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HCBS Commission Established in American Samoa
Governor Pulaali’i Nikolao Pula has signed Executive Order 009-25, officially establishing the first Home and Community-Based Services (HCBS) Commission in American Samoa. This is a transformative step forward. While there are currently no HCBS systems operating at this scale in any U.S. Territory, the Commission will begin laying the groundwork to create one.
The Commission will shape a Territory-wide roadmap of supports so that older adults (65+), individuals with developmental/intellectual disabilities, physical disabilities, mental health and/or substance use disorders, and others with qualifying needs can eventually access services in the homes and communities of their choice, with dignity, independence, and cultural connection.
Executive Order 009-25 initiates essential foundation work, including developing an Olmstead Plan, recommending HCBS services, creating quality standards through policies and regulations, and establishing the health data infrastructure needed for meaningful decision-making. This work is supported through the CMS Money Follows the Person (MFP) grant and aligns with Fa’aSamoa values of love, respect, and responsibility for our elders and individuals living with disabilities.
Read the Official Press Release.
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