Pago Pago, AMERICAN SAMOA — The Territory of American Samoa has been selected as one of only five jurisdictions nationwide to participate in the National Governors Association’s (NGA) “Rx for a Healthier America” initiative.

The program, launched last month aims to support states and territories in their efforts to reduce the prevalence of chronic disease. 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 territory and the country.

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.

Through this initiative, American Samoa will receive technical assistance, policy guidance, and cross-jurisdictional peer support to help tailor sustainable and culturally responsive health strategies. Key areas of focus will include strengthening chronic disease prevention programs, expanding food security systems, and 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.

The challenges are complex and often rooted in factors like diet and nutrition, access to care, environmental conditions, and overall lifestyle. Addressing these issues requires coordinated action and sustainable planning.

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. I commend Tamiano Gurr and Bethany Malae-Toelupe for their efforts in securing this opportunity for our Territory.”

Governors have been called upon to lead efforts to improve population health while managing the rising costs of care and American Samoa joins Maryland, Missouri, West Virginia, and the U.S. Virgin Islands in this competitive policy academy.  American Samoa’s participation in this program reflects its commitment to building healthier communities through practical, long-term solutions.

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. The initiative will help integrate these goals into long-term public health strategies while reinforcing the Governor’s commitment to equity and community-led development.

For questions or more information, please contact Tamiano Gurr or Bethany Malae-Toelupe at the Governor's Office.

ASG says it will continue to share updates as this important work moves forward.