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The COMPACT OF FREE ASSOCIATION (COFA) is an international agreement establishing and governing the relationships of free association between the United States
United States
and the three Pacific Island nations that, together with the Commonwealth of the Northern Mariana Islands , formerly composed the Trust Territory of the Pacific Islands : the Federated States of Micronesia
Federated States of Micronesia
, the Marshall Islands , and Palau
Palau
. The Trust Territory was a United Nations
United Nations
trusteeship administered by the United States
United States
Navy from 1947 to 1951 and by the Department of the Interior from 1951 to 1986 (to 1994 for Palau).

The compact came into being as an extension of the U.S.–U.N. territorial trusteeship agreement, which obliged the federal government of the United States
United States
"to promote the development of the people of the Trust Territory toward self-government or independence as appropriate to the particular circumstances of the Trust Territory and its peoples and the freely expressed wishes of the peoples concerned". Under the compact, the U.S. federal government provides guaranteed financial assistance over a 15-year period administered through its Office of Insular Affairs in exchange for full international defense authority and responsibilities.

CONTENTS

* 1 Economic provisions * 2 Military provisions

* 3 2003 renewal

* 3.1 Update in 2010s

* 4 U.S. fulfillment of commitments * 5 Health care issues * 6 See also * 7 Notes * 8 References * 9 External links

ECONOMIC PROVISIONS

Each of the associated states actively participate in all Office of Insular Affairs technical assistance activities. The U.S. treats these countries uniquely by giving them access to many U.S. domestic programs, including disaster response and recovery and hazard mitigation programs under the Federal Emergency Management Agency , and services provided by the National Weather Service
National Weather Service
, the United States Postal Service , the Federal Aviation Administration
Federal Aviation Administration
, the Federal Communications Commission , and U.S. representation to the International Frequency Registration Board of the International Telecommunication Union . The Compact area, while outside the customs area of the United States, is mainly duty-free for imports.

Most citizens of the associated states may live and work in the United States, and most U.S. citizens and their spouses may live and work in the associated states. In 1996, the U.S. Personal Responsibility and Work Opportunity Act removed Medicaid benefits for resident foreigners from the states, even after the five-year waiting period that most other resident aliens have.

MILITARY PROVISIONS

The COFA allows the United States
United States
to operate armed forces in Compact areas, to demand land for operating bases (subject to negotiation), and excludes the militaries of other countries without U.S. permission. The U.S. in turn becomes responsible for protecting its affiliate countries and responsible for administering all international defense treaties and affairs, though it may not declare war on their behalf. It is not allowed to use nuclear, chemical, or biological weapons in Palau
Palau
territory. In the territories of the Marshall Islands and the Federated States of Micronesia
Federated States of Micronesia
it is not allowed to store such weapons except in times of national emergency, state of war, or when necessary to defend against an actual or impending attack on the U.S., the Marshall Islands, or the Federated States of Micronesia.

Citizens of the associated states may serve in America's armed forces, commentators have noted that the ongoing presence and recruitment efforts of the U.S. military in the Compact areas may have resulted in the high level of military enlistment by Compact citizens. For example, in 2008, the Federated States of Micronesia
Federated States of Micronesia
had a higher per-capita enlistment rate than any U.S. state, and had more than five times the national per-capita average of casualties in Iraq and Afghanistan (9 soldiers out of a population of 107,000).

2003 RENEWAL

In 2003, the Compacts with the RMI and FSM were renewed for 20 years. These new Compacts provided US$3.5 billion in funding for both countries. US$30 million will also be disbursed annually among American Samoa
American Samoa
, Guam
Guam
, Hawaii
Hawaii
, and the Northern Mariana Islands in "Compact Impact" funding. This funding helps the governments of these localities cope with the expense of providing services to immigrants from the RMI, FSM, and Palau. The U.S. usage of Kwajalein
Kwajalein
Atoll for missile testing was renewed for the same period. The new Compacts also changed certain immigration rules. RMI and FSM citizens traveling to the U.S. are now required to have passports. The U.S. Postal Service was given the option to apply international postage rates for mail between the U.S. and RMI/FSM (phased in over five years). The USPS began implementing the change in January 2006, but decided to resume domestic services and rates in November 2007.

