C 726148 FY2010 Guam Compact Impact Report

User Manual: 726148

Open the PDF directly: View PDF .
Page Count: 39

Office of the Governor

Government of Guam

P.O. Box 2950

Hagåtña, Guam 96932

IMPACT OF THE COMPACTS

OF FREE ASSOCIATION ON GUAM

FY 2004 through FY 2010

Office of the Governor

Government of Guam

January 2011

IMPACT OF THE COMPACTS

OF FREE ASSOCIATION ON GUAM

FY 2004 through FY 2010

Office of the Governor

Government of Guam

January 2011

Government of Guam FY 2010 Compact Impact Report

IMPACT OF THE COMPACTS OF FREE ASSOCIATION ON GUAM

FY 2004 through FY 2010

The Compact of Free Association Act of 1985 (P.L.99-239), implemented in 1986, establishes the

relationship between the United States and the Federated States of Micronesia (FSM) and Republic

of the Marshall Islands (RMI). The Compact of Free Association Act of 1985 (P.L.99-658),

implemented in November 1994, establishes the relationship between the United States and the

Republic of Palau. The Compact of Free Association Amendments Act of 2003 (P.L.108-188)

renewed the original Compact of Free Association (P.L. 99-239) between the United States and the

Federated States of Micronesia (FSM) and the Republic of the Marshall Islands (RMI). Compact

immigration provisions authorize unrestricted immigration into the United States, its territories and

possessions, enabling citizens of these nations to enter into, lawfully engage in occupations, and

establish residence as non-immigrant aliens.

In recognition of the possible adverse impact to Guam's economy of providing health care,

education, job training and public assistance to the peoples of foreign nations not domiciled on

Guam, Congress promised to appropriate sums to cover costs incurred by Guam resulting from any

increased demands placed on educational and social services by immigrants from the Federated

States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau (collectively

known as the Freely Associated States, or FAS). Annual reports are to be submitted to the Secretary

of the Department of the Interior who “shall review and forward any such reports to the Congress

with the comments of the Administration,” pursuant to Public Law 106-504.

A provision in Public Law 108-188 authorized the President of the United States, at the request of

the Governors of Guam and the Commonwealth of the Northern Mariana Islands (CNMI), to release,

reduce, or waive, in whole or in part, any amounts owed to the United States Government as an

offset for past un-reimbursed Compact impact costs by their respective governments. Guam’s

Compact Impact Reconciliation Report and the attestation by an independent accounting firm was

submitted to the Department of the Interior on April 13, 2004. The un-reimbursed Compact Impact

cost for the period FY 1987 to FY 2003 totaled $269 million. The un-reimbursed cost include $178

million for education, $48 million for health, welfare and labor, and $43 million for public safety.

This report examines the amount of assistance provided to citizens of the Freely Associated States

by Guam for the period FY 2004 through FY 2010 and provides update to the Compact Impact

Reconciliation Report. The Government of Guam finds that the currently identified locally funded

cost incurred for providing educational and social services to citizens of the Freely Associated States

was $31.18 million in FY 2004, $28.17 million in FY 2005, $42.16 million in FY 2006, $47.33

million in FY 2007, $53.26 in FY 2008, $58.69 million in FY 2009, and $63.69 in FY 2010 for a

total of $324.50 million (unaudited) for the past seven fiscal years.

Government of Guam FY 2010 Compact Impact Report

Total FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Total Cost for Services to FAS Citizens * $324,499,683 $63,694,324 $58,690,120 $53,258,278 $47,329,954 $42,162,436 $28,175,825 $31,188,745

Education 201,080,393 31,992,756 36,588,070 34,684,086 30,337,241 27,284,342 21,206,603 18,987,294

Department of Education 174,956,561 28,124,073 33,152,790 30,654,221 26,320,705 23,545,311 17,657,823 15,501,638

Department of Public Works - Bus Operations 5,305,181 788,261 865,801 934,751 747,301 755,080 597,000 616,986

Guam Community College 12,266,967 1,855,659 1,517,669 1,950,074 1,881,016 1,628,164 1,896,882 1,537,503

University of Guam 8,551,684 1,224,763 1,051,810 1,145,040 1,388,219 1,355,787 1,054,898 1,331,167

Public Safety 55,561,983 17,066,015 7,452,201 6,976,145 7,530,231 6,544,786 5,352,712 4,639,893

Department of Corrections 5,757,990 5,757,990 ----- ----- ----- ----- ----- -----

Department of Law 3,819,054 ----- ----- ----- 1,549,430 998,116 517,533 753,975

Department of Youth Affairs 7,939,639 1,624,964 1,492,547 1,079,337 1,330,834 1,004,601 817,115 590,241

Department of Military Affairs, Office of Civil Defense /a 79,673 0 0 0 36,520 32,781 2,388 7,984

Guam Fire Department 14,682,965 3,165,756 2,516,596 2,465,737 2,083,527 1,785,788 1,467,245 1,198,316

Guam Police Department 14,361,178 2,729,439 2,667,379 2,459,054 1,803,772 1,740,594 1,762,842 1,198,098

Public Defender Services Corporation 1,559,478 1,559,478 ----- ----- ----- ----- ----- -----

Judiciary of Guam 7,362,006 2,228,388 775,679 972,017 726,148 982,906 785,589 891,279

Health, Welfare and Housing 67,857,306 14,635,553 14,649,849 11,598,047 9,462,482 8,333,308 1,616,510 7,561,557

Department of Public Health and Social Services 66,089,690 14,635,553 14,649,849 11,364,494 9,173,648 7,993,614 710,975 7,561,557

Division of Public Health 6,597,586 569,460 1,751,081 1,551,358 597,064 1,179,330 483,305 465,988

Bureau of Community Health Services 22,392 ----- ----- ----- ----- 22,392 ----- -----

Bureau of Communicable Disease Control 2,282,528 991 1,089,599 841,510 ----- 350,428 ----- -----

Bureau of Family Health and Nursing Services 218,145 ----- ----- ----- ----- 218,145 ----- -----

Bureau of Primary Care Services 3,944,024 437,972 661,482 709,848 597,064 588,365 483,305 465,988

Bureau of Professional Support Services 130,497 130,497 ----- ----- ----- ----- ----- -----

Division of Public Welfare 57,241,787 13,601,925 12,469,050 9,463,242 8,242,550 6,571,256 ----- 6,893,764

Bureau of Economic Security 2,190,162 0 1,266,776 923,386 ----- ----- ----- -----

SNAP (Food Stamps Program) 2,032,906 ----- 1,179,704 853,202 ----- ----- ----- -----

Public Assistance 157,256 ----- 87,072 70,184 ----- ----- ----- -----

Bureau of Health Care Financing /b 52,709,356 12,656,014 10,759,739 8,005,287 8,242,550 6,152,002 ----- 6,893,764

