Spokane County in Eastern Washington is home to the U.S. second largest Marshallese population, second only to Arkansas. It is also home to many of our Chuukese families as well. Spokane County have seen the exponential growth of our NHPI population, who have emigrated to there due to employment opportunities. Existing barriers to healthcare and lack of insurance enrollment continues to drive negative consequences that our local community currently suffers. The region suffers from the scarcity of social service provisions given its rural setting. Our Eastern Washington Chapter is partnering with local NHPI leadership to build NHPI infrastructure and capacity locally. The City of Pullman is home to a thriving Samoan community whose ties go back to football recruitment out of American Samoa. NHPIs have also made Yakima County home. Farming work have brought some of our families to this region.