The renewed Compact (commonly called "Compact II") for FSM took effect on June 25, 2004, and for RMI on June 30, 2004. Map of the Trust Territory of the Pacific Islands (1961)

The economic provisions of the Compact for Palau
Palau
which provided $18 million in annual subsidies and grants, expired on September 30, 2009, and the renewal talk was concluded in late 2010. U.S. financial support for Palau
Palau
is based on a continuing resolution passed by the U.S. Congress. The Compact Trust Fund set up to replace U.S. financial aid underperformed because of the Great Recession
Great Recession
. The military and civil defense provisions will remain until 2015.

UPDATE IN 2010S

This article needs to be UPDATED. Please update this article to reflect recent events or newly available information. (July 2016)

Senate Bill S.343, which would enact the results of the 15-year review, died in the 2011–12 Congress . Another bill, S.1268 in the 2013–14 Congress , also was not passed.

U.S. FULFILLMENT OF COMMITMENTS

The United States' administration of the former trust territories now covered under the Compacts of Free Association has been subject to ongoing criticism over the past several decades. A 1961 United Nations mission report initially noted deficiencies in "American administration in almost every area: poor transportation, failure to settle war damage claims; failure to adequately compensate for land taken for military purposes; poor living conditions inadequate economic development; inadequate education programs; and almost nonexistent medical care." In 1971, congresswoman Patsy Mink further noted that "fter winning the right to control Micronesia, proceeded to allow the islands to stagnate and decay through indifference and lack of assistance. . . . he people are still largely impoverished and lacking in all of the basic amenities which we consider essential – adequate education, housing, good health standards, modern sanitation facilities."

After the compacts, criticism was also received by the United States House Foreign Affairs Subcommittee on Asia and the Pacific regarding the unfulfilled commitments of the United States
United States
to address the impacts of U.S. nuclear testing in the Marshall Islands, which were included as part of the Pacific Proving Grounds . Speakers noted that while section 177 of the Compact of Free Association
Compact of Free Association
recognized the United States' responsibility "to address past, present and future consequences of the nuclear testing claims," less than $4 million was awarded out of a $2.2 billion judgement rendered by a Nuclear Claims Tribunal created under the RMI Compact, and the United States
United States
Court of Claims had dismissed two lawsuits to enforce the judgement. With respect to these unaddressed claims, medical practitioners also noted the potential widespread impacts of nuclear testing within the Pacific Proving Grounds, indicated by the prevalence of both radiogenic diseases, as well as heart disease, diabetes, and obesity associated with " forced changed in dietary patterns and lifestyle" resulting from U.S. administration after the testing. In 2011, lawmakers further noted that the U.S. Congress had continuously failed to cover the costs of promised medical care and services to displaced Compact citizens who migrate to the United States
United States
for health care, education, and employment opportunities, particularly since the passage of the Personal Responsibility and Work Opportunity Act.

Questions regarding U.S. responsibility have also been raised regarding the issue of numerous derelict war ships and oil tankers abandoned or destroyed by the U.S. military in atolls and islands throughout the Compact area.

HEALTH CARE ISSUES

In 2009, the State of Hawaii, under the administration of then-Governor Linda Lingle , attempted to restrict health care access for Compact citizens by eliminating all Compact residents of Hawaii from Med-QUEST, the state’s comprehensive Medicaid coverage plan. COFA residents were instead subject to Basic Health Hawaii, a limited health care plan under which "transportation services are excluded and patients can receive no more than ten days of medically necessary inpatient hospital care per year, twelve outpatient visits per year, and a maximum of four medication prescriptions per calendar month. . . . BHH covers dialysis treatments as an emergency medical service only, and the approximate ten to twelve prescription medications dialysis patients take per month are not fully covered. BHH . . . caus cancer patients to exhaust their allotted doctors' visits within two to three months".

