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

Maternal and Child Health Services Title V Block Grant - Northern Mariana Islands: FY 2022 Application/FY 2020 Annual Report
Highlights the Northern Mariana Islands' maternal and child health programs. Includes topics related to reducing infant mortality, improving oral and behavioral health, improving access, and COVID-19, among others.
Date: 09/2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Testimony: Medicaid and CHIP in the U.S. Territories
Presents the statement of the Executive Director of Medicaid and CHIP Payment and Access Commission in a hearing before the U.S. House of Representatives' Committee on Energy and Commerce's Subcommittee on Health regarding the role Medicaid and CHIP play in securing healthcare access in the U.S Territories. Compares current funding through Medicaid for the Territories with the projected funding if no action is taken.
Author(s): Anne L. Schwartz
Date: 03/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Lessons Learned from the U.S. Affiliated Pacific Islands COVID-19 Response
Blog post describing the ways in which public health officials used collaboration, communication, and partnership in their response to COVID-19 in American Samoa, the Commonwealth of the Northern Marianna Islands, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau. Includes information about other health-related challenges faced by these islands.
Author(s): Karl Ensign
Date: 01/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Progress Toward Rubella Elimination — Western Pacific Region, 2000–2019
Reports on rubella vaccination coverage levels and rubella supplementary immunization activities by country and area in the Pacific. Includes data for American Samoa, the Northern Mariana Islands, Guam, Micronesia, Palau, and the Marshall Islands.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 744-750
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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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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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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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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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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