In 1990, Na Pu´uwai was awarded a grant and established the Na Pu´uwai Native Hawaiian Health Care System. Under the federal Native Hawaiian Health Care Act of 1988, Na Pu´uwai accepted the responsibility to spearhead the planning for a Native Hawaiian Health Care System for the Island of Molokai and Lanai. Na Pu´uwai has developed a healthcare system for Molokai and Lanai that offers dental Education for Elementary School children