Pacific Cancer Programs

The Compacts of Free Association (CoFA): General Information and Resources for CoFA Migrants in Hawai’i

This page is dedication to information and contact details for migrants to Hawai'i under the Compacts of Free Association (CoFA). Below are listed relevant documents regarding access to health care and resources of interest. Other information can be accessed on the sites listed below.   

1. The Compacts of Free Association (CoFA):

The Compacts of Free Association (CoFA) are individual agreements between the US Federal Government and the Governments of the Federated States of Micronesia, the Republic of the Marshall Islands and the Republic of Palau. The compacts provide for U.S. economic assistance (including eligibility for certain U.S. federal programs) and other benefits in exchange for security and defense of the Pacific Island countries by the U.S. defense forces and certain other operating rights in the Pacific, including denial of access to Pacific territories by other nations, and other related agreements.

Visit the links below for specific information about the individual compacts with the Marshall Islands, Palau and the Federated States of Micronesia.

2. Consulate Offices in Hawai'i

CoFA Country’s Consulate Offices in Honolulu, Hawai'i: The official representative of each county’s government is located at the respective Consulate Offices in Honolulu, Hawai’i. Each Consulate Office typically provides assistance for citizens of that Pacific Island country residing in Hawai’i and elsewhere in the United States.

Republic of the Marshall Islands Consulate Office:

Consul General Noda Lojkar
Mrs. Glora Heine
RMI Consulate General
1888 Lusitana Street, Suite#301
Honolulu, Hawaii 96813
Tel: (808) 545-7767
Fax: (808) 545-7211

Federated States of Micronesia Consulate Office:

Honorary Consul General
3049 Ualena Street, Suite 908
Honolulu, Hawaii 96819
Tel: (808) 836-4775
Fax: (808) 836-6896

Republic of Palau Consulate Office:

Mr. Michael John Moroney
Honorary Consul General
Palau Consulate Hawai'i
1154 Fort Street Suite 300
Honolulu, HI 96813
Tel: 808-524-5414 Ext 6
Fax: 808-599-5004

3.Resources in Hawai'i

Basic Health Hawai'i (BHH): The Hawai'i legislature has passed the Basic Health Bill for Hawai'i as a cost-savings measure for the state.  The terms and conditions of BHH take effect July 1, 2010. The new legislation specifies the health care services available to migrants in Hawai'i from CoFA States. See the following websites and documents for details.

  • Visit Med-Quest Division of the Hawai'i Department of Human Services Basic Health Hawai'i.
  • Hawai'i Department of Human Services news release: (pdf 3MB)

4. Hawai'i State’s Department of Health Clinics

Hawai'i State - Department of Health Clinics:

Diamond Head Health Center (Dept. of Health):

3427 Kilauea Avenue, Honolulu, HI 96816
Dental Clinic - (808) 733-9270
Hansen’s Disease Community Program - (808) 733-9831
Public Health Nursing Office - East Honolulu - (808) 773-9220 - Immunization and TB center
STD/HIV Clinic - (808) 733-9281

  • Hansen’s Disease, immunizations (2nd and 4th Wednesday from 1:30pm - 3:30pm)
  • TB testing (every Tuesday from 2pm - 4pm)
  • STD/HIV testing (Monday, Tuesday, Thursday, and Friday from 12pm - 5pm and Wednesday from 1pm - 6pm)

Lanakila Health Center (Dept. of Health):

1700 Lanakila Avenue, Honolulu, HI 96817
Dental Clinic - (808) 832-5704
Public Health Nursing Office - West Honolulu - (808) 832-5757

  • Immunization, TB testing, and dental care.

Leeward Health Center (Dept. of Health):

860 Fourth Street, Pearl City, HI 96782
Dental Clinic - (808) 453-6160
Public Health Nursing - Central Oahu - (808) 453-6190

  • Hansen’s Disease, immunization (1st and 3rd Tuesday from 1pm - 3pm)
  • TB testing (1st and 3rd Wednesday from 2pm - 4pm), and dental care

Wahiawa Civic Center (Dept. of Health):

910 California Avenue, Wahiawa, HI 96786
Public Health Nursing Office - (808) 622-6445

  • Immunization (2nd and 4th Tuesday from 1pm - 3pm)
  • TB testing (every Monday from 2pm - 4pm)

Waipahu Civic Center (Dept. of Health):

94-275 Mokuola Street, Waipahu, HI 96797
Public Health Nursing Office - Leeward Oahu - (808) 675-0073

  • Hansen’s Disease, Immunization (every Monday from 12pm - 3pm)
  • TB testing (every Wednesday from 2pm - 3pm)

Waianae Community Services Center (Dept. of Health):

85-670 Farrington Highway, Waianae, HI 96792
Public Health Nursing Office - (808) 697-7839

  • Immunization (3rd Tuesday from 1pm - 2 pm)
  • TB testing (3rd Tuesday from 2pm - 3pm)

Windward Health Center (Dept. of Health):

45-691Keaahala Road, Kaneohe, HI 96744
Public health Nursing Office - Windward Oahu - (808) 233-5450
Dental Clinic - (808) 235-9125

  • Immunization (2nd Wednesday from 1:30pm - 3pm)
  • TB testing (every Tuesday from 1:30pm - 3:30pm) and dental care. (call for appointment)

5. Other Health Clinics

Aloha Medical Mission Clinic: Free clinic, family planning (limited), immunization, physical examination, and STD/HIV testing.

