Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-17 · 19/19
- Proven sweep
- 2026-07-16
- Target
- TT · monthly
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Marshall Islands has 1 community health centers across 6 sites serving 5,051 patients — the #56 FQHC state by patients in the national-breadth layer. Its community health centers depend on the federal Community Health Center Fund, authorized only through December 2026.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
5,051 reported patients
Actual values: 9/12 · source-backed: 9/12
Visible gaps: EHR, reported financials, NPPES operator identity.
Hash-pinned review: 2026-07-19 · next 2027-01-15
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-17 · addition
New tracked MH development added to the state intelligence feed.
2026-07-17 · addition
New tracked MH development added to the state intelligence feed.
2026-07-17 · material correction
An independent source-scope audit corrected the mission location from an unsupported physical placement at Ebeye Hospital to the source-backed scope: in Ebeye with hospital leadership and staff.
2026-07-17 · material correction
An independent source-scope audit replaced an unsupported initiative-lead characterization with the Ministry's narrower recognition for accelerating the initiative and corrected Spanish workforce-system and data-completeness terminology.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · addition
New tracked MH development added to the state intelligence feed.
2026-07-16 · addition
New tracked MH development added to the state intelligence feed.
2026-07-16 · addition
New tracked MH development added to the state intelligence feed.
2026-07-16 · material correction
Corrected this MH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-16 · addition
New tracked MH development added to the state intelligence feed.
2026-07-15 · addition
New tracked MH development added to the state intelligence feed.
2026-07-15 · addition
New tracked MH development added to the state intelligence feed.
2026-07-15 · addition
New tracked MH development added to the state intelligence feed.
2026-07-15 · addition
New tracked MH development added to the state intelligence feed.
2026-07-15 · addition
New tracked MH development added to the state intelligence feed.
Send a correction or new source to improve this state page.
The Republic of the Marshall Islands (RMI) is a sovereign freely associated state under the Compact of Free Association (COFA), not a U.S. state or territory. U.S. Medicaid does not operate on-island, and RMI is outside the 50-state Rural Health Transformation Program. HRSA's 2024 Uniform Data System instead reports one RMI Health Center Program awardee serving 5,051 patients, all recorded as uninsured in UDS third-party coverage categories. Under the amended Compact, the U.S. made $51 million in FY2025 sector grants available to RMI; RMI proposed $7,540,922 for health and $15.3 million for public infrastructure, while GAO documented delayed disbursement, labor and cost constraints, and late oversight reports. For Marshallese people residing in U.S. states, Public Law 119-21 continues to include lawful COFA migrants among the groups eligible for federal Medicaid and CHIP matching funds beginning October 1, 2026, subject to ordinary state eligibility rules, and CMS says the five-year waiting period remains inapplicable to COFA migrants.
Patient-weighted across the 1 centers with UDS 2024 data.
RMI's Nursing Practice Act 1995, rather than a U.S. state board, establishes a Board of Nurse Examiners and reserves a nurse-practitioner title to registered nurses who meet criteria and standards set by that board; the board designates NP categories, titles, and abbreviations in its rules. The reviewed Act does not establish enough current detail to map RMI safely onto a U.S.-style full, reduced, or restricted practice label, so no prescriptive or physician-collaboration authority is inferred here. When a Marshallese patient receives care in a U.S. state or territory, the treating clinician's scope is governed by that U.S. jurisdiction, not by RMI law.
As a Freely Associated State, Marshall Islands health centers rely on federal Compact and HRSA Section 330 funding rather than Medicaid; the headline risk is the stability of federal grant appropriations and Compact funding, not Medicaid work requirements.
Jurisdiction operating analog
This framework does not force territorial Medicaid or Compact assistance into state-only fields. Every lane preserves its own authority and source.
RMI is a sovereign freely associated state and does not operate an on-island U.S. territorial Medicaid program. Its U.S. financing analog is renewed Compact assistance—$2.3 billion over 20 years through 2043 across public-service sectors including health—plus RMI's own Health Fund and other grants.
U.S. Department of the Interiorreviewed 2026-07-14GAO's May 2026 review says FY2025 Compact allocations in all three freely associated states largely support education and health personnel, but implementation and oversight are delayed. RMI should be measured on timely disbursement, payroll and project execution, and required reporting—not solely on the face value of authorized Compact support.