Medically Indigent Program (MIP) ** 34,500,092 7,983,657 7,251,469 4,898,458 5,071,088 4,458,407 ----- 4,837,013

Medicaid (MAP) ** 18,209,265 4,672,357 3,508,270 3,106,829 3,171,462 1,693,595 ----- 2,056,752

Bureau of Social Services Administration 2,342,269 945,911 442,535 534,569 ----- 419,254 ----- -----

Division of Senior Citizens 2,060,719 414,538 383,527 302,339 287,812 243,028 227,670 201,805

Division of Environmental Health *** 189,598 49,630 46,191 47,555 46,222 0 ----- -----

Guam Memorial Hospital Authority **** ----- ----- ----- ----- ----- ----- ----- -----

Department of Mental Health and Substance Abuse 3,817,227 2,049,611 ----- 233,553 288,834 339,694 905,535 -----

a/ P.L. 24-298 consolidated Office of Civil Defense and Office of Veterans Affairs under Department of Military Affair

b/ Excludes MIP and MAP for FY 2004; data shown is Guam Memorial Hospital charges for FY 200

* Costs for which reimbursement is requested

** Gross charges as reported by Guam Memorial Hospital Authority (FY 2004)

**** Gross charges (self-pay) as reported by Guam Memorial Hospital Authority was $6,220,498 in FY 2004; excluded from total

*** Net income as reported by DPHSS (FY 2006)

UNAUDITED

Compact Impact Costs

Note: Totals might not sum correctly because of rounding.

FY 2004 through FY 2010

Government of Guam FY 2010 Compact Impact Report

EDUCATION

1. Department of Education (formerly, Guam Public School System)

The Department of Education (DOE), formerly known as the Guam Public School System

(GPSS), provides a comprehensive instructional program in the public schools that is

consistent with its policies. It designs and provides programs and activities for students in

order to develop physical, social and occupational skills as well as essential guidance to

develop the attitudes, values and skill for success in society. The department makes available

to all students of Guam the opportunity to benefit from an education.

The Department of Education provides a free public education for all of Guam's children.

Under Guam law (17 GCA Sections 3101 ~ 9111), it is the duty of any parent, guardian or

other persons having control or charge of any child between the ages of five and sixteen

years to send the child to a public or private full-time day school for the full-time for which

such schools are in session. The Compacts of Free Association affords FAS citizens the

right to attend school on Guam without special permit. No period of residency is required.

The Department of Education continues to be the largest single agency impact cost. DOE

enrollment decreased from 31,340 students in FY 2003 to 30,299 students in FY 2004 (SY

2003-2004). In FY 2005 (SY 2004-2005), the total enrollment rose slightly to 30,539

students. In FY 2006 (SY 2005-2006), the enrollment was 30,778 students. For FY 2007 (SY

2006-2007), enrollment continued its rise to 30,840 students. For FY 2008 (SY 2007-2008),

enrollment decreased to 30,362 students. For FY 2009 (SY 2008-2009), the total enrollment

increased to 31,066 students. For FY 2010 (SY 2009-2010), the total enrollment was 31,095

students.

FAS student enrollment increased from 3,752 students in FY 2003 to 4,023 students in FY

2004 (SY 2003-2004). In FY 2005 (SY 2004-2005), the total FAS student enrollment was

4,525 students, accounting for 14.9 percent of GPSS’s total enrollment compared to 13.3

percent in FY 2004 and 12.0 percent in FY 2003. In FY 2006 (SY 2005-2006), FAS student

enrollment was 4,898 students, or 15.6 percent of the total enrollment. In FY 2007 (SY

2006-2007), FAS student enrollment was 5,149 students, rising to 16.6 percent of the total

enrollment. In FY 2008 (SY 2007-2008), FAS student enrollment was 5,603 students, or

18.1 percent of the total enrollment. In FY 2009 (SY 2008-2009), FAS student enrollment

decreased to 5,442 students, or 17.7 percent of the total enrollment. In FY 2010 (SY 2009-

2010), FAS student enrollment again decreased to 5,073 students, or 16.3 percent of the total

enrollment.

For FY 2004 (SY2003-2004) the cost incurred by the Department of Education (DOE) to

educate 3,507 FAS students (4,023 total FAS enrollment minus 516 FAS student baseline)

at an average cost of $4,420 per pupil was $15,501,638. For FY 2005 (SY2004-2005) the

cost incurred by DOE to educate 4,009 FAS students (4,525 total FAS enrollment minus 516

Government of Guam FY 2010 Compact Impact Report

FAS student baseline) at an average cost of $4,405 per pupil was $17,657,823. For FY 2006

(SY2005-2006) the cost incurred by DOE to educate 4,382 FAS students (4,898 total FAS

enrollment minus 516 FAS student baseline) at an average cost of $5,373 per pupil was

$23,545,311. For FY 2007 (SY2006-2007) the cost incurred by DOE to educate 4,633 FAS

students (5,149 total FAS enrollment minus 516 FAS student baseline) at an average cost

of $5,681 per pupil was $26,320,705. For FY 2008 (SY2007-2008) the cost incurred by DOE

to educate 5,087 FAS students (5,603 total FAS enrollment minus 516 FAS student baseline)

at an average cost of $6,026 per pupil was $30,654,221. For FY 2009 (SY2008-2009) the

cost incurred by DOE to educate 4,926 FAS students (5,442 total FAS enrollment minus 516

FAS student baseline) at an average cost of $6,730 per pupil was $33,152,790. For FY 2010

(SY2009-2010) the cost incurred by DOE to educate 4,557 FAS students (5,073 total FAS

enrollment minus 516 FAS student baseline) at an average cost of $6,172 per pupil was

$28,124,073.

The total cost incurred by the Department of Education was $174,956,560 for FY 2004

through FY 2010.

2. Department of Public Works - Bus Operations

The mission of the Department of Public Works' (DPW) Bus Operations is to: (1) provide

transportation services for both public and private school students in accordance with an

approved routing schedule for the school year, (2) to provide safe bussing services for school

related activities, and (3) provide emergency evacuation and other bussing services as

authorized by the Governor of Guam and applicable local statutes.

For FY 2004, the cost to the Department of Public Works for providing bussing services to

FAS students in the public school system was $616,986. In FY 2005, the cost for bussing

services was $597,000. In FY 2006, the cost for bussing services was $755,080. In FY 2007,

the cost for bussing services was $747,301. In FY 2008, the cost for bussing services was

$934,751. In FY 2009, the cost for bussing services was $865,801. In FY 2010, the cost for

bussing services was $788,261.

The total cost incurred by the Department of Public Works Bus Operations was $5,305,181

for FY 2004 through FY 2010.

