The Native Hawaiian Health Care Improvement Act of 1992 grants $14 million every year to a Native Hawaiian Health System that today mostly emulates the common community health clinic.  The organizing board of the System is OHA, State Dept of Health, U.H., Alu Like, and a dissolved NHO.  Congress left the Act for dead in 2002 refusing reauthorization.  But a powerful Sen. Inouye funded it every year since then through entitlement setasides.  Inouye creatively resurrected the Act in 2011 just before his death by coattailing the Act to Obamacare (Affordable Care Act).  The meandering System terminates in 2019 unless the Republican Congress separately reauthorizes it.  However, its funding through the US DHHS could end abruptly if Congress refuses apportionment follow through.  Additionally, if Obamacare is repealed and replaced, its repeal immediately repeals its coattail, i.e. the Native Hawaiian Health Care Improvement Act.