THE SENATE                           S.R. NO.              94
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            
                                                             
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                     SENATE RESOLUTION
  REQUESTING THE INSURANCE COMMISSIONER TO CONDUCT A COMPARATIVE
    ANALYSIS OF HAWAII'S HEALTH CARE PLANS.



 1        WHEREAS, the 1998 Health Risk Management Inc. Report
 2   ranked Hawaii's quality of health care the best in the country;
 3   and
 4   
 5        WHEREAS, the February 1994 General Accounting Office
 6   Report indicated that Hawaii's health care dues rates are among
 7   the lowest in the nation despite the high cost of living; and
 8   
 9        WHEREAS, the December 1998 American Journal of Public
10   Health ranked Hawaii as the state with the highest number of
11   medically insured people in the country and the highest number
12   of physicians and dentists per capita; and
13   
14        WHEREAS, elsewhere in the United States, serious problems
15   and concerns with the management and operation of some health
16   care plans have arisen; and
17   
18        WHEREAS, Although Hawaii has not experienced many of the
19   problems associated with other health plans in the United
20   States, the Legislature wishes to ensure Hawaii's high standard
21   of excellence in health care will continue into the twenty-
22   first century; and
23   
24        WHEREAS, the same types of health care plans exist here as
25   do elsewhere in the United States; and
26   
27        WHEREAS, Hawaii has taken steps to prevent these problems
28   from occurring here, with the passage of Act 178, Session Laws
29   of Hawaii 1998, known as the Patient's Bill of Rights to
30   legislate and protect consumers' health care rights; and 
31   
32        WHEREAS, the Legislature wishes to better understand the
33   variety and composition of health care plans in the state to
34   further protect Hawaii's consumers; now, therefore,
35   

 
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                                  S.C.R. NO.            94
                                                        
                                                        


 1        BE IT RESOLVED by the Senate of the Twentieth Legislature
 2   of the State of Hawaii, Regular Session of 1999, that the
 3   Insurance Commissioner is to compile pertinent data and conduct
 4   a comprehensive analysis of all relevant health plans,
 5   including but not limited to health maintenance organizations
 6   and mutual benefit societies, and prepare a report containing
 7   its findings; and
 8   
 9        BE IT FURTHER RESOLVED that the Insurance Commissioner
10   report on the following components:
11        (1)  Corporate form and domicile of the health care plan;
12        (2)  Years in operation;
13        (3)  Federal and state tax status;
14        (4)  Regulatory oversight, i.e. external audits, filings,
15             and jurisdiction;
16        (5)  Types of plans and programs provided, i.e. QUEST,
17             individual plans, Medicare;
18        (6)  Corporate administrative expenses;
19        (7)  Accreditation status;
20        (8)  Consumer satisfaction complaints;
21        (9)  Financial protections for members;
22       (10)  Relationship of board of directors and others to the
23             plan;
24       (11)  Corporate governance;
25       (12)  Member rights including membership meetings and
26             voting rights; and
27       (13)  Organizational structure; and
28   
29        BE IT FURTHER RESOLVED that certified copies of this
30   Concurrent Resolution be transmitted to the Insurance
31   Commissioner, who shall in turn transmit a copy to every mutual
32   benefit society and health maintenance organization licensed to
33   do business in Hawaii; and
34   
35        BE IT FURTHER RESOLVED that the Insurance Commissioner
36   shall submit his findings no later than twenty days prior to
37   the convening of the Legislature's Regular Session of 2000.
38 
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41                         OFFERED BY:  ____________________________