The chairman of the LBJ Medical Centre in American Samoa Charles Warren says now the Senate has approved a reduced loan bill, it will create problems and leave other hospital debts unpaid.
The Senate has approved a loan bill of US$8.5 million, down from the US$10 million originally proposed.
The bill now needs the approval of the Fono.
But Mr Warren said if adequate funds were not made available to pay debts the hospital would be forced to use current operating funds for these obligations.
At best, he said this would require the LBJ to delay buying critically needed medical equipment.