106 2 Hearing Medical Errors Understanding Adverse Drug Events S Hrg 106 492 February 1 2000

At a hearing in Honolulu (Hawaii), the Subcommittee on Labor, Health and Human Services, Education and Related Agencies of the U.S. Senate Committee on Appropriations received testimony on health, education, and employment and training programs serving the Native people of Hawaii. In July 1999, a federal government brief filed in a U.S. Supreme Court case established the official legal position of the United States that Native Hawaiians have the same status as other Native people of the United States and that there is a federal trust responsibility for Native Hawaiians. Testimony from state-level administrators outlined the current status of health, housing, education, and job training for Native Hawaiians and proposed recommendations for pending federal legislation: the Native American Housing Assistance and Self-Determination Amendments of 1999, the Native Hawaiian Health Care Improvement Act, and the Native Hawaiian Education Act. Other testimony described Native Hawaiian health care systems, the Native Hawaiian heart health initiative, the Native Hawaiian Cancer Awareness Research and Training Center, the Hawaii high schools health study, the Native Hawaiian Health Scholarship Program, the practice of naturopathic medicine with Native Hawaiians, the Native Hawaiian Higher Education Program and its outcomes and impacts, programs focused on Hawaiian language and cultural maintenance, family-based early childhood education programs, the Native Hawaiian Center of Excellence (to improve the health of indigenous Hawaiians), comprehensive school-based services, and the Native Hawaiian Special Education Project. (SV)