The target population for support services that would be offered with the establishment of the first Home and Community-Based Services Commission (HCBS) are the elderly, individuals with disabilities, and other vulnerable populations.
An executive order to establish the commission was recently signed by Governor Pulaali’i Nikolao Pula.
HCBS provides essential support that allow individuals to avoid institutionalization in settings such as nursing homes and hospitals. These services empower people to remain in familiar environments, stay connected to family and culture, and continue contributing to the life of their community.
Governor Pulaali’i said, “It is essential to recognize and acknowledge that this concept of establishing the HCBS and with Money Follows the Person (MFP) is very much part of our Fa’aSamoa (Samoan Way of Life) on how we care for our elders and individuals living with disabilities within our homes and communities.
“The principles of respect, love, and responsibility towards our elderly and individuals living with disabilities not only enrich our cultural heritage but also strengthen our community bonds. In this modern age, we must embrace the Fa’aSamoa values that emphasize family connections and communal support, ensuring that our elderly receive the care and dignity they deserve. It is our collective responsibility to foster an environment where they can thrive, surrounded by the warmth of family and community.”
Target populations include:
● Older adults (age 65+)
● Individuals with intellectual and developmental disabilities
● Individuals with physical disabilities
● Individuals with mental health or substance use disorders
● Individuals with chronic health, HIV, or other qualifying needs.
“For years, families and caregivers have carried these responsibilities alone and uncompensated. This Executive Order begins laying the foundation for a Territory-wide system that will, for the first time, enable HCBS to provide financial support,” said Governor Pulaali’i. “The action is especially critical as American Samoa’s older adult population continues to grow, and many residential homes remain inaccessible for people with disabilities or mobility limitations.”