U.S. Government Accountability Officereviewed 2026-07-14RMI's Health Professional Licensing Act establishes a national Board of Health Professions that issues, renews, and regulates local licenses. It is the on-island authority; U.S. state scope and licensure rules apply only when a Marshallese clinician practices in that U.S. jurisdiction.
Nitijela of the Republic of the Marshall Islandsreviewed 2026-07-14Health facilities are concentrated in Majuro and Ebeye, rural access is more restricted, and the U.S. State Department reports that medical evacuations frequently exceed $100,000 and depend on equipped aircraft availability. Referral plans must explicitly carry clinical stabilization, aircraft, receiving site, and payment status.
U.S. Department of Statereviewed 2026-07-14The RMI Public Service Commission jobs board is the primary government-employer feed and publishes Ministry of Health and Human Services and other health-system roles. Use dated job records and employer documents; if a health role disappears or the Wix-backed feed fails, status is unknown or closed—not zero workforce demand.
Republic of the Marshall Islands Public Service Commissionreviewed 2026-07-14RMI is not an eligible RHTP applicant: the CMS notice restricts direct awards to the 50 U.S. states. Keep RHTP ineligible/not applicable and do not net an absent state-only award against Compact health financing.
Centers for Medicare & Medicaid Servicesreviewed 2026-07-14Role implications
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Marshall Islands ranks #56 by FQHC patients, with 1 organizations and 6 sites tied to federal grant exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
0% Medicaid/CHIP, 100% uninsured, and uninsured share is 100%.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
HRSA organization data while public job-source coverage expands; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Marshall Islands combines 5,051 FQHC patients with scope-of-practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
PIPCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Marshall Islands has 1 FQHC employers in the directory and HRSA organization data while public job-source coverage expands to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
Browse FQHC jobs in Marshall Islands and nationwide.
The observation remains unknown until a reproducible source sweep or manual review is completed. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs.
19 primary-sourced findings on Marshall Islands FQHC policy and financing.Newest item: 2026-07-16
On July 16, 2026, the RMI Public Service Commission's healthcare board listed nine Ministry of Health and Human Services postings marked open until filled: five Majuro listings for HPP laboratory technologist, laboratory specialist, laboratory technician I, medical imaging technologist, and radiographer technologist; three Ebeye listings for laboratory technician, medical laboratory technologist, and staff nurse III; and one patient-coordinator listing covering two posts in Manila and Taiwan.
The board separately showed a Majuro staff nurse I posting with a June 29, 2026 closing date, so it is excluded from the open-until-filled count. The live postings are recruiting signals, not verified FTE, exact vacancies, net new positions, hires, staffing deficits, or service capacity.
GAO reports that the U.S. made $51 million in FY2025 RMI sector grants available and that RMI proposed $7,540,922 for health, $21,679,019 for education, and $15.3 million for public infrastructure that included schools and a hospital. Health and education together represented 57% of the sector-grant plan, and most sector funding supported salaries and wages.
GAO also documented delayed disbursement, rising construction costs, skilled-labor shortages, and late required reports; the figures are planned allocations, not proof that every project was completed.
CMS issued SHO #26-001 on April 8, 2026. It says that beginning October 1, 2026, federal Medicaid and CHIP matching funds for full benefits are generally limited to U.S. citizens and nationals, lawful permanent residents, Cuban/Haitian entrants, and lawful COFA migrants who meet all other eligibility criteria.
CMS also says COFA migrants remain exempt from the five-year waiting period. Medicaid state-plan amendments are due by December 31, 2026, with an October 1 effective date; separate-CHIP amendments are expected where applicable.
ADB's project data sheet lists the Resilient Ebeye Hospital Project as proposed, with an indicative $17 million Asian Development Fund grant. The proposed outputs are expanded health infrastructure, improved primary and secondary service delivery, and stronger disaster and health-emergency preparedness on Ebeye.
The sheet records concept clearance on July 31, 2025, fact-finding on February 2, 2026, and a February 27, 2026 update, but no approval date, tender, or awarded contract. The previously stated $160 million two-hospital rebuild is not supported by this ADB record.
