Medicaid Change Watch (US): North Carolina’s NCDHHS has launched the “Know What’s Next” toolkit ahead of major NC Medicaid updates starting Oct. 1, including a work requirement for Medicaid expansion, twice-a-year redeterminations, and tighter eligibility rules for non-citizens; new adult renewal rules begin Jan. 1, 2027, with adults 19–64 needing to meet monthly earning or work/school/volunteer hours to keep full benefits. Regional Health & Access (Micronesia/US ties): A new US–Palau Compact Free Association agreement was signed, extending economic provisions and highlighting shared work on public health infrastructure and disaster response—now awaiting congressional action. Biosecurity (Guam): Guam’s seat on a Pacific plant protection standards group is helping it finally move forward on an overdue invasive species plan, with new regional standards covering pest surveillance and pest-free shipment certification. Care on the Ground (Marshall Islands): Canvasback’s clinics in Ebeye and Majuro delivered dental services, eye care, cataract procedures, and hundreds of prescription glasses, supporting local access to specialized treatment. Sports & Health (Pacific): Australia announced $15.6 million to help Pacific athletes and officials reach Brisbane 2032 and other major events, boosting training access across 13 countries. Tuna & Nutrition (Samoa/WCPFC): MMR officials returned from WCPFC SC22 in Samoa, backing sustainable tuna science that can support long-term food security across the Pacific. Pacific Summit Context (Palau): The 55th Pacific Islands Forum in Koror is underway with a packed health-adjacent agenda on resilience and ocean stewardship, while leader absences raise questions about regional unity.