Kalihi-Palama Health Clinic: Low-cost clinic (sliding fee scale), family planning, Hansen’s Disease (accepts referrals if assigned to a case manager), immunization, physical examination TB testing and STD/HIV testing. 

  • Main Clinic
    (808) 848-1438
    915 N. King Street, Honolulu, HI 96817
  • Downtown Family Center
    (808) 792-5560
    89 N. King Street, Honolulu, HI 96813
  • Women/Children Shelter
    (808) 531-6322

Kapiolani Medical Center for Women and Children: Low-cost clinic (Medicaid, Medicare, and Quest), family planning, immunization (child vaccination program and adults if adults are covered by insurance), physical examinations, TB testing, and STD/HIV testing.

  • 1319 Punahou Street, Honolulu, HI 96826
  • Women Outpatient Clinic - (808) 983-8653
  • Pediatric Outpatient Clinic - (808) 983-8641
  • Visit

Kokua Kalihi Valley:  Low-cost clinic, family planning, Hansen’s Disease, immunization, physical examination, TB testing, and STD/HIV testing.

  • 2239 N. School Street, Honolulu, HI 96819
  • Tel: (808) 791-9400
  • Visit

Koolauloa Community Health and Wellness Center:  Low-cost clinic, immunization, physical examination, TB testing, and STD/HIV testing.

  • 56-565 Kamehameha Highway, Kahuku, HI 96731
  • Tel: (808) 293-9216

Laie-Country Doctor:  Low-cost clinic, immunization, physical examination, TB testing, and STD/HIV testing.

  • 55-510 Kamehameha Highway, Laie, HI 96762
  • Tel: (808) 293-8558

The Physician’s Center Mililani:  Low-cost clinic, family planning, physical examination, TB testing, and STD/HIV testing.

  • 95-390 Kuahelani Avenue, Mililani, HI 96789
  • Tel: (808) 627-3200
  • Visit their website

Planned Parenthood of Hawai'i: Low-cost clinic, family planning, physical examination, and STD testing.

The Queen’s Medical Center:  Hansen’s Disease, immunization, physical examination, TB testing, and STD/HIV testing.

  • 1301 Punchbowl Street, Honolulu, HI 96813
  • Dental Clinic - (808) 547-4292
  • The Queen Emma Clinics (Medical) - (808) 547-4970
  • Visit

Waianae Coast Comprehensive Health Center:  Low-cost clinic, family planning, Hansen’s Disease, immunization, physical examination, TB testing, and STD/HIV testing.

  • 86-260 Farrington Highway, Waianae, HI 96792
  • Main Office - (808) 696-7081
  • James and Abigail Campbell Clinic (Nanakuli) - (808) 668-2311
  • Kapolei Health Care Center (Kapolei) - (808) 674-9352
  • Waiola Clinic (Waianae Mall) - (808) 696-4533
  • Waipahu Family Health Center (Waipahu) - (808) 676-7233
  • Visit

Waikiki Health Center:  Low-cost clinic, family planning, immunization, physical examination, TB testing, and STD/HIV testing.

  • Care-A-Van Homeless Outreach Program
    Tel: (808) 922-4790
    1640 S. King Street, Honolulu, HI 96826
  • Hoola Like (Healers Together) North Shore Clinic
    Tel: (808) 295-0253
    Queen Liliuokalani Church
  • Waikiki Clinic
    Tel: (808) 922-4787
    277 Ohua Avenue, Honolulu, HI 96815
  • Youth Outreach
    Tel: (808) 942-5858
    415 Keoniana Street, Honolulu, HI 96815
  • Visit

Waimanalo Health Center: Low-cost clinic, family planning, immunization, physical examination, TB testing, and STD/HIV testing.

6. Other Useful Documents

U.S. Government Accountability Office (GAO)
COMPACTS OF FREE ASSOCIATION: Issues Associated with Implementation in Palau, Micronesia, and the Marshall Island

U.S. compacts with the FSM and the RMI entered into force in 1986 and were amended in 2003. A compact with Palau entered into force in 1994. Legislation pending before the Senate would approve, provide funding for, and make modifications to a 2010 agreement between the U.S. and Palau governments regarding their compact.
Under the compacts, the United States provides each country with, among other things, economic assistance—including grants and contributions to a trust fund; access to certain federal services and programs; and permission for citizens of the three countries to migrate to the United States and its territories without regard to visa and labor certification requirements. Guam, Hawaii, the Commonwealth of the Northern Mariana Islands, and American Samoa, which are designated in law as jurisdictions affected by compact migration, receive grants to aid in defraying the cost of services to migrants.
This testimony examines (1) the potential impact of the proposed legislation approving the 2010 Palau agreement, (2) challenges affecting implementation of the FSM and RMI compacts, and (3) migration from the FSM, RMI, and Palau and its impacts on U.S. areas. For this statement, GAO summarized previous reports issued in 2007 through 2013 and incorporated updated information from Palau, the Department of the Interior, and affected jurisdictions. GAO is not making any new recommendations in this testimony. GAO has made recommendations in its prior reports, some of which

  • Visit GAO's website by clicking >HERE<
  • Download the full report by clicking >HERE< (1MB pdf)
  • Download the Highlights of the Report by clicking >HERE<

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