The RMI Ministry of Health and Human Services says it and UNICEF jointly conducted a one-day Social and Behavior Change Communication training in Majuro for 45 frontline health workers from prenatal and postnatal care, maternal and child health, immunization, health promotion, non-communicable-disease prevention and Well Child Clinics.
The November 4, 2025 article says this followed sessions for 16 Community Health Outreach Workers on October 17 and 9 MoHHS personnel in Ebeye on October 22, completing a first training round supported by UNICEF and the World Bank. Participants practiced communication through demonstrations and role-plays.
These are Ministry-reported session counts and completion language, not proof of 70 unique people, assessed competency, a credential, full-time-equivalent capacity, families reached, referrals, service-volume change, or maternal, child or nutrition outcomes.
The RMI Ministry of Health and Human Services announced that nurse practitioner Meresaini Radinivuna Lasike joined Santo Island Health Center and Dr. Simon Ero Holara joined Kili Island Health Center. The Ministry presented the two named assignments as support for care and outreach in outer-island health centers and thanked the RMI Multisectoral Early Childhood Development–II Project and World Bank Pacific for management and stewardship support.
The source verifies two clinician-to-site assignments announced in October 2025; it does not report exact start dates, local license status, full-time-equivalent or employment terms, whether either role is new or a replacement, net staffing, hours, patient panels, vacancies filled, added services, visit volume, access change, retention or outcomes.
The partner acknowledgment provides no award amount or causal staffing claim.
RMI's Ministry of Health and Human Services reported on October 30, 2025 that it had reopened the renovated 177 Healthcare Clinic earlier that month for communities from Enewetak, Bikini, Rongelap, and Utrik. The Ministry attributes the renovation to U.S. support under the Compact and Interior's Office of Insular Affairs Maintenance Assistance Program.
The source confirms the facility milestone and intended communities but does not publish a patient count, service-volume measure, or clinical-outcome estimate.
In a September 17, 2025 Ministry Strategic Plan reform update, the RMI Ministry of Health and Human Services says its human-resources and information-technology teams are strengthening workforce systems with OrangeHRM to support planning, development and care across the Marshall Islands. The Ministry recognizes its Office of Health Planning deputy secretary and human-resources director for accelerating the initiative and thanks the Pacific Island Health Officers Association for technical guidance.
The brief notice does not identify a procurement, contract, cost, funding source, implementation phase, enabled modules, go-live date, participating facilities, number of records or users, integrations, data completeness, hiring or vacancy changes, staff time saved, patient access or care outcomes. It therefore does not establish full deployment at Majuro Hospital, Ebeye Hospital, outer-island facilities or Health Center Program-supported sites.
OrangeHRM is identified as the system, not as a source-proven operating partner or employer, and PIHOA's credited role is limited to technical guidance.
In its September 11, 2025 update, the RMI Ministry of Health and Human Services says Canvasback Missions returned to Ebeye and that during that week's joint mission 264 patients received eye care, including screenings and glasses; 96 cataract surgeries had been performed as of publication; and 133 patients received dental care, all through one dentist's work.
The Ministry attributes delivery to the visiting Canvasback team working with Ebeye Hospital leadership, staff and the community, and says one surgeon extended the stay through the weekend. These are Ministry-reported point-in-time service totals: the source does not say whether surgery patients are included among the 264 eye-care patients, whether people overlap across categories, the number of unique people, exact mission dates, unmet need, annual capacity, clinical outcomes or permanent staffing.
The evidence is limited to this mission in Ebeye with Ebeye Hospital leadership and staff; it does not establish activity in Majuro, the outer islands or the RMI system as a whole. Although MoHHS is RMI's Health Center Program awardee, the notice does not identify Section 330 support, a health-center encounter or award-funded services.
A September 10, 2025 JABSOM student account says three second-year medical students spent one month of their MD5 experience on Majuro. The account describes work in a resource-limited setting, severe diabetes complications, food and glucometer constraints, weather-dependent access from outer islands, and the cultural-humility lessons the student planned to apply in Hawaii.
It does not quantify annual referrals, clinician shortages, or Hawaii workforce deficits, and it should not be read as proof of a permanent RMI staffing pipeline.
Interior reports that the U.S.–RMI Joint Economic Management and Financial Accountability Committee met on August 27–28, 2025 and discussed overdue audits, infrastructure and development plans, and finalization of FY2026 Annual Implementation Plans. Interior says RMI receives about $80 million annually across the cited Compact economic assistance streams and notes that health officials participated.