Government of Guam FY 2010 Compact Impact Report

FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

SY 2009-2010 SY 2008-2009 SY 2007-2008 SY 2006-2007 SY 2005-2006 SY 2004-2005 SY 2003-2004

Total Students (ADM) * 31,095 30,769 30,893 31,066 31,344 30,327 30,175

Total FAS Students 5,073 5,442 5,603 5,149 4,898 4,525 4,023

Federated States of Micronesia 4,413 4,735 4,870 4,379 4,168 3,787 3,273

Chuuk 3,425 3,486 3,535 3,271 3,092 2,800 2,406

Kosrae 143 127 142 136 132 130 112

Pohnpei 381 720 702 608 610 543 485

Yap 377 380 386 364 334 314 270

Not Stated 87 22 105 0000

Marshall Islands 118 117 97 99 96 89 100

Republic of Palau 542 590 636 671 634 649 650

Percent FAS Students 16.3% 17.7% 18.1% 16.6% 15.6% 14.9% 13.3%

FAS Student Enrollment - Minus Baseline ** 4,557 4,926 5,087 4,633 4,382 4,009 3,507

Total Program Expenditure 191,906,526$ 207,080,427$ 186,160,966$ 176,490,186$ 168,417,216$ 133,576,651$ 133,379,507$

Per Pupil Cost 6,172$ 6,730$ 6,026$ 5,681$ 5,373$ 4,405$ 4,420$

Total FAS Students Expenditures 28,124,073$ 33,152,790$ 30,654,221$ 26,320,705$ 23,545,311$ 17,657,823$ 15,501,638$

Cummulative Total FAS Student Cost 174,956,560$

Source: Office of Research, Planning and Evaluation (RP&E); Annual State of Public Education Report

* Average Daily Membership

** Number of students from the FAS for whom reimbursement is requested

NOTE: FY 2010 FAS student enrollment estimated from total Pacific Islander coun

Department of Education

Government of Guam FY 2010 Compact Impact Report

DPW Bus Operations FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

School Year SY 2009-2010 SY 2008-2009 SY 2007-2008 SY 2006-2007 SY 2005-2006 SY 2004-2005 SY 2003-2004

Total Bus Operations Expenditures 6,725,042$ 6,647,652$ 6,954,315$ 6,119,062$ 6,536,045$ 5,476,344$ 6,410,184$

Total Students 38,878 37,822 37,846 37,936 37,931 36,775 36,436

Total Private School Enrollment * 7,783 7,053 6,953 6,870 6,587 6,236 6,137

Total GPSS (DOE) Student Enrollment 31,095 30,769 30,893 31,066 31,344 30,327 30,175

Per Pupil Cost of Bus Operations 173$ 176$ 184$ 161$ 172$ 149$ 176$

Total Public School FAS Enrollment 5,073 5,442 5,603 5,149 4,898 4,525 4,023

Total FSM/RMI Students 4,531 4,852 4,967 4,478 4,264 3,876 3,373

Total Palau Students 542 590 636 671 634 649 650

Total Public School FSM/RMI Baseline Enrollment ** 87 87 87 87 87 87 87

Total Public School Palau Baseline Enrollment ** 429 429 429 429 429 429 429

Total Public School FAS Enrollment Minus Baseline *** 4,557 4,926 5,087 4,633 4,382 4,009 3,507

Total FAS Bus Operations Cos

788,261$ 865,801$ 934,751$ 747,301$ 755,080$ 597,000$ 616,986$

Total Expenditures 5,305,181$

* Catholic Schools and independent private schools

** Number of students resident prior to implementation of Compacts

*** Number of students from the FAS for whom reimbursement is requested

Department of Public Works Bus Operations

Government of Guam FY 2010 Compact Impact Report

3. Guam Community College

The community recognized the need to develop Guam’s human resources. In 1977 under

Public Law 14-77, Guam Community College (GCC) was created to provide educational

programs that leads to an associate degree, certificate, or a high school diploma. GCC

provides technical, vocational and other related occupational training aimed at developing

skilled workers for Guam. It coordinates vocational-technical education programs in all

public schools, and expands and maintains secondary and post-secondary educational

programs in the vocational-technical fields. The College also maintains short-term extension

and apprenticeship training programs in Guam.

Students from the Freely Associated States (FAS) completed 3,978 credit hours during AY

2003-2004 (FY 2004). The locally funded cost to GCC in FY 2004 for providing educational

services to FAS students was $1,537,503. FAS students completed 4,401 credit hours during

AY 2004-2005 (FY 2005). The locally funded cost to GCC in FY 2005 for providing

educational services to FAS students was $1,896,882. FAS students completed 3,555 credit

hours during AY 2005-2006 (FY 2006). The locally funded cost to GCC in FY 2006 for

providing educational services to FAS students was $1,925,970. FAS students completed

3,638 credit hours during AY 2006-2007 (FY 2007). The locally funded cost to GCC in FY

2007 for providing educational services to FAS students was $1,881,016. FAS students

completed 2,808 credit hours during AY 2007-2008 (FY 2008). The locally funded cost to

GCC in FY 2008 for providing educational services to FAS students was $1,950,074. FAS

students completed 3,286 credit hours during AY 2008-2009 (FY 2009). The locally funded

cost to GCC in FY 2009 for providing educational services to FAS students was $1,517,669.

FAS students completed 4,341 credit hours during AY 2009-2010 (FY 2010). The locally

funded cost to GCC in FY 2010 for providing educational services to FAS students was

$1,855,659 for a total of $12,266,967 for the past seven academic years.

Government of Guam FY 2010 Compact Impact Report

FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

AY 2009-2010

Y 2008-200

Y 2007-200

Y 2006-200

Y 2005-200

Y 2004-200

Y 2003-200

Total Expenditures $15,924,854 $16,465,504 14,736,669$ 14,635,533$ 13,630,318$ 15,002,652$ 13,638,475$

Total Postsecondary Credit Hours 37,254 35,651 21,220 28,306 29,761 34,808 35,287

Total FAS Credit Hours 4,341 3,286 2,808 3,638 3,555 4,401 3,978

Cost per Credit Hours $427 $462 694$ 517$ 458$ 431$ 387$

Total Cost Incurred for FAS Students $1,855,659 $1,517,669 1,950,074$ 1,881,016$ 1,628,164$ 1,896,882$ 1,537,503$

Cummulative Total Cost $12,266,967

Guam Community College

Government of Guam FY 2010 Compact Impact Report

4. University of Guam

The University of Guam (UOG) is a Land Grant Institution that enables individuals to pursue

an education in various fields of study and discipline. The University also provides the

support services needed to accomplish its mission and maintain its accreditation, conducts

research studies, and provides public services to the people of Guam. It also provides

financial assistance to students and encourages recipients to attain a specialized discipline

in order to meet Guam’s present and future manpower needs. The University offers residents

continuing education programs, which further assist in the development and retention of an

efficient and qualified workforce.

