American Samoa is one of only five jurisdictions nationwide selected to participate in the National Governors Association’s (NGA) “Rx for a Healthier America” initiative.
Led by the NGA Center for Best Practices, with support from the Health Resources and Services Administration (HRSA), this initiative supports state and territorial governments in developing and implementing strategies to reduce chronic disease.
A press release from the Governor’s Office says the program, launched in June 2025, aims to support states and territories in their efforts to reduce the prevalence of chronic diseases. “Chronic illnesses such as heart disease, cancer, and diabetes continue to impact millions of Americans and are among the leading drivers of health care costs across the country. According to the Centers for Disease Control and Prevention (CDC), about 60 percent of Americans live with at least one chronic condition, while 40 percent have two or more. These conditions account for approximately 90 percent of the $4.5 trillion spent each year on health care nationwide.”
American Samoa joins Maryland, Missouri, West Virginia, and the U.S. Virgin Islands in this competitive policy academy.
Governor Pulaali’i Nikolao Pula stated, “This award is not just recognition of need, but recognition of readiness. American Samoa faces some of the highest rates of chronic disease in the country, worsened by our isolation, limited resources, and structural barriers. Through this initiative, we will develop long-term, territory-specific solutions to better support the health of our people.”
The Governor commended Tamiano Gurr and Bethany Malae-Toelupe for their efforts in securing this opportunity for American Samoa.
Governors have been called upon to lead efforts to improve population health while managing the rising costs of care.
Key focus areas will include strengthening chronic disease prevention programs, expanding food security systems, and coordinating responses to environmental health threats. In the months ahead, the Governor’s Office will convene cross-sector stakeholders to begin action planning with NGA. This will involve aligning local priorities, identifying gaps in service delivery, and creating a roadmap for reducing chronic disease burden across the territory.
