Title 48 › Chapter 18— MICRONESIA, MARSHALL ISLANDS, AND PALAU › Subchapter IV— MICRONESIA, MARSHALL ISLANDS, AND PALAU: 2023 AGREEMENTS › § 1988
Requires the U.S. government to keep providing and coordinating many federal services, grants, and supports to the Freely Associated States while they remain parties to their Compacts of Free Association. Freely Associated States: the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau while they are parties to their Compacts. “Appropriate committees of Congress” (for VA agreements): Senate Energy and Natural Resources, Senate Foreign Relations, Senate Veterans’ Affairs, House Natural Resources, House Foreign Affairs, and House Veterans’ Affairs. “Appropriate congressional committees” (for State reporting): Senate Foreign Relations and House Foreign Affairs. The Department of Veterans Affairs must make agreements with the Freely Associated States before giving VA hospital or medical care there. Those agreements must cover telehealth, licensing and liability for health workers, what services can be given and how, delivery of medicines (including by VA mail pharmacy), and authority to pay tort claims; the agreements should follow local laws when practicable and must be sent to the listed congressional committees within 90 days of signing. The VA may pay tort claims in the same way federal law allows when care or medical advice is given, including by telehealth. During the 1-year period beginning March 9, 2024, and if money is available, the VA must do strong outreach to each Freely Associated State, study care delivery options under these rules, and increase staff as needed. Starting in fiscal year 2024 and each year after, the U.S. must keep providing certain education grants and programs to the Freely Associated States, including special education grants under Part B of IDEA, competitive K–12 and career-education grants, higher education grants under Title IV of the Higher Education Act, and other competitive grants. U.S. public colleges that take Title IV funds must charge citizens of the Freely Associated States no more than in-state tuition. The Secretary of Education may not give other formula grants to those governments except as listed. The Secretary of the Interior, with Education and HHS, must coordinate to avoid duplicating education aid already provided under the amended Compacts and other federal programs. The Secretary of Defense may make DoD medical facilities available on a space-available, reimbursable basis to properly referred citizens of the Freely Associated States, and may extend ASVAB testing and career programs to selected secondary schools there. For each fiscal year 2024 through 2043, the Secretary of the Interior must use certain funds to train judges and judicial officials in the Freely Associated States. The Secretary of Health and Human Services must make National Health Service Corps services available to those residents on the same basis as to others, and Palau gets the same program eligibility as the other two states plus access to the Legal Services Corporation, the Public Health Service, and the Rural Housing Service. The Secretary of the Treasury, with Interior and State, must consult with the Asian Development Bank and other international financial institutions about economic conditions and outside assistance. The Secretary of State must add staff and create a unit in the East Asian and Pacific Affairs Bureau to manage relations and Compacts, assign at least 4 additional full-time staff to that office within 5 years after March 9, 2024, work to reduce vacant Pacific foreign service posts with incentives, and report to the Senate Foreign Relations Committee and the House Foreign Affairs Committee starting 1 year after March 9, 2024 and each year for 5 years. Finally, authorization from the Act of June 30, 1954 stays available after the effective dates of the amended Compacts for transition purposes, including finishing projects, ending the Trust Territory and its High Court, health and education in exceptional cases, ex gratia payments for the people of Bikini, Enewetak, Rongelap, and Utrik, and technical help in financial and infrastructure matters.
Full Legal Text
Territories and Insular Possessions — Source: USLM XML via OLRC
Legislative History
Reference
Citation
48 U.S.C. § 1988
Title 48 — Territories and Insular Possessions
Last Updated
Apr 5, 2026
Release point: 119-73not60