Noting that such a policy likely constituted unlawful discrimination in violation of the Equal Protection Clause , federal District Court Judge John Michael Seabright
John Michael Seabright
issued a preliminary injunction against the implementation of Basic Health Hawaii. In finding a high likelihood of irreparable harm, Judge Seabright took note of the "compelling evidence that BHH's limited coverage . . . is causing COFA Residents to forego much needed treatment because they cannot otherwise afford it". Lingle's successor, Governor Neil Abercrombie continued the state's appeal of the injunction to the United States Court of Appeals for the Ninth Circuit , which ruled in favor of the state. When the United States
United States
Supreme Court refused to hear the case, the Abercrombie administration removed most COFA residents from Med-QUEST and transferred them onto Affordable Care Act plans. In other states, notably Arkansas, which has a significant population of Marshallese, COFA residents have not been eligible for Medicaid.

SEE ALSO

* Protectorate * Territories of the United States
United States
* Sovereigntism (Puerto Rico)

NOTES

* ^ "About the Compact of Free Association". uscompact.org. United States Department of the Interior; Honolulu Field Office. * ^ "Prime Award Spending Data by Location". USASpending.gov. * ^ Palau
Palau
COFA 1986 , Title 1 * ^ Palau
Palau
COFA 1986 , Sections 241–242 * ^ Palau
Palau
COFA 1986 , Section 141 * ^ Federated States of Micronesia
Federated States of Micronesia
COFA, Section 141. * ^ "House Health Bill Would Help Pacific Island Migrants". NPR.org. 6 January 2010. Retrieved 2 January 2016. * ^ "FSM COFA, Section 324". * ^ The Christian Science Monitor (5 May 2010). " Uncle Sam wants Micronesians for US military". The Christian Science Monitor. Retrieved 2 January 2016. * ^ BUSH SIGNS $3.5 BILLION PACIFIC COMPACT – December 18, 2003 at archives.pireport.org * ^ USPS Postal News: USPS Delivers in the Pacific at www.usps.com * ^ "Compact of Free Association". Retrieved 2 January 2016. * ^ " Compact of Free Association
Compact of Free Association
with the Republic of Palau: Assessing the 15-year Review". U.S. Department of State. Retrieved 2 January 2016. * ^ "The Continued Free Association with the Republic of Palau
Palau
Act of 2012". U.S. Department of State. Retrieved 2 January 2016. * ^ Compact Trust Fund underperforms * ^ " Compact of Free Association
Compact of Free Association
with the Republic of Palau". Retrieved 2 January 2016. * ^ "S.343 – 112th Congress (2011–2012): A bill to amend Title I of PL 99-658 regarding the Compact of Free Association
Compact of Free Association
between the Government of the United States
United States
of America and the Government of Palau, to approve the results of the 15-year review of the Compact, including the Agreement Between the Government of the United States
United States
of America and the Government of the Republic of Palau
Palau
Following the Compact of Free Association
Compact of Free Association
Section 432 Review, and to appropriate funds for the purposes of the amended PL 99-658 for fiscal years ending on or before September 30, 2024, to carry out the agreements resulting from that review.". Retrieved 2 January 2016. * ^ "S.1268 – 113th Congress (2013–2014): A bill to approve an agreement between the United States
United States
and the Republic of Palau.". Retrieved 2 January 2016. * ^ McHenry, Donald F. (1975). Micronesia: Trust Betrayed -- Altruism vs. Self Interest in American Foreign Policy. Carnegie Endowment for International Peace . ISBN 0-87003-000-0 . * ^ Mink, Patsy T. (1970–71). "Micronesia: Our Bungled Trust". Texas Int'l Law Forum. 6: 181–208. Retrieved December 12, 2011. * ^ Oversight on the Compact of Free Association
Compact of Free Association
with the Republic of the Marshall Islands (RMI): Medical Treatment of the Marshallese People, U.S. Nuclear Tests, Nuclear Claims Tribunal, Forced Resettlement, Use of Kwajalein
Kwajalein
Atoll for Missile Programs and Land Use Development * ^ Id. (testimony of Neal H. Palafox, M.D.); see also Yamada, Seiji (2004). "Cancer, Reproductive Adnormalities, and Diabetes in Micronesia: The Effect of Nuclear Testing" (PDF). Pacific Health Dialog. 11: 216–21. Retrieved December 12, 2011. * ^ Yamada, Seiji; Akiyama, Matthew (2013-01-27). ""For the good of mankind": The legacy of nuclear testing in Micronesia". Social Medicine. 8 (2): 83–92. ISSN 1557-7112 . * ^ The Hawaii
Hawaii
Independent. "