Students from the Freely Associated States completed 3,746 credit hours during AY 2003-

2004 (FY 2004). The locally funded cost to UOG in FY 2004 for providing educational

services to FAS students was $1,331,167. Students from the FAS completed 2,649 credit

hours during AY 2004-2005 (FY 2005). The locally funded cost to UOG in FY 2005 for

providing educational services to FAS students was $1,054,898. Students from the FAS

completed 3,859 credit hours during AY 2005-2006 (FY 2006). The locally funded cost to

UOG in FY 2006 for providing educational services to FAS students was $1,355,787.

Students from the FAS completed 4,509 credit hours during AY 2006-2007 (FY 2007). The

locally funded cost to UOG in FY 2007 for providing educational services to FAS students

was $1,388,219. Students from the FAS completed 3,731 credit hours during AY 2007-2008

(FY 2008). The locally funded cost to UOG in FY 2008 for providing educational services

to FAS students was $1,145,040. Students from the FAS completed 3,607 credit hours

during AY 2008-2009 (FY 2009). The locally funded cost to UOG in FY 2009 for providing

educational services to FAS students was $1,051,810. Students from the FAS completed

5,009 credit hours during AY 2009-2010 (FY 2010). The locally funded cost to UOG in FY

2010 for providing educational services to FAS students was $1,224,763 for a total of

$8,551,684 for the past seven academic years.

Government of Guam FY 2010 Compact Impact Report

FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 200

Y 2009-201

Y 2008-200

Y 2007-200

AY 2006-200

Y 2005-200

Y 2004-200

Y 2003-200

Enrollment

Fall UOG 3,550 3,387 3,282 3,176 3,034 2,923 2,988

Spring UOG 3,424 3,297 3,040 3,049 2,839 1,547 2,817

Fall FSM, MI, PW 224 160 173 204 186 164 182

Spring FSM, MI, PW 213 151 143 186 171 65 148

Credit Hour Production

Fall, UOG 41,883 39,034 38,007 36,408 35,187 33,678 34,612

Spring,UOG 39,433 38,406 34,929 34,853 32,248 18,607 32,392

Fall FAS (FSM, MI, and PW) 2,552 1,809 2,034 2,314 1,874 1,874 1,980

Spring FAS (FSM, MI, and PW) 2,457 1,798 1,697 2,195 1,985 775 1,766

Allowable Cost Per Credit Hour 245$ 292$ 307$ 297$ 351$ 398$ 355$

Total Cost Incurred for FAS Students 1,224,763$ 1,051,810$ 1,145,040$ 1,388,219$ 1,355,787$ 1,054,898$ 1,331,167$

Cummulative Total Cost 8,551,684$

NOTE: Sums may not total due to rounding

University of Guam

Government of Guam FY 2010 Compact Impact Report

PUBLIC SAFETY

1. Department of Corrections

The Department of Corrections protects the public from the destructive action of law

offenders by operating a safe, secure, humane and efficient corrections system, and provide

staff services for the judiciary, the Parole Board, probation officers and interested agencies

of the Executive Branch. The Department provides custodial care to prison inmates, and the

parole and detainee population in accordance with judicial disposition. Custodial care is

provided for inmates on-island and off-island and includes services for rehabilitation,

security, transportation, and treatment. The Department also makes recommendations for the

potential release of inmates to the Parole Board.

For FY 2010, the Department of Corrections has identified 873 intakes of citizens of the

Freely Associated States (FAS) who were incarcerated a total of 58,755 client-days. The

Department has determined that it costs $98.00 per day to house an individual person. For

FY 2010, the Department of Corrections expended a total of $5,757,990 for the housing of

FAS clients.

2. Department of Law

The Department of Law, as the legal representative office for the people of Guam, is

responsible for judicious execution of all applicable laws. The Department prosecutes all

criminal violations of Guam law, through trial and appeal. It processes, investigates and

resolves all consumer complaints and claims files against the government. Furthermore, it

collects, enforces and distributes child support obligations.

For FY 2004, the cost to the Department of Law for cases involving Freely Associated States

(FAS) clients was $753,975. For FY 2005, the cost for cases involving FAS clients was

$517,533. For FY 2006, the cost for cases involving FAS citizens was $988,116. For FY

2007, the cost for cases involving FAS clients was $1,549,430. The total cost incurred by

the Department of Law to provide services to FAS clients was $3,819,054 for FY 2004

through FY 2010.

Government of Guam FY 2010 Compact Impact Report

Department of Law FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Presecution Division

Total expenditures ---- ---- ---- 2,985,371$ 2,124,756$ 698,335$ 920,128$

Total caseload participants ---- ---- ---- 1,410 1,608 1,425 1,424

FAS caseload participants * ---- ---- ---- 331 217 217 217

Percent of total caseload ---- ---- ---- 23% 13% 15% 15%

Cost of services to FAS clients ---- ---- ---- 700,821$ 286,736$ 106,343$ 140,216$

Family Division (Juvenile)

Total expenditures ---- ---- ---- 995,124$ 708,252$ 232,778$ 306,709$

Total caseload participants ---- ---- ---- 584 601 480 626

FAS caseload participants ---- ---- ---- 161 148 74 117

Percent of total caseload ---- ---- ---- 28% 25% 15% 19%

Cost of services to FAS clients ---- ---- ---- 274,341$ 174,411$ 35,887$ 57,324$

Child Support Enforcement Division

Total expenditures ---- ---- ---- 4,391,463$ 4,482,515$ 3,823,400$ 4,550,565$

Total caseload participants ---- ---- ---- 650 576 489 597

FAS caseload participants ---- ---- ---- 85 69 48 73

Percent of total caseload ---- ---- ---- 13% 12% 10% 12%

Cost of services to FAS clients ---- ---- ---- 574,268$ 536,968$ 375,303$ 556,434$

Cost for FAS Cases -$ -$ -$ 1,549,430$ 998,116$ 517,533$ 753,975$

Accumulatived Cost for FAS Cases 3,819,054$

* Caseload estimated from 1998 to 2007 data

Department of Law

Government of Guam FY 2010 Compact Impact Report

3. Department of Youth Affairs

The Department of Youth Affairs (DYA) is responsible for operating and maintaining the

island’s youth correctional facility. It provides correctional services for youth clientele,

including custodial care, treatment and rehabilitation services for those adjudicated by the

courts. The Department administers the juvenile delinquency prevention programs, as well

as provides for the development of pre-vocational skill and training. The Department of

Youth Affairs has three service divisions: Division of Special Services (Youth Corrections),

Division of Youth Development, and the Division of Vocational Rehabilitation and Support

Services.

