S. HRG. 106±409 FEDERALLY FUNDED NATIVE HAWAIIAN PROGRAMS HEARING BEFORE A SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS UNITED STATES SENATE ONE HUNDRED SIXTH CONGRESS FIRST SESSION SPECIAL HEARING Printed for the use of the Committee on Appropriations ( Available via the World Wide Web: http://www.access.gpo.gov/congress/senate U.S. GOVERNMENT PRINTING OFFICE 61±420 cc WASHINGTON : 2000 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ISBN 0±16±060331±5 COMMITTEE ON APPROPRIATIONS TED STEVENS, Alaska, Chairman THAD COCHRAN, Mississippi ROBERT C. BYRD, West Virginia ARLEN SPECTER, Pennsylvania DANIEL K. INOUYE, Hawaii PETE V. DOMENICI, New Mexico ERNEST F. HOLLINGS, South Carolina CHRISTOPHER S. BOND, Missouri PATRICK J. LEAHY, Vermont SLADE GORTON, Washington FRANK R. LAUTENBERG, New Jersey MITCH MCCONNELL, Kentucky TOM HARKIN, Iowa CONRAD BURNS, Montana BARBARA A. MIKULSKI, Maryland RICHARD C. SHELBY, Alabama HARRY REID, Nevada JUDD GREGG, New Hampshire HERB KOHL, Wisconsin ROBERT F. BENNETT, Utah PATTY MURRAY, Washington BEN NIGHTHORSE CAMPBELL, Colorado BYRON L. DORGAN, North Dakota LARRY CRAIG, Idaho DIANNE FEINSTEIN, California KAY BAILEY HUTCHISON, Texas RICHARD J. DURBIN, Illinois JON KYL, Arizona STEVEN J. CORTESE, Staff Director LISA SUTHERLAND, Deputy Staff Director JAMES H. ENGLISH, Minority Staff Director SUBCOMMITTEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES ARLEN SPECTER, Pennsylvania, Chairman THAD COCHRAN, Mississippi TOM HARKIN, Iowa SLADE GORTON, Washington ERNEST F. HOLLINGS, South Carolina JUDD GREGG, New Hampshire DANIEL K. INOUYE, Hawaii LARRY CRAIG, Idaho HARRY REID, Nevada KAY BAILEY HUTCHISON, Texas HERB KOHL, Wisconsin TED STEVENS, Alaska PATTY MURRAY, Washington JON KYL, Arizona DIANNE FEINSTEIN, California ROBERT C. BYRD, West Virginia (ex officio) Professional Staff BETTILOU TAYLOR MARY DIETRICH JIM SOURWINE AURA DUNN ELLEN MURRAY (Minority) Administrative Support KEVIN JOHNSON CAROLE GEAGLEY (Minority) (II) CONTENTS Page Opening statement of Senator Daniel K. Inouye .................................................. 1 Statement of Paul LeMahieu, Superintendent of Education, Hawaii Depart- ment of Education ................................................................................................ 2 Prepared statement of Paul LeMahieu .................................................................. 5 Statement of Dr. Bruce S. Anderson, Director, Department of Health, State of Hawaii ............................................................................................................... 7 Prepared statement of Dr. Bruce S. Anderson ...................................................... 9 Statement of Lorraine Akiba, Director, Department of Labor and Industrial Relations, State of Hawaii ................................................................................... 10 Prepared statement of Lorraine Akiba .................................................................. 14 Statement of Rowena Akana, Chair, Board of Trustees, Office of Hawaiian Affairs, State of Hawaii ....................................................................................... 17 Prepared statement of Rowena Akana .................................................................. 21 Housing bill .............................................................................................................. 22 Health bill ................................................................................................................ 22 Education bill ........................................................................................................... 23 Opening statement of Senator Daniel K. Akaka ................................................... 23 Opening statement of Representative Patsy Mink ............................................... 24 Letter from Lorraine Akiba .................................................................................... 25 Unemployed welfare recipients ............................................................................... 32 Letter from Rowena Akana ..................................................................................... 32 Child abuse and neglect .......................................................................................... 33 Statement of Myron Thompson, Chairman, Board of Directors, Papa Ola Lokahi ................................................................................................................... 36 Prepared statement of Myron Thompson .............................................................. 38 Statement of Herb Campos, Papa Ola Lokahi ...................................................... 40 Prepared statement of Herb Campos ..................................................................... 43 Hawaii not the health State for Native Hawaiians .............................................. 43 Native Hawaiians search for health funding parity with other Native Ameri- cans ....................................................................................................................... 44 The Native Hawaiian Health Care Systems ......................................................... 44 Papa Ola Lokahi ...................................................................................................... 45 Reauthorization of the Native Hawaiian Health Care Improvement Act ........... 45 Our future challenge ............................................................................................... 45 Statement of JoAnn Tsark, Papa Ola Lokahi ....................................................... 45 Prepared statement of JoAnn Tsark ...................................................................... 48 Native Hawaiian heart health initiative ............................................................... 49 Native Hawaiian Cancer Awareness Research and Training Center ................. 49 Statement of Naleen N. Andrade, M.D. Professor and Chair, Department of Psychiatry, John A. Burns School of Medicine .............................................. 50 Prepared statement of Naleen N. Andrade ........................................................... 56 A brief history of events .......................................................................................... 56 Significance .............................................................................................................. 57 The Hawaii high schools health study ................................................................... 57 Specific outcomes ..................................................................................................... 57 Statement of Dr. Chiyome L. Fukino, E Ola Mau ................................................ 58 Prepared statement of Dr. Chiyome L. Fukino ..................................................... 60 Statement of Beth Giesting, Executive Director, Hawaii State Primary Care Association ............................................................................................................ 61 Prepared statement of Beth Giesting ..................................................................... 63 Statement of Dr. Sita Nissanka, Director, Native Hawaiian Health Scholar- ship Program, Kamehameha Schools Bishop Estate ........................................ 74 Prepared statement of Dr. Sita Nissanka ............................................................. 75 Program description ................................................................................................ 76 (III) IV Page Statement of Dr. Michelle Suber, resident, North Hawaii Community Hos- pital ....................................................................................................................... 76 Prepared statement of Dr. Michelle Suber ............................................................ 78 The practice of naturopathic medicine as it relates to Native Hawaiians .......... 78 Statement of Henry Auwae, Kupuna La'au Lapa'au O Hawaii ........................... 79 Prepared statement of ``Papa'' Henry Auwae ........................................................ 80 Statement of Stanley Kiope Raymond, Chair, Native Hawaiian Education Council .................................................................................................................. 87 Prepared statement of Stanley Kiope Raymond ................................................... 88 Statement of Thomas Kamuela Chun, Director, University of Hawaii Commu- nity College ........................................................................................................... 89 Statement of S. Nani Espinda, Director, Native Hawaiian Higher Education Program Ksbe ....................................................................................................... 91 Prepared statement of S. Nani Espinda ................................................................ 94 Program accomplishment ........................................................................................ 95 Counseling support services .................................................................................... 95 Program impact/outcomes: student achievement .................................................. 95 Community service .................................................................................................. 96 Statement of Dr. David K. Sing, Director Na Pua No'Eau .................................