
From the U.S. Code Online via GPO Access
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[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 42USC11702]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                CHAPTER 122--NATIVE HAWAIIAN HEALTH CARE
 
Sec. 11702. Declaration of policy


(a) Congress

    The Congress hereby declares that it is the policy of the United 
States in fulfillment of its special responsibilities and legal 
obligations to the indigenous people of Hawaii resulting from the unique 
and historical relationship between the United States and the Government 
of the indigenous people of Hawaii--
        (1) to raise the health status of Native Hawaiians to the 
    highest possible health level; and
        (2) to provide existing Native Hawaiian health care programs 
    with all resources necessary to effectuate this policy.

(b) Intent of Congress

    It is the intent of the Congress that the Nation meet the following 
health objectives with respect to Native Hawaiians by the year 2000:
        (1) Reduce coronary heart disease deaths to no more than 100 per 
    100,000.
        (2) Reduce stroke deaths to no more than 20 per 100,000.
        (3) Increase control of high blood pressure to at least 50 
    percent of people with high blood pressure.
        (4) Reduce blood cholesterol to an average of no more than 200 
    mg/dl.
        (5) Slow the rise in lung cancer deaths to achieve a rate of no 
    more than 42 per 100,000.
        (6) Reduce breast cancer deaths to no more than 20.6 per 100,000 
    women.
        (7) Increase Pap tests every 1 to 3 years to at least 85 percent 
    of women age 18 and older.
        (8) Increase fecal occult blood testing every 1 to 2 years to at 
    least 50 percent of people age 50 and older.
        (9) Reduce diabetes-related deaths to no more than 34 per 
    100,000.
        (10) Reduce the most severe complications of diabetes as 
    follows:
            (A) end-stage renal disease to no more than 1.4 in 1,000;
            (B) blindness to no more than 1.4 in 1,000;
            (C) lower extremity amputation to no more than 4.9 in 1,000;
            (D) perinatal mortality to no more than 2 percent; and
            (E) major congenital malformations to no more than 4 
        percent.

        (11) Reduce infant mortality to no more than 7 deaths per 1,000 
    live births.
        (12) Reduce low birth weight to no more than 5 percent of live 
    births.
        (13) Increase first trimester prenatal care to at least 90 
    percent of live births.
        (14) Reduce teenage pregnancies to no more than 50 per 1,000 
    girls age 17 and younger.
        (15) Reduce unintended pregnancies to no more than 30 percent of 
    pregnancies.
        (16) Increase to at least 60 percent the proportion of primary 
    care providers who provide age-appropriate preconception care and 
    counseling.
        (17) Increase years of healthy life to at least 65 years.
        (18) Eliminate financial barriers to clinical preventive 
    services.
        (19) Increase childhood immunization levels to at least 90 
    percent of 2-year-olds.
        (20) Reduce the prevalence of dental caries to no more than 35 
    percent of children by age 8.
        (21) Reduce untreated dental caries so that the proportion of 
    children with untreated caries (in permanent or primary teeth) is no 
    more than 20 percent among children age 6 through 8 and no more than 
    15 percent among adolescents age 15.
        (22) Reduce edentulism to no more than 20 percent in people age 
    65 and older.
        (23) Increase moderate daily physical activity to at least 30 
    percent of the population.
        (24) Reduce sedentary lifestyles to no more than 15 percent of 
    the population.
        (25) Reduce overweight to a prevalence of no more than 20 
    percent of the population.
        (26) Reduce dietary fat intake to an average of 30 percent of 
    calories or less.
        (27) Increase to at least 75 percent the proportion of primary 
    care providers who provide nutrition assessment and counseling or 
    referral to qualified nutritionists or dieticians.
        (28) Reduce cigarette smoking prevalence to no more than 15 
    percent of adults.
        (29) Reduce initiation of smoking to no more than 15 percent by 
    age 20.
        (30) Reduce alcohol-related motor vehicle crash deaths to no 
    more than 8.5 per 100,000 adjusted for age.
        (31) Reduce alcohol use by school children age 12 to 17 to less 
    than 13 percent.
        (32) Reduce marijuana use by youth age 18 to 25 to less than 8 
    percent.
        (33) Reduce cocaine use by youth aged \1\ 18 to 25 to less than 
    3 percent.
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    \1\ So in original. Probably should be ``age''.
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        (34) Confine HIV infection to no more than 800 per 100,000.
        (35) Reduce gonorrhea infections to no more than 225 per 
    100,000.
        (36) Reduce syphilis infections to no more that 10 per 100,000.
        (37) Reduce significant hearing impairment to a prevalance \2\ 
    of no more than 82 per 1,000.
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    \2\ So in original. Probably should be ``prevalence''.
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        (38) Reduce acute middle ear infections among children age 4 and 
    younger, as measured by days of restricted activity or school 
    absenteeism, to no more than 105 days per 100 children.
        (39) Reduce indigenous cases of vaccine-preventable diseases as 
    follows:
            (A) Diphtheria among individuals age 25 and younger to 0;
            (B) Tetanus among individuals age 25 and younger to 0;
            (C) Polio (wild-type virus) to 0;
            (D) Measles to 0;
            (E) Rubella to 0;
            (F) Congenital Rubella Syndrome to 0;
            (G) Mumps to 500; and
            (H) Pertussis to 1,000; and \3\
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    \3\ So in original. The ``; and'' probably should be a period.

        (40) Reduce significant visual impairment to a prevalence of no 
    more than 30 per 1,000.

(c) Report

    The Secretary shall submit to the President, for inclusion in each 
report required to be transmitted to the Congress under section 11710 of 
this title, a report on the progress made in each area toward meeting 
each of the objectives described in subsection (b) of this section.

(Pub. L. 100-579, Sec. 3, Oct. 31, 1988, 102 Stat. 2916; Pub. L. 100-
690, title II, Sec. 2303, Nov. 18, 1988, 102 Stat. 4223; Pub. L. 102-
396, title IX, Sec. 9168, Oct. 6, 1992, 106 Stat. 1948.)

                          Codification

    The 1992 amendment is based on section 1 of S. 2681, One Hundred 
Second Congress, as passed by the Senate on Aug. 7, 1992, and enacted 
into law by section 9168 of Pub. L. 102-396. Section 9168, which 
referred to S. 2681, as passed by the Senate on ``September 12, 1992'', 
has been treated as referring to S. 2681, as passed by the Senate on 
Aug. 7, 1992, to reflect the probable intent of Congress.
    Pub. L. 100-579 and Pub. L. 100-690 enacted identical sections.


                               Amendments

    1992--Pub. L. 102-396 amended section generally. Prior to amendment, 
section related to comprehensive health care master plan for Native 
Hawaiians.