The Department of Youth Affairs (DYA) has found that the cost of providing services to

citizens from the Freely Associated States was $590,241 for FY 2004. For FY 2005, the cost

was $817,115. For FY 2006, the cost was $1,004,601. For FY 2007, the cost was

$1,330,834. For FY 2008, the cost was $1,079,337. For FY 2009, the cost was $1,492,547.

For FY 2010, the cost was $1,624,924 for a total of $7,939,639 for the past seven fiscal years

Government of Guam FY 2010 Compact Impact Report

DYA Division FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Youth Corrections

Total Program Clients 500 520 676 846 669 441 428

Total FAS Clients 182 190 199 248 174 58 76

Total Program Client-days 17,284 21,574 21,199 17,342 16,354 15,197 17,097

Total FAS Client-days 5,344 8,245 7,555 5,591 4,035 1,864 2,869

Total Program Expenditures 2,939,334$ 3,213,218$ 2,322,521$ 2,995,411$ 2,801,389$ 2,462,154$ 2,023,080$

Average Expenditure per Client-day 170.06$ 148.94$ 109.56$ 172.73$ 171.30$ 162.02$ 118.33$

Total FAS Expenditures 908,806$ 1,228,005$ 827,711$ 965,710$ 691,183$ 301,997$ 339,487$

Youth Development

Total Program Clients 161 165 165 121 180 276 235

Total FAS Clients 54 43 27 23 26 49 35

Total Program Client-days 31,127 29,013 26,825 21,926 25,514 32,008 35,373

Total FAS Client-days 10,994 6,680 4,379 4,126 3,437 7,529 5,168

Total Program Expenditures 2,027,637$ 1,148,973$ 1,541,415$ 1,940,307$ 2,326,611$ 2,189,916$ 1,716,313$

Average Expenditure per Client-day 65.14$ 39.60$ 57.46$ 88.49$ 91.19$ 68.42$ 48.52$

Total FAS Expenditures 716,158$ 264,541$ 251,626$ 365,124$ 313,419$ 515,117$ 250,754$

Total Cost for FAS Clients 1,624,964$ 1,492,547$ 1,079,337$ 1,330,834$ 1,004,601$ 817,115$ 590,241$

Cummulative Cost for FAS Clients 7,939,639$

Note: Totals may not add due to rounding

Department of Youth Affairs

Government of Guam FY 2010 Compact Impact Report

3. Department of Military Affairs, Office of Civil Defense

The Department of Military Affairs is tasked with controlling the operations of the Guam

Army and Air National Guard and protecting Guam and the United States of America in time

of war, rebellion, riot, imminent danger or any state of emergency. Public Law 24-298

consolidated the Office of Veterans Affairs and Office of Civil Defense with the Department

of Military Affairs. The Department now includes responsibilities for the administration of

veterans programs and services for citizens who served in the Armed Forces. The

Department is also tasked with planning and development of programs that provide for the

safety and protection of life and property in the event of natural disasters such as typhoons,

earthquakes, floods and seismic (tidal) waves as well as Homeland Security.

The cost of providing services by the Office of Civil Defense (OCD) to Guam's FAS

population was calculated by dividing OCD’s total FY expenditures by the de facto

population of Guam (including visitors), and multiplying the result by the percentage of FAS

citizens (with the baseline of 2,413 persons subtracted) residing on Guam. In FY 2004, the

cost for OCD protective services for FAS citizens was $7,984. For FY 2005, the cost of

OCD protective services for FAS citizens was $2,388. For FY 2006, the cost for OCD

protective services for FAS citizens was $32,781. For FY 2007, the cost for OCD protective

services for FAS citizens was $36,520. For FY 2008, OCD expended no local funds. For FY

2009, OCD expended no local funds. For FY 2010, OCD expended no local funds. The total

cost of Office of Civil Defense protective services for FAS citizens was $79,672 for the past

seven fiscal years.

4. Guam Fire Department

The Guam Fire Department is responsible for fire prevention and suppression and related

hazards. The Department also provides emergency ambulatory medical and land and sea

rescue services, all in the prevention of unnecessary loss of life and property. Guam Fire

Department services are provided to all Guam residents, irrespective of citizenship or

residency status, including visitors and military personnel and their dependents when they

are on civilian lands.

The cost of providing services to Guam's FAS population was calculated by dividing GFD's

total FY expenditures by the de facto population of Guam (including visitors), and

multiplying the result by the percentage of FAS citizens (with the baseline of 2,413 persons

subtracted) residing on Guam. In FY 2004, the cost for GFD protective services for FAS

citizens was $1,198,316. For FY 2005, the cost was $1,467,245. For FY 2006, the cost was

$1,785,788. For FY 2007, the cost was $2,083,527. For FY 2008, the cost was $2,465,737.

For FY 2009, the cost was $2,516,596. For FY 2010, the cost was $3,165,756 for a total of

$14,682,966 for the past seven fiscal years.

Government of Guam FY 2010 Compact Impact Report

5. Guam Police Department

The Guam Police Department is responsible for deterring and suppressing all crimes and

providing overall protection of life and property from injures and loss. The Department

provides island-wide police coverage, and includes investigative services in the areas of

criminal, juvenile, traffic, special investigations and crime laboratory. Police protection is

provided uniformly to each person on Guam, including visitors and military personnel and

dependents while they are on civilian lands.

Expenditures for general police protection services to FAS citizens is determined by

apportioning GPD's fiscal year expenditures by the percent of FAS citizens (with the

baseline of 2,413 persons subtracted) to the de facto population of Guam. In FY 2004 the

cost for police protective services for FAS citizens was $1,198,098. For FY 2005, the cost

was $1,762,842. For FY 2006, the cost was $1,740,594. For FY 2007, the cost was

$1,803,772. For FY 2008, the cost was $2,459,054. For FY 2009, the cost was $2,667,379.

For FY 2010, the cost was $2,729,439 for a total of $14,361,179 for the past seven fiscal

years.

For FY 2004 to FY 2010, the three protective services agencies expended a total of

$29,123,817 for protective services to FAS citizens.

