American Samoa is urging Polynesian Airlines to operate another domestic flight from Tutuila to Ofu island.
Under a current cabotage exemption, the carrier flies between Tutuila, the territory's main island, and Ta'u island in the Manu'a group.
Although Ofa airport was certified by the Federal Aviation Administration last year, there has been no US carrier servicing the domestic flights.
Polynesian Airlines have run a test flight to Ofu, and were able to transport two critical patients back to Tutuila to the LBJ hospital.
The Polynesian Airlines CEO, Seiuli Alvin Tuala, says he will discuss the matter with governor Lolo Moliga.