The release does not identify a health-only amount or say that any particular hospital or clinic project was approved at the meeting.
Section 71109 of Public Law 119-21, enacted July 4, 2025, generally limits federal matching funds for full Medicaid and CHIP benefits beginning October 1, 2026. The statute expressly retains lawful COFA migrants, alongside lawful permanent residents and Cuban/Haitian entrants, within the noncitizen groups for whom federal matching funds remain available.
This is a funding-eligibility boundary, not automatic enrollment: a Marshallese applicant must still satisfy the relevant state's residency, income, and other program rules.
HHS TAGGS records a $419,776 non-competing continuation action dated June 25, 2025, for the RMI Ministry of Health and Human Services under CDC's Public Health Emergency Preparedness program. Award NU90TU000035 runs from July 1, 2024, through June 30, 2029 and describes preparedness planning, response capability, community awareness, and multiyear data and monitoring work.
TAGGS does not show a June 2026 continuation action in the reviewed record.
A paper presented by Majuro Hospital Chief Nurse Joni Nashion at the Pacific Community's March 17–20, 2025 Pacific Heads of Nursing and Midwifery meeting reports 179 registered nurses across RMI and says Majuro Hospital's nursing count fell from 119 in 2021 to 81 in 2025, including administrators and ward nurses. It also reports that 12 nurse practitioners completed an 18-month Fiji National University/MHHS program, three certified nurse anaesthetists completed an 18-month Papua New Guinea program, the Bureau of Nursing was established in 2023, and an eight-month internship curriculum for new College of the Marshall Islands nursing graduates was established in 2022.
These are ministry-supplied workforce counts and program milestones, not independently audited FTE, vacancy, retention, capacity, or outcome measures.
Interior's Office of Insular Affairs announced $2,240,225 in FY2025 Technical Assistance Program funding for the RMI Ministry of Health and Human Services to support primary and special health care for communities from Bikini, Enewetak, Rongelap, and Utrik. Interior said the funds were provided early to avoid a lapse in critical services.
The archived release confirms the amount and purpose; it does not identify a Section 330 award, patient count, or service utilization result.
HRSA's 2024 Uniform Data System reports one RMI Health Center Program awardee and 5,051 patients, down from 6,321 in 2023. UDS classifies all 5,051 patients as having no third-party insurance and reports no Medicaid, CHIP, Medicare, other public, or private coverage in its categories.
It also reports 397 patients with diabetes and 199 diabetic patients with HbA1c above 9% or no test during the year. These are awardee-reported UDS measures, not population-wide prevalence estimates.
HRSA's FY2024 Marshall Islands fact sheet reports $2,240,403 in grants and cooperative agreements, one unique awardee, and six total awards as of September 30, 2024. This is an agency-wide HRSA award summary, not a patient count and not evidence that every dollar was a Health Center Program or Compact award.
The row replaces a duplicate account of Interior's FY2025 Four Atoll award.
CMS's May 8, 2024 final-rule preamble explains that Public Law 118-42, enacted March 9, 2024, removed language that had limited COFA migrants' qualified-noncitizen treatment to Medicaid, thereby extending that treatment to CHIP. It also expanded COFA migrants' exemption from the five-year waiting period to all federal means-tested public benefits, permitting immediate CHIP eligibility when all other state-plan requirements are met.
The law did not make every COFA migrant automatically eligible for every benefit.
Interior announced $2,240,225 in FY2024 Technical Assistance Program funding for RMI primary and special health care serving communities from Bikini, Enewetak, Rongelap, and Utrik. The same release separately awarded $90,000 to the Association of Pacific Islands Public Auditors, producing the $2,330,225 combined headline.
The RMI health amount is therefore $2,240,225. The source does not connect this award to the Community Health Center Fund or a December 2026 funding deadline.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Ministry of Health In the Repu Blic of the Marshall Islands Majuro | 5,051 | 6 | 100% | — | Exposed | MH-0 |
| District | Representative | Sites |
|---|---|---|
| MH-0 | Unknown | 6 |
Marshall Islands ranks #56 by FQHC patients and #55 by organization count among the 57 national-breadth jurisdictions. All 1 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Marshall Islands-only. Updated 2026-06-30.