Native Hawaiian Health Care Act of 1988
Public Law 100-579 · S. 136 · 100th Congress · began in the Senate
Signed by Ronald Reagan (R) on Oct 31, 1988 · Health
Sponsor: Sen. Daniel Inouye (D-HI)
Cosponsors (2): Sen. Dennis DeConcini, Sen. Spark Matsunaga
Passage votes
- HouseVoice vote
- SenateVoice vote
Data notes
The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.
Summary
The Congressional Research Service’s plain-language summary of what the law does.
Native Hawaiian Health Care Act of 1988 - Authorizes the Secretary of Health and Human Services (HHS) to make a grant to, or enter into a contract with, Papa Ola Lokahi (the Native Hawaiian Health Board) to develop a comprehensive master plan to promote health and disease prevention services and to improve the health status of Native Hawaiians. Authorizes appropriations for FY 1990.
Allows the Secretary to make grants to or contract with qualified entities to provide health promotion and disease prevention services, giving preference to Native Hawaiian health centers and organizations. Allows grants and contracts for planning health centers to serve the communities on specified islands. Enumerates the mandatory services to be provided by funding recipients, including outreach services, immunizations, diabetes control, nutrition services, and pregnancy care. Allows service to be provided by traditional Native Hawaiian healers. Limits the number and location of entities that may be grant or contract recipients. Limits Federal contributions to 75 percent and requires matching funds. Places limitations on charges for services. Authorizes appropriations.
Authorizes the Secretary to make grants to or contract with Papa Ola Lokahi for: (1) coordination, implementation, and updating of the master plan; (2) training of certain personnel; and (3) identification of and research into the diseases most prevalent among Native Hawaiians. Authorizes appropriations for FY 1990 through 1992.
Sets forth requirements for the administration of grants and contracts. Requires that certain conditions are met, including establishing fiscal control and accounting procedures, providing services for individuals with limited English language ability, providing confidentiality of records, and submitting annual reports.
Establishes procedures for contract evaluation, including procedures for resolving areas of noncompliance or unsatisfactory performance before renewing a contract.
Restricts the use of funds for administrative expenses.
Requires each entity receiving or expending funds under this Act to submit quarterly reports to the Secretary and Papa Ola Lokahi.
Authorizes the assignment of certain HHS personnel to grantees and contractors.
Repeals a specified demonstration project under the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1988.
Committees
The committees the bill was sent to, and what each did with it.
Indian Affairs Committee · Senate · hearings by (full committee), markup by, referred to, reported by
Data notes
A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.
Timeline
From introduction to signing, newest first: the committees, the floor and the president. 12 actions.
- Oct 31, 1988Became lawBecame law · Became Public Law No: 100-579.
- Became lawBecame law · Signed by President.
- Oct 19, 1988PresidentPresident · Presented to President.
- Oct 14, 1988Resolving differencesResolving differences · Senate agreed to the House amendment by Voice Vote.
- Oct 12, 1988FloorFloor · Passed House (Amended) by Voice Vote.
- Oct 1, 1988FloorFloor · Passed Senate with an amendment by Voice Vote.
- FloorFloor · Measure laid before Senate by unanimous consent.
- Sep 30, 1988CommitteeCommittee · Reported by Senate Indian Affairs Committee
- Sep 29, 1988CommitteeCommittee · Markup by Senate Indian Affairs Committee
- Mar 6, 1987CommitteeCommittee · Hearings by Senate Indian Affairs Committee
- Jan 6, 1987CommitteeCommittee · Referred to Senate Indian Affairs Committee
- IntroducedIntroduced · Introduced in the Senate
Data notes
Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.
Official record
The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.