nature of a substitute. With written report No. 106-389.
Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Committee on Indian Affairs. Hearings held in Kailua, Kona, HI. With printed Hearing: S.Hrg. 106-462, pt.6.
Committee on Indian Affairs. Hearings held in Lihue, Kauai, HI. With printed Hearing: S.Hrg. 106-462, pt.2.
Committee on Indian Affairs. Hearings held in Kalamaula, Molokai, HI. With printed Hearing: S.Hrg. 106-462, pt.1.
Read twice and referred to the Committee on Indian Affairs. (text of measure as introduced: CR S14620-14628)
Introduced in Senate
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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.
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