United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2005-10-14 monographic deposited born digital 71 p. GA 1.13:GAO-06-75 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-75 P0b002ee180388c83 f:d0675 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-06-75 machine generated eng fdlp REPORT GAOREPORTS-GAO-06-75 GAO-06-75 Comparative analysis Federal aid programs Federal grants Health care costs Health care programs Health care services Medicaid Medicare Territories and possessions Access to health care American Samoa Guam Northern Mariana Islands Puerto Rico State Children's Health Insurance Program Other Written Product A39517 Five insular areas of the United States--American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, Puerto Rico, and the U.S. Virgin Islands--benefit from federal health care financing and grant programs that help fund health care services to their over 4 million residents. However, notable differences exist in how the programs are funded or operate in the insular areas, such as statutory limits on federal Medicaid funding to the insular areas that do not apply in the states. To help understand these differences, GAO was asked to identify (1) the key sources of federal health care funding in the insular areas, (2) differences between insular areas and the states in the methods used to allocate these funds, and (3) differences in spending levels per individual between insular areas and the states. In commenting on a draft of this report, American Samoa, CNMI, and Puerto Rico suggested the need for additional information on certain issues, such as implications of statutory limits on federal Medicaid spending and a more comprehensive analysis of local circumstances that affect the availability and costs of health care services. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-75/html/GAOREPORTS-GAO-06-75.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-75/pdf/GAOREPORTS-GAO-06-75.pdf GAO-06-75 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-75 Other Written Product GAO-06-75; U.S. Insular Areas: Multiple Factors Affect Federal Health Care Funding; Comparative analysis Federal aid programs Federal grants Health care costs Health care programs Health care services Medicaid Medicare Territories and possessions Access to health care American Samoa Guam Northern Mariana Islands Puerto Rico State Children's Health Insurance Program Volume 96 Page 324 96 Stat. 324 Volume 111 Page 251 111 Stat. 251 Volume 114 Page 2763 114 Stat. 2763 Volume 117 Page 2066 117 Stat. 2066 Public Law 97-248 Public Law 105-33 Public Law 106-554 Public Law 108-173