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Meetings

The HCBS Commission's meetings are open to the public. This page is the Commission's official record — each meeting, the actions and documents adopted, and the minutes once approved. It is how the community can follow the Commission's decisions and hold its work accountable.

Meeting Record

May 29, 2026 at 9:00:00 AM

Samoan Affairs Conference Room

First convening of the Commission — member introductions, orientation, and establishment of the Commission's meeting schedule.

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June 26, 2026 at 9:00:00 AM

Medicaid Conference Room

Final Adoption: Motion 1: Bylaws (with amendments) · Motion 2: Recusal Policy· Motion 3: Medicaid State Authority · Motion 4; Olmstead Plan Foundation (with amendment). Accepted: Commissioner's Report. Tabled: Motion 5: HCBS & LTSS Definitions, carried to the August meeting.

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July 23, 2026 at 9:00:00 AM

Medicaid Conference Room

NASDDDS Presentation: Regina Rodriguez Sisneros, Director of Systems Innovations, and Dan Berland, Director of Federal Policy.

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Monthly Meeting Minutes

Title
Description
Date
MAY Meeting Minutes
Inaugural HCBS Commission Meeting
29/05/2026
JUNE Meeting Minutes
Regular Meeting- Minutes Pending Board review & Approval
26/06/2026
JULY Meeting Summary
NASDDDS Presentation
23/07/2026

Governance Documents

Title
Description
Adoption Date
Motion 1: Commission Bylaws
The rules that govern how the Commission operates, deliberates, and makes decisions.
June 26th, 2026
Motion 2: Recusal Protocols
Ensures members step aside from any decision where they have a conflict of interest, keeping the Commission's work fair and impartial.
June 26th, 2026
Motion 3: Medicaid Authority
Affirms that the American Samoa Medicaid State Agency holds sole authority over all Medicaid State Plan decisions.
June 26th, 2026
Motion 4: Foundational Olmstead Plan
Establishes the seven-component framework for American Samoa's Olmstead Plan, the Territory's commitment to serving people in the most integrated setting.
June 26th, 2026
Motion 5:HCBS+LTSS Definition
The Commission's working definitions of Home and Community-Based Services (HCBS) and Long-Term Services and Supports (LTSS) for American Samoa. Tabled June 26, 2026 — carried to the next meeting for further discussion.
Pending-Tabled
Interagency MOU
Interagency MOU that will allow Agencies to complete Olmstead Workbook to feed Olmstead Planning
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HCBS Commission
Office of the Governor
Utulei, American Samoa.   
Contact Us

American Samoa’s Home and Community‑Based Services (HCBS) program provides services without discrimination based on race, color, national origin, sex, age, disability, religion, or any other status protected by applicable federal or territorial law.​ The HCBS program complies with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act (ADA) as applicable, and all other nondiscrimination requirements attached to federal financial assistance. The HCBS program is committed to ensuring equitable access to long‑term services and supports for all eligible residents of American Samoa, including individuals who have historically faced barriers to care.In pursuing this commitment, the program does not provide  preferential treatment or restrict eligibility based on race or color, and it does not segregate individuals in services or activities based on protected characteristics; all policies and practices are designed to comply with federal antidiscrimination laws.

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The Home & Community-Based Services Commission of American Samoa website is supported by the Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services (HHS), under financial assistance award 1LICMS331881-01-00 totaling $266,880, which is 100 percent funded by CMS/HHS. The contents are solely the responsibility of the author(s) and do not necessarily represent the official views of, or imply endorsement by, CMS, HHS, or the U.S. Government.

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