Government of Guam FY 2010 Compact Impact Report

Protective Services Agencies FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Total expenditures for general protective services 51,150,152$ 48,171,910$ 49,636,203$ 46,142,843$ 46,981,625$ 48,063,810$ 40,200,075$

Guam Fire Department 27,467,946$ 23,385,380$ 24,851,781$ 24,501,600$ 23,572,744$ 21,816,524$ 20,035,125$

Guam Police Department 23,682,206$ 24,786,530$ 24,784,422$ 21,211,777$ 22,976,171$ 26,211,777$ 20,031,470$

Office of Civil Defense /a -$ -$ -$ 429,466$ 432,710$ 35,509$ 133,480$

Total population of Guam (de facto) 191,631 188,098 186,862 184,721 182,123 179,737 176,607

FAS population on Guam 24,499 22,655 20,953 18,121 16,210 14,501 12,976

FAS baseline population * 2,413 2,413 2,413 2,413 2,413 2,413 2,413

FSM and RMI baseline /b 637 637 637 637 637 637 637

Palau baseline /c 1,776 1,776 1,776 1,776 1,776 1,776 1,776

FAS population minus baseline /d 22,086 20,242 18,540 15,708 13,797 12,088 10,563

Percent of total population 11.53% 10.76% 9.92% 8.50% 7.58% 6.73% 5.98%

Cost of general protective services for FAS citizens 5,895,196$ 5,183,975$ 4,924,792$ 3,923,819$ 3,559,163$ 3,232,475$ 2,404,397$

Guam Fire Department 3,165,756$ 2,516,596$ 2,465,737$ 2,083,527$ 1,785,788$ 1,467,245$ 1,198,316$

Guam Police Department 2,729,439$ 2,667,379$ 2,459,054$ 1,803,772$ 1,740,594$ 1,762,842$ 1,198,098$

Office of Civil Defense -$ -$ -$ 36,520$ 32,781$ 2,388$ 7,984$

Guam Fire Department 14,682,966$

Guam Police Department 14,361,179$

Office of Civil Defense 79,672$

Accumulated Total Cost 29,123,817$

* FAS population resident prior to implementation of the Compacts

emen

on o

ompac

1986

c/ Number of citizens from the Republic of Palau resident prior to implementation of Compact in 1994

d/ Number of citizens from the FAS for whom reimbursement is requested

NOTE: Total may not sum due to rounding

Protective Services Agencies

a/ Office of Civil Defense, Department of Military Affairs; no local funds expended in FY 2008 and FY 2009 (100% federal funds)

b/ Number of citizens from the Federated States of Micronesia and the Republic of the Marshall Islands resident

Cummulative cost of protective services by agencies

Government of Guam FY 2010 Compact Impact Report

6. Public Defender Service Corporation

The Public Defender Service Corporation (PDSC) is a public corporation affiliated with the

judicial branch of Guam. The incorporating statute of the Public Defender Service

Corporation (12 GCA, Chapter 11) provides that the Corporation will handle criminal and

civil cases as follows:

Criminal cases: It shall be the duty of the Corporation to defend indigent persons

charged in criminal cases before the courts of Guam

Civil matters: The Corporation shall render legal aid and assistance to those persons

in Guam, who, under rules established by the Corporation, are in need of legal

assistance and representation and who are unable to afford an attorney in private

practice

The court also has the power to appoint the Public Defender Service Corporation in certain

civil and domestic matters such as assigning counsel as guardian ad litem in child or adult

abuse cases, child custody situations and guardianships and counsel who may be appointed

for persons charged with criminal contempt in civil and domestic matters. These

appointments arise out of the inherent powers of the court and are covered by court rules

regarding appointment of counsel in non-criminal matters.

Services provided to indigent persons fall under one of four program areas: Criminal, Civil,

Juvenile, and Domestic. The Criminal Program expended a total of $1,196,872 on 878 cases

involving citizens of the Freely Associated States (FAS) out of a total of 1,797 criminal

cases. The Civil Program expended a total of $130,865 on 96 cases involving FAS citizens

out of a total of 2,229 civil cases. The Juvenile Program expended a total of $227,651 on 167

cases involving FAS citizens out of a total of 275 juvenile cases. The Domestic Program

expended a total of $4,090 on 3 cases involving FAS citizens of a total of 21 domestic cases.

For FY 2010, the Public Defender Service Corporation expended a total of $1,559,478 on

cases involving FAS citizens.

7. Judiciary of Guam – Superior Court of Guam

The Superior Court of Guam (SCOG) is vested with original jurisdiction in all cases arising

under the laws of Guam, civil or criminal, in law or equity, regardless of the amount in

controversy. Exceptions to the jurisdiction of the Superior Court are causes arising under the

Constitution, treaties, laws of the United States, and any matter involving the Guam income

tax.

In FY 2004, the Superior Court of Guam expended a total of $891,279 on 453 cases

involving citizens of the Freely Associated States out of a total of 10,553 cases during the

fiscal year. For FY 2005, the Superior Court of Guam expended a total of $785,589 on 329

Government of Guam FY 2010 Compact Impact Report

cases involving citizens of the Freely Associated States out of a total of 9,345 cases. For FY

2006, the Superior Court of Guam expended a total of $982,906 on 447 cases involving

citizens of the Freely Associated States out of a total of 10,619 cases. For FY 2007, the

Superior Court of Guam expended a total of $726,148 on 276 cases involving citizens of the

Freely Associated States out of a total of 10,021 cases. For FY 2008, the Superior Court of

Guam expended a total of $972,017 on 294 cases involving citizens of the Freely Associated

States out of a total of 9,267 cases. For FY 2009, the Superior Court of Guam expended a

total of $775,679 on 230 cases involving citizens of the Freely Associated States out of a

total of 9,347 cases. For FY 2010, the Superior Court of Guam expended a total of

$2,228,388 on 640 cases involving citizens of the Freely Associated States out of a total of

9,422 cases for a total of $7,362,006 for the past seven fiscal years.

Government of Guam FY 2010 Compact Impact Report

Judicary of Guam FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Total Expenditures $32,806,045 $31,522,917 30,638,382$ 26,364,946$ 23,350,053$ 22,314,075$ 20,763,059$

Total Cases 9,422 9,347 9,267 10,021 10,619 9,345 10,553

FAS Cases 640 230 294 246 447 329 453

Cost for FAS Cases 2,228,388$ 775,679$ 972,017$ 726,148$ 982,906$ 785,589$ 891,279$

Accumulated Total Cost 7,362,006$

Judiciary of Guam

Government of Guam FY 2010 Compact Impact Report

HEALTH, WELFARE. AND LABOR

1. Department of Public Health and Social Services

The Department of Public Health and Social Services (DPHSS) provides programs and

services in the areas of environmental health, public health, public welfare and senior

citizens. The department ensures the public protection through protective measures against

unsanitary conditions. It ensures the provisions of direct and indirect health care services

such as dental, hearing, speech and nutritional health. It provides a variety of programs

which stress the prevention of disease and disability, and by meeting the needs of the

medically under-served population. The department also promotes positive social conditions

for the economically and socially disadvantaged by providing financial and medical services,

such as in its administration of the Public Assistance, Food Stamp, and Medicaid Programs.

Additionally, it administers the State Plan on Aging program tailored for the elderly 60 years

and older.

