American Samoa FQHC Intelligence

HRSA's current American Samoa Uniform Data System profile reports one Health Center Program awardee and 26,122 total patients in calendar 2025, up from 26,056 in 2024. The profile classifies all 26,122 patients in the Medicaid/CHIP payer category.

It separately reports 5,093 dental patients, 529 mental-health patients, and 34 substance-use-disorder patients, down from 7,082, 1,012, and 57 respectively in 2024. Service categories can overlap and must not be summed as unique people.

The HRSA profile carries no posting date; July 30, 2026 is the repository-recorded first-observation date, not a page-stated publication date. These are annual awardee-reported UDS measures; they do not establish individual Medicaid eligibility or enrollment, the cause of year-over-year changes, equivalent access at every clinic, or a change in staffing or capacity.

American Samoa Government's July 7 release says the Department of Health hosted a two-day territorial launch of the American Samoa Cancer Control Plan 2025–2030 and described the territory as entering implementation. The release names four priorities—policy and systems, measurable targets, performance-monitoring accountability, and Samoan-led cultural innovation—and reports sessions on the Cancer Registry, noncommunicable diseases, prevention, early detection, diagnosis and treatment, survivorship, and quality of life.

This confirms a DOH-led implementation launch and planning structure; it does not publish the plan document, target values, baselines, owners, deadlines, budget, staffing, screening or registry volumes, treatment capacity, or measured cancer outcomes.

American Samoa Government's June 16, 2026 release says the Faleomavaega Eni Fa'aua'a Hunkin VA Clinic officially opened its expanded laboratory after a nearly $2 million investment. The release says the facility is expected to support faster testing, more services delivered locally, and fewer outside referrals.

It does not publish the test menu, completed test volume, turnaround times, staffing, eligibility rules, or measured referral reduction. The facility serves veterans through the VA system and is not the Department of Health community health center or LBJ Tropical Medical Center.

CMS approved SPA AS-26-0001 on June 1, 2026, effective January 1, 2026. The approved package adds licensed practitioners who may furnish behavioral-health services under the Medicaid state plan.

It expands the plan's recognized provider framework, but the approval does not identify which practitioner types the community health center currently employs, publish fee amounts, or establish a realized increase in visits.

American Samoa Government's May 7 release says LBJ Tropical Medical Center celebrated installation of a new CT scanner on May 4, 2026, joining a unit already in service; the hospital reported two fully functioning CT scanners, and the release says the upgraded equipment can accommodate patients up to 700 pounds. The release identifies the CT scanner room, roof replacement, and generator replacement as completed ARPA-funded projects within a 14-project portfolio, while separately describing central-plant and other facility work as ongoing.

This is an LBJ hospital infrastructure checkpoint, not an FQHC expansion, and the source does not quantify project cost, radiology staffing, scanner uptime, scan volume, wait times, service interruptions avoided, or patient outcomes.

American Samoa Government's January 28, 2026 release reports that a Department of the Interior TAP/MAP award of $366,000 will support an Amputation Prevention and Wound Care Training Initiative. The listed uses are a duplex ultrasound machine, local-clinician training in risk assessment and early intervention, wound-care supplies and equipment, and screening tools and protocols for diabetic neuropathy.

The release says the initiative will link LBJ Tropical Medical Center and the Department of Health with village-level outreach. It establishes an award and planned uses, not completed procurement, delivered training, patient volume, avoided amputations, staffing growth, or measured outcomes.

CMS approved SPA AS-25-0002 on January 27, 2026, effective October 1, 2025. Using Section 1902(j), the amendment exempts American Samoa from the federal requirement to cover the mandatory medication-assisted-treatment benefit for opioid use disorder.

The waiver removes that federal coverage floor; it does not by itself prove that every medication or local treatment pathway is unavailable.

At an October 14, 2025 House Health Committee hearing, LBJ CEO Scott Anesi said the hospital had received none of its $2 million FY2025 territorial subsidy and was also owed $300,000 from FY2024. Lawmakers separately questioned staffing and the status of 14 ARPA-funded hospital projects, several reported below 10% completion.

The testimony concerns LBJ—a separate hospital organization—and does not show that $2.3 million was owed to the Department of Health community health center.

HRSA's FY2025 American Samoa fact sheet records one Health Center Program awardee, one award, and $3,252,225 in program funding. These are fiscal-year award facts, not a patient count or a forecast of future appropriations; the source does not quantify what services would change under a different federal funding level.

The American Samoa Government reported that LBJ Tropical Medical Center celebrated the blessing and official opening of its newly renovated operating rooms on September 15, 2025. The release describes completed, modernized surgical infrastructure, but does not publish a room count, project cost, staffing level, procedure volume, patient-service start date, or measured access outcome.

This is an LBJ hospital event and must not be represented as an FQHC expansion.

The American Samoa Medicaid State Agency reported that it signed an agreement with The Queen's Medical Center on August 26, 2025, adding the Honolulu hospital to its off-island referral network for beneficiaries needing specialties unavailable locally. The September 15 report establishes network participation, but does not publish covered specialties, negotiated rates, referral criteria, patient volume, or wait-time results.

From August 11 through August 27, 2025, 15 airmen from the 103rd Medical Group and active-duty Navy and Army personnel operated a no-cost Innovative Readiness Training clinic in American Samoa. The unit's final DVIDS report says the 12 clinic days reached more than 3,000 people and delivered nearly 13,000 services, including primary care, dental exams, pharmacy prescriptions, behavioral-health support, and minor surgery.

A companion DVIDS video names the American Samoa Department of Health as a local partner. The counts are unit-reported, services are not unique patients, and the temporary mission does not establish durable local capacity or Health Center Program delivery.

CMS approved SPA AS-24-0003 on March 13, 2025, effective October 1, 2024. The amendment adds outpatient dialysis furnished in dialysis clinics and freestanding end-stage renal disease facilities on and off island, with an estimated federal budget impact of $250,000 in both FFY2024 and FFY2025.

Those amounts are estimates in the approval package, not observed spending or patient volume.

Helmsley announced $3.2 million in grants on June 27, 2024 for an MRI at LBJ and portable X-ray and ultrasound equipment for American Samoa Community Health Centers. The funder reported that 77 patients were approved for off-island MRI in 2023: LBJ supported travel for 34, Medicaid or other organizations supported 22, and 21 did not travel because they could not afford the related costs.

LBJ anticipated 2,500 MRI studies per year; that figure is a provider forecast, not measured utilization.