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 <subject>Immigration or emigration</subject>
 <subject>International agreements</subject>
 <subject>Compact of Free Association</subject>
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 <subject>Guam</subject>
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<titleInfo>
 <title>Foreign Relations: Migration From Micronesian Nations Has Had Significant Impact on Guam, Hawaii, and the Commonwealth of the Northern Mariana Islands</title>
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<abstract>Migration from Freely Associated States (FAS), collectively, the 
Federated States of Micronesia (FSM), the Republic of the	 
Marshall Islands (RMI), and Palau, has clearly had a significant 
impact on Guam, Hawaii, and the Commonwealth of the Northern	 
Mariana Islands (CNMI). Compact of Free Association migrants have
required local expenditures in health and education, and have	 
particularly affected the budgetary resources of Guam and the	 
CNMI. The budgetary impact on Hawaii is relatively smaller but is
expected to grow as Hawaii absorbs health care costs once covered
by the U.S. federal government. Public health is an important	 
concern for all three U.S. island areas. The Compact allows FAS  
migrants who have limited financial means to enter the United	 
States with few restrictions and U.S. island areas are absorbing 
much of the health care costs of this population. Furthermore,	 
Guam, Hawaii, and the CNMI can be expected to continue to	 
experience Compact impact as long as current poor economic	 
conditions persist in the RMI and the FSM. Targeting future U.S. 
assistance to the FSM and the RMI for education and health	 
purposes could reduce some of the motivation to migrate and	 
improvements in migrant health and education status might be	 
expected to reduce migrant impact on U.S. destinations.</abstract>
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<identifier type="preferred citation">GAO-02-40</identifier>
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 <topic>Cost control</topic>
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 <topic>Employment</topic>
 <topic>Foreign governments</topic>
 <topic>Health care services</topic>
 <topic>Immigration or emigration</topic>
 <topic>International agreements</topic>
 <topic>Compact of Free Association</topic>
 <topic>English as a Second Language Program</topic>
 <topic>Guam</topic>
 <topic>Hawaii</topic>
 <topic>Marshall Islands</topic>
 <topic>Micronesia</topic>
 <topic>Northern Mariana Islands</topic>
 <topic>Palau</topic>
 <topic>Trust Territory of the Pacific Islands</topic>
</subject>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 414 (82nd Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 82-414</identifier>
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 <titleInfo>
  <title>United States Public Law 193 (104th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 104-193</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 208 (104th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 104-208</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 504 (106th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 106-504</identifier>
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