S.Amdt. 3653

SA 3653. Ms. HIRONO (for herself and Mr. Schatz) submitted an
amendment intended to be proposed to amendment SA 3399 proposed by Mr.
Shelby to the bill H.R. 6147, making appropriations for the Department
of the Interior, environment, and related agencies for the fiscal year
ending September 30, 2019, and for other purposes; which was ordered to
lie on the table; as follows:

At the appropriate place in title I of division A, add the
following:

sense of congress relating to the need to understand and respond to the
health care needs of the citizens of compact of free association
nations in the united states

Sec. 1___.  (a) Congress finds that--
(1) the United States has entered into mutually-beneficial
Compacts of Free Association with the governments of the
Federated States of Micronesia, the Republic of the Marshall
Islands, and the Republic of Palau (referred to in this
section as the ``Compact of Free Association Nations'');
(2) as a result of the mutually-beneficial Compacts of Free
Association, the citizens of the Compact of Free Association
Nations are entitled to travel to, work in, and otherwise
live in the United States;
(3) the number of citizens of Compact of Free Association
Nations living in the United States and territories of the
United States has grown, particularly in Hawaii and Guam;
(4) because of the unique relationship between the United
States and the Compact of Free Association Nations,
information on the number of citizens of Compact of Free
Association Nations that access the health care programs and
services of States, territories of the United States, and
local jurisdictions is difficult to quantify; and
(5) to better meet the needs of citizens of Compact of Free
Association Nations and the communities that host the
citizens of Compact of Free Association Nations, it is in the
interest of the Federal Government to develop a more complete
understanding of--
(A) the estimated costs to States, territories of the
United States, and local jurisdictions of providing health
care services for citizens of Compact of Free Association
Nations in the United States;
(B) projections with respect to ways in which the number of
citizens of Compact of Free Association Nations and the
health care needs of citizens of Compact of Free Association
Nations in the United States may change over the 10-year
period beginning on the date of enactment of this Act; and
(C) recommendations for legislative or administrative
actions to address the health care needs of citizens of
Compact of Free Association Nations in the United States.
(b) It is the sense of Congress that the Secretary of the
Interior should--
(1) not later than 60 days after the date of enactment of
this Act, consult with the heads of other Federal agencies
with the necessary expertise and resources for assistance in
developing--
(A) a plan for assessing the current and future health care
needs of citizens of Compact of Free Association Nations
residing in the United States; and
(B) recommendations for legislative or administrative
actions to address the needs assessed under subparagraph (A);
and
(2) not later than 30 days after the date on which the
consultations have been completed under paragraph (1), submit
to the Committee on Appropriations of the House of
Representatives, the Committee on Appropriations of the
Senate, the Committee on Natural Resources of the House of
Representatives, and the Committee on Energy and Natural
Resources of the Senate a report on the plan developed under
paragraph (1)(A), including the estimated time and cost for
the assessment provided for under the plan.
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