DPHSS was unable to provide expenditure and service level data for its clients from the

Freely Associated States (FAS) for FY 2004 and FY 2005 under the Medically Indigent

Program (MIP) and the Medicaid Program (MAP). However, data from the Guam Memorial

Hospital Authority (GMHA) indicates that at least $6,893,764 in costs was incurred by the

Medically Indigent Program (MIP) and the Medicaid Program (MAP) under the Bureau of

Health Care Financing in FY 2004. The gross charges were $4,837,013 and $2,056,752 for

MIP and MAP, respectively, according to GMHA.

In FY 2004, the Division of Public Health’s Bureau of Primary Care Services expended

$465,988 for services to FAS citizens. The Division of Public Welfare expended a total of

$6,893,764. The Bureau of Health Care Financing expended $4,837,013 under the Medically

Indigent Program (MIP) and $2,056,752 under the Medicaid Program (MAP). The Division

of Senior Citizens expended $201,805 for services to FAS citizens. For FY 2004, the

Department of Public Health expended a total of $7,561,557 for services to FAS citizens.

In FY 2005, the Division of Public Health’s Bureau of Primary Care Services expended

$483,305 for services to FAS citizens. The Division of Senior Citizens expended $227,670

for services to FAS citizens. For FY 2005, the Department of Public Health expended a total

of $710,975 for services to FAS citizens.

In FY 2006, the Division of Public Health expended a total of $1,179,330 for services

provided to citizens of the Freely Associated States. The Bureau of Community Health

Services expended $22,392 while the Bureau of Communicable Disease Control expended

$350,428. The Bureau of Family Health and Nursing Services expended a total of $218,145.

The Bureau of Primary Health Care Services expended $588,365. Also in FY 2006, the

Division of Public Welfare expended a total of $6,571,256. The Bureau of Health Care

Financing expended $4,458,407 under the Medically Indigent Program (MIP) and

Government of Guam FY 2010 Compact Impact Report

$1,693,595 under the Medicaid Program (MAP). The Bureau of Social Services

Administration expended $419,254 for services to FAS citizens. The Division of Senior

Citizens expended $243,028 for services to FAS citizens. For FY 2006, the Department of

Public Health and Social Services expended a total of $7,993,614 for services to FAS

citizens.

In FY 2007, the Division of Public Health’s Bureau of Primary Care Services expended a

total of $597,064 for services provided to citizens of the Freely Associated States (FAS). The

Division of Public Welfare’s Bureau of Health Care Financing expended $5,071,088 under

the Medically Indigent Program (MIP) and $3,171,462 under the Medicaid Program (MAP).

The Division of Senior Citizens and the Division of Environmental Health expended

$287,812 and $46,222, respectively. For FY 2007, the Department of Public Health and

Social Services expended a total of $9,173,648 for services to FAS citizens.

In FY 2008, the Division of Public Health expended a total of $1,551,358 for services to

citizens of the Freely Associated States (FAS). The Bureau of Communicable Disease

Control expended a total of $841,510 while the Bureau of Primary Care Services expended

a total of $709,848. The Division of Public Welfare expended a total of $9,463,242. The

Bureau of Economic Security expended a total of $923,386 under the Supplemental

Nutrition Assistance Program (SNAP, formerly “Food Stamps”) and the Public Assistance

Programs at $853,202 and $70,184, respectively. The Bureau of Health Care Financing

expended $4,898,458 under the Medically Indigent Program (MIP) and $3,106,829 under

the Medicaid Program (MAP) for a total of $8,005,287 in FY 2008. The Division of Senior

Citizens and the Division of Environmental Health expended $320,339 and $47,555,

respectively. For FY 2008, the Department of Public Health and Social Services expended

a total of $11,364,494 for services to FAS citizens.

In FY 2009, the Division of Public Health expended a total of $1,751,081 for services to

citizens of the Freely Associated States (FAS). The Bureau of Communicable Disease

Control expended a total of $1,089,599 while the Bureau of Primary Care Services expended

a total of $661,482. The Division of Public Welfare expended a total of $12,469,050. The

Bureau of Economic Security expended a total of $1,266,776 under the Supplemental

Nutrition Assistance Program (SNAP, formerly “Food Stamps”) and the Public Assistance

Programs at $1,179,704 and $87,072, respectively. The Bureau of Health Care Financing

expended $7,251,469 under the Medically Indigent Program (MIP) and $3,508,270 under

the Medicaid Program (MAP) for a total of $10,759,739 in FY 2009. The Division of Senior

Citizens and the Division of Environmental Health expended $383,527 and $46,191,

respectively. For FY 2009, the Department of Public Health and Social Services expended

a total of $14,649,849 for services to FAS citizens.

Government of Guam FY 2010 Compact Impact Report

In FY 2010, the Division of Public Health expended a total of $569,460 for services to

citizens of the Freely Associated States (FAS). The Bureau of Communicable Disease

Control’s Foreign Quarantine/Enteric Disease Program expended a total of $991 while the

Bureau of Primary Care Services expended a total of $437,972. The Bureau of Professional

Support Services expended a total of $130,497. The Division of Public Welfare expended

a total of $13,601,925. The Bureau of Health Care Financing expended $7,983,657 under

the Medically Indigent Program (MIP) and $4,672,387 under the Medicaid Program (MAP)

for a total of $12,656,014 in FY 2010. The Division of Senior Citizens and the Division of

Environmental Health expended $414,538 and $49,630, respectively. For FY 2010, the

Department of Public Health and Social Services expended a total of $14,635,553 for

services to FAS citizens.

For the period FY 2004 to FY 2010, the Department of Public Health and Social Services

has expended a total of $66,089,690 for services to FAS citizens.

Government of Guam FY 2010 Compact Impact Report

DPHSS FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Division of Public Health 569,460$ 1,751,081$ 1,551,358$ 597,064$ 1,179,330$ 483,305$ 465,988$

Bureau of Community Health Services --- --- --- --- 22,392$ --- ---

Bureau of Communicable Disease Control 991$ 1,089,599$ 841,510$ --- 350,428$ --- ---

Immunization --- 473,652$ 168,998$ --- --- --- ---

FQ & Enteric 991$ 6,465$ 28,372$ --- --- --- ---

STD/HIV --- 75,618$ 171,285$ --- --- --- ---

TB --- 533,864$ 472,855$ --- --- --- ---

Bureau of Family Health and Nursing Services --- --- --- --- 218,145$ --- ---

Bureau of Primary Care Services 437,972$ 661,482$ 709,848$ 597,064$ 588,365$ 483,305$ 465,988$

Bureau of Professional Support Services 130,497$ --- --- --- --- --- ---

Division of Public Welfare 13,601,925$ 12,469,050$ 9,463,242$ 8,242,550$ 6,571,256$ --- 6,893,764$

