160
HOUSE OF REPRESENTATIVES             H.C.R. NO.            H.D. 1
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            
                                                                
___________________________________________________________________
___________________________________________________________________


                     HOUSE CONCURRENT
                        RESOLUTION

REQUESTING THE DEPARTMENT OF HEALTH TO DEVELOP AND IMPLEMENT A
   FIVE-YEAR STATEWIDE, COMPREHENSIVE STRATEGIC PLAN FOR
   SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL
   DISABILITIES OR MENTAL RETARDATION.



 1       WHEREAS, the State Planning Council on Developmental
 2   Disabilities estimates that there are approximately 12,040
 3   individuals with developmental disabilities in Hawaii; and
 4   
 5       WHEREAS, of the 12,040 individuals with developmental
 6   disabilities, over 2,400 are served by the Department of Health
 7   (DOH), Developmental Disabilities Division; and
 8   
 9       WHEREAS, the DOH Developmental Disabilities Division is
10   mandated to "develop, lead, administer, coordinate, monitor,
11   evaluate, and set direction for a comprehensive system of
12   supports and services for persons with developmental
13   disabilities or mental retardation within the limits of state
14   and federal resources allocated or available" for the purposes
15   of Chapter 333F, Hawaii Revised Statutes (HRS); and
16   
17       WHEREAS, Act 341, Session Laws of Hawaii (SLH) 1987,
18   established Chapter 333F, HRS, to improve services and the
19   overall quality of life for persons with developmental
20   disabilities or mental retardation; and
21   
22       WHEREAS, Act 341, SLH 1987, required DOH, in coordination
23   with the State Planning Council on Developmental Disabilities
24   and other related private and public agencies, to jointly
25   develop and implement a statewide plan for services; and
26   
27       WHEREAS, the DOH Developmental Disabilities Division,
28   developed a five-year program plan entitled, "A Plan for
29   Services for Persons with Developmental Disabilities or Mental
30   Retardation, 1990-1994" (1990-1994 plan); and
31   
32       WHEREAS, the 1990-1994 plan was the last plan developed by
33   the DOH Developmental Disabilities Division; and

 
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                                  H.C.R. NO.            H.D. 1
                                                        
                                                        

 
 1       WHEREAS, since the 1990-1994 plan was developed, over the
 2   last four years there have been significant changes in the
 3   developmental disabilities service system, including:
 4   
 5       (1)  The targeted closure of Waimano Training School and
 6            Hospital;
 7   
 8       (2)  Client-centered plans and budgets;
 9   
10       (3)  Self-determination of individuals and their families;
11   
12       (4)  Maximization of federal dollars;
13   
14       (5)  State-provided case management services; and
15   
16       (6)  A waitlist for Medicaid home- and community-based
17            services for individuals with developmental
18            disabilities or mental retardation;
19   
20   and
21   
22       WHEREAS, it is in DOH's best interest to develop a
23   statewide, comprehensive strategic plan to set direction for
24   the way that services and supports will be provided to
25   individuals with developmental disabilities or mental
26   retardation; now, therefore,
27   
28       BE IT RESOLVED by the House of Representatives of the
29   Twentieth Legislature of the State of Hawaii, Regular Session
30   of 1999, the Senate concurring, that DOH is requested to
31   develop and implement a five-year statewide, comprehensive
32   strategic plan for services and supports for individuals with
33   developmental disabilities or mental retardation; and
34   
35       BE IT FURTHER RESOLVED that DOH, in developing the plan,
36   solicit input from individuals with developmental disabilities
37   or mental retardation, parents or family members of individuals
38   with developmental disabilities or mental retardation, private
39   and public agencies, the State Planning Council on
40   Developmental Disabilities, the University of Hawaii Center on
41   Disability Studies, and the Protection and Advocacy Agency of
42   Hawaii; and
43   
44       BE IT FURTHER RESOLVED that the statewide, comprehensive
45   strategic plan include but not be limited to:

 
 
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                                  H.C.R. NO.            H.D. 1
                                                        
                                                        

 
 1       (1)  An assessment of the current system, including:
 2   
 3            (a)  Organization;
 4            (b)  Current and future staff and fiscal resources;
 5   
 6            (c)  Current and future services to be provided by the
 7                 State;
 8   
 9            (d)  Current and future services to be provided by the
10                 private sector; and
11   
12            (e)  A breakdown of budget estimates for (b) through
13                 (d); 
14   
15       (2)  A vision for and a philosophy of the future of
16            developmental disabilities services in Hawaii; and
17   
18       (3)  Outcome-based measures that include outcome
19            statements, target areas, performance targets,
20            milestones, and strategies to address:
21   
22            (a)  The provision of long-term care services;
23   
24            (b)  The waitlist for services;
25   
26            (c)  Self-determination of individuals with
27                 developmental disabilities or mental retardation;
28                 and
29   
30            (d)  The maximization of finances, state and federal
31                 moneys, and other resources;
32   
33   and
34   
35       BE IT FURTHER RESOLVED that DOH is requested to submit to
36   the Legislature a progress report on the development of a
37   statewide, comprehensive strategic plan no later than twenty
38   days prior to the convening of the Regular Session of 2000; and
39   
40       BE IT FURTHER RESOLVED that the Director of Health is
41   requested to submit to the Legislature a statewide,
42   comprehensive strategic plan and schedule of implementation no
43   later than twenty days prior to the convening of the Regular
44   Session of 2001; and
45   
46       BE IT FURTHER RESOLVED that the Director of Health is
47   requested to submit to the Legislature an annual report on the
48   implementation of the plan no later than twenty days prior to
49   the convening of the Regular Session of 2002, 2003, 2004, 2005,
50   and 2006; and

 
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                                  H.C.R. NO.            H.D. 1
                                                        
                                                        

 
 1   
 2       BE IT FURTHER RESOLVED that certified copies of this
 3   Concurrent Resolution be transmitted to the Director of Health,
 4   the Executive Director of the State Planning Council on
 5   Developmental Disabilities, the Director of the University of
 6   Hawaii Center on Disabilities Studies, and the Executive
 7   Director of the Protection and Advocacy Agency of Hawaii.