,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #abbb  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ae1 #bjac    
,ms4 ,hanabusa 7for herself1 ,ms4       
,bordallo1 ,mr4 ,faleomavaega1 and ,ms4 
,gabbard7 introduced the following bill2
 which was referred to the ,committee on
 ,natural ,resources1 and in addition to
 the ,committee on ,energy and          
,commerce1 for a period to be           
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend the ,compact of    
,free ,association of #aihe to provide  
for adequate ,compact-impact aid to     
affected ,states and territories1 and   
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,compact-,impact ,aid ,act of #bjac4    
#b4 ,findings and purpose  7a7 ,findings
 ,congress finds the following3  7#a7   
,in approving the ,compact of ,free     
,association it was not the intent of   

,congress to cause adverse consequences 
for ,states1 territories1 and other     
jurisdictions of the ,united ,states4   
7#b7 ,congress declared that if any     
adverse consequences to ,states1        
territories1 and other jurisdictions of 
the ,united ,states resulted from       
implementation of the ,compact of ,free 
,association1 ,congress would act       
sympathetically and expeditiously to    
redress those adverse consequences4     
7#c7 ,the ,government ,accountability   
,office has reported that migration from
 the ,freely ,associated ,states has had
 a significant impact on ,guam1 the     
,commonwealth of the ,northern ,mariana 
,islands1 and the ,state of ,hawaii and 
some areas of the continental ,united   
,states4  7#d7 ,by placing demands on   
local governments for health1           
educational1 and other social services1 
migration under the ,compact has        
adversely affected the budgetary        
resources of several ,states and        
territories4  7#e7 ,insufficient sums   

have been appropriated to cover the     
costs incurred by ,guam1 the            
,commonwealth of the ,northern ,mariana 
,islands1 and the ,state of ,hawaii1    
resulting from increased demands placed 
on health1 educational1 and other social
 services by individuals from the       
,federated ,states of ,micronesia1 the  
,republic of the ,marshall ,islands1 and
 the ,republic of ,palau4  7b7 ,purpose 
,it is the purpose of this ,act to      
address the unfunded mandate and adverse
 financial consequences resulting from  
the ,compact by meeting the obligations 
set forth in the ,compact4  #c4         
,ensuring mandatory appropriations and  
health services reimbursement as part of
 compact-impact aid  7a7 ,in general    
,section #ajd7;e77#f7 of the ,compact of
 ,free ,association ,act of #aihe 7#dh  
,u4,s4,c4 #aijd7;e77#f77 is amended to  
read as follows3  7#f7 ,impact costs    
7,a7 ,authorization and continuing      
appropriations  7i7 ,in general ,there  
is hereby authorized and appropriated to

 the ,secretary of the ,interior1 for   
fiscal year #bjac1 #ahe1jjj1jjj with    
subsequent increases as needed to       
address significant increases in        
migration for grants to any local       
government of the ,united ,states that  
demonstrates financial strain due to    
demands on public services by           
significant immigration of individuals  
from the ,federated ,states of          
,micronesia1 the ,republic of the       
,marshall ,islands1 and the ,republic of
 ,palau1 and to aid in defraying costs  
incurred by their governments as a      
result of increased demands placed on   
health1 educational1 social1 or public  
safety services1 or infrastructure      
related to such services due to the     
residence of qualified nonimmigrants4   
7ii7 ,awarding ,the grants under clause 
7i7 shall be--  7,i7 awarded and        
administered by the ,department of the  
,interior1 ,office of ,insular ,affairs1
 or any successor thereto1 in accordance
 with regulations1 policies and         

procedures applicable to grants so      
awarded and administered2 and  7,,ii7   
used only for health1 educational1      
social1 or public safety services1 or   
infrastructure related to such services1
 specially affected by qualified        
nonimmigrants4  7iii7 ,enumeration ,for 
purposes of carrying out this           
subparagraph1 the ,secretary of the     
,interior shall provide for periodic    
enumerations of qualified nonimmigrants 
in the ,states and territories of the   
,united ,states4 ,the enumerations--    
7,i7 shall be conducted at such         
intervals as the ,secretary of the      
,interior shall determine2 and  7,,ii7  
shall be supervised by the ,united      
,states ,bureau of the ,census or any   
other organization that the ,secretary  
of the ,interior selects4  7iv7         
,allocation ,the ,secretary of the      
,interior shall allocate to each of the 
governments of qualified affected areas1
 grants under clause 7i7 for a fiscal   
year on the basis of the ratio of the   

number of qualified immigrants 7as most 
recently enumerated under clause 7iii77 
in the respective jurisdiction to the   
total of such numbers for all the       
jurisdictions4  7,b7 ,treatment of      
certain health care impact costs        
,notwithstanding any other provision of 
law1 for purposes of providing medical  
assistance for qualified nonimmigrants  
under title ,,xix of the ,social        
,security ,act in the case of a ,state  
or territory referred to in subparagraph
 7,a77i7--  7i7 such individuals shall  
be treated in the same manner as an     
individual described in section         
#djb7;a77#b77;,g7 of ,public ,law       
#ajd-aic1 as amended2  7ii7 the ,federal
 medical assistance percentage shall be 
the same percentage as is applied to    
medical assistance for services which   
are received through an ,indian ,health 
,service ,facility2 and  7iii7 payments 
under such title for medical assistance 
for such individuals shall not be taken 
into account in applying any limitations

 under section #aajh of the ,social     
,security ,act4  7,c7 ,qualified        
nonimmigrant defined ,in this paragraph1
 term qualified nonimmigrant means a    
person admitted to the ,united ,states  
pursuant to--  7i7 section #ada of the  
,compact of ,free ,association set forth
 in title ,,ii2 or  7ii7 section #ada of
 the ,compact of ,free ,association     
between the ,united ,states and the     
,government of ,palau4  4  7b7          
,effective date ,section                
#ajd7;e77#f77;,b7 of the ,compact of    
,free ,association ,act of #aihe1 as    
amended by subsection 7a71 shall apply  
to medical assistance for items and     
services furnished during or after      
fiscal year #bjac4