Bureau of Economic Security -$ 1,266,776$ 923,386$ --- --- --- ---

SNAP (Food Stamps)* --- 1,179,704$ 853,202$ --- --- --- ---

Public Assistance --- 87,072$ 70,184$ --- --- --- ---

Bureau of Health Care Financing 12,656,014$ 10,759,739$ 8,005,287$ 8,242,550$ 6,152,002$ --- 6,893,764$

Medically Indigent Program (MIP) 7,983,657$ 7,251,469$ 4,898,458$ 5,071,088$ 4,458,407$ --- 4,837,013$

Medicaid (MAP) 4,672,357$ 3,508,270$ 3,106,829$ 3,171,462$ 1,693,595$ --- 2,056,752$

Bureau of Social Services Administration 945,911$ 442,535$ 534,569$ --- 419,254$ --- ---

Division of Senior Citizens 414,538$ 383,527$ 302,339$ 287,812$ 243,028$ 227,670$ 201,805$

Division of Environmental Health 49,630

$ 46,191$ 47,555$ 46,222$ -$ --- ---

Total FAS Costs ** 14,635,553$ 14,649,849$ 11,364,494$ 9,173,648$ 7,993,614$ 710,975$ 7,561,557$

Cummulative Total FAS Costs 66,089,690$

* Supplemental Nutrition Assistance Program (SNAP) or more commonly known as "Food Stamps Program"

** FY 2004 MIP and MAP data represent charges as reported by Guam Memorial Hospital Authority

Department of Public Health and Social Services

Government of Guam FY 2010 Compact Impact Report

2. Guam Memorial Hospital Authority

Guam Memorial Hospital Authority (GMHA) is a governmental, non-profit institution

serving the people of Guam. As the sole hospital on the island, no patient is denied hospital

care and services by reason of place of residence or ability to pay. Prior to the Compacts,

citizens of what are now the Freely Associated States (FAS) were Trust Territory of the

Pacific Islands (TTPI) citizens, and as such, received medical care from Department of

Defense at the Naval Regional Medical Center.

In FY 2004, GMHA reported that admissions and visits from individuals who self-identify

as from the Freely Associated States represented 6,775 admissions, visits or patient

encounters (includes multiple encounters). The gross charges incurred by these individuals

was $15,555,614 of which $13,114,262 was identified in the following categories:

MIP (Medically Indigent Program) $ 4,837,013

MAP (Medicaid) $ 2,056,752

Self-pay $ 6,220,498

Total $13,114,262

3. Department of Mental Health and Substance Abuse

The Department of Mental Health and Substance Abuse (DMHSA) is the sole agency

authorized to provide mental health and substance abuse services to the people of Guam. It

is responsible for providing mental health programs and services to children, adolescents,

and adults suffering from ailments such as mental disorders, emotional disturbances,

behavioral problems, familial dysfunctions and drug and alcohol treatment. The Department

also maintains residential and day treatment services, operates an acute psychiatric inpatient

facility, and provides emergency consultations.

For FY 2005, DMHSA expended a total of $905,535 on 530 cases involving citizens of the

Freely Associated States. For FY 2006, DMHSA expended a total of $339,694 on 194 cases

involving citizens of the Freely Associated States. For FY 2007, DMHSA expended a total

of $288,834 on 161 cases involving citizens of the Freely Associated States. For FY 2008,

DMHSA expended a total of $233,553 on 127 cases involving citizens of the Freely

Associated States. For FY 2010, DMHSA expended a total of $2,049,611 on 305 cases

involving citizens of the Freely Associated States.

For FY 2004 through FY 2010, the Department of Mental Health and Substance Abuse

(DMHSA) expended a total of $3,817,227 on cases involving citizens of the Freely

Associated States.

Government of Guam FY 2010 Compact Impact Report

DMHSA FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Fiscal year total expenditures 11,150,781$ ----- ----- ----- ----- ----- -----

Total number of clients 1,759 ----- ----- ----- ----- ----- -----

Total number of FAS clients 305 ----- 127 161 194 530 -----

Total number of services to clients 299,420 ----- ----- ----- ----- ----- -----

Total services to FAS clients 55,036 ----- ----- ----- ----- ----- -----

Units cost for services to clients 37.24$ ----- ----- ----- ----- ----- -----

Cost per FAS client ----- ----- 1,839$ 1,794$ 1,751$ 1,709$ -----

Total cost incurred for FAS clients 2,049,611$ -$ 233,553$ 288,834$ 339,694$ 905,535$ -----

Cummulative Total Cost 3,817,227$

Department of Mental Health and Substance Abuse

Government of Guam FY 2010 Compact Impact Report

SUPPLEMENTAL DATA

1. Compact Cost for All Government of Guam Agencies

This table shows all available Compact Impact cost information from all reporting agencies

and includes costs not in Guam’s reimbursement request for FY 2004 through FY 2010.

2. Government of Guam Agencies Not Seeking Reimbursement

The Government of Guam agencies listed have identified costs associated with providing

services to citizens of the Freely Associated States. However, because they are federally

funded, the Government of Guam is not including these costs in its request for

reimbursement.

3. Population of Guam: 1986 to 2010

Impact cost calculations requiring the use of the defacto or de jure population of Guam are

based on this table.

4. FAS Population on Guam

The Freely Associated States (FAS) population estimates are based on the 2000 Census of

Population and Housing: Guam, the 2003 Census of Micronesians, and the 2008 Survey of

Compact of Free Association (COFA) Migrants.

5. Compact Impact Assistance Grant Projects (P.L. 108-188)

This table shows all Capital Improvement Grant Projects funded by Compact Impact

reimbursement funds for FY 2004 through FY 2010 under U.S. Public Law 108-188.

6. Compact Impact Capital Improvement Projects (P.L. 104-134)

This table shows all Capital Improvement Projects funded by Compact Impact

reimbursement funds for FY 1996 through FY 2010 under U.S. Public Law 104-134.

7. Compact Impact Reconciliation – FY 1987 to FY 2003

Pursuant to U.S. Public Law 108-188, Guam’s Compact Impact Reconciliation Report found

that the un-reimbursed Compact Impact cost for the period FY 1987 to FY 2003 totaled $269

million. The un-reimbursed cost include $178 million for education, $48 million for health,

welfare and labor, and $43 million for public safety. This table shows the un-reimbursed cost

as identified by Government of Guam departments and agencies.

Government of Guam FY 2010 Compact Impact Report

Total FY 2010 FY 2009 FY 2008 FY 2007 FY 2006 FY 2005 FY 2004

Total Cost for Services to FAS Citizens $333,074,354 $65,743,935 $58,690,120 $53,258,278 $47,329,954 $42,162,436 $28,175,825 $37,713,805