STAND. COM. REP. NO. 1023

                                   Honolulu, Hawaii
                                                     , 1999

                                   RE:  H.B. No. 1367
                                        H.D. 2
                                        S.D. 1




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Health and Human Services, to which was
referred H.B. No. 1367, H.D. 2, entitled: 

     "A BILL FOR AN ACT MAKING APPROPRIATIONS FOR THE PROTECTION
     OF CHILDREN AND FAMILIES,"

begs leave to report as follows:

     The purpose of this measure is to make appropriations to
ensure the availability of a continuum of services to prevent
child abuse.

     Your Committee received testimony in support of this measure
from the Department of Human Services (DHS), Department of Health
(DOH), Child & Family Service, Prevent Child Abuse Hawaii, Keiki
Injury Prevention Coalition, Healthy Start, Parents and Children
Together, P.A.R.E.N.T.S., Inc., Molokai Family Support Center,
Family Support Services of West Hawaii, and four private
citizens.

     This measure appropriates funds for each of the following
programs, services, or personnel for each of the next two fiscal
bienniums, as follows:

     (1)  To the DOH for positions for implementation of child
          death review teams, $1;


 
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     (2)  To the Attorney General for positions for deputy
          attorney generals for the family law division to handle
          child abuse cases, $1;

 
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     (3)  For the medical/health case management system, $1 each:

          (A)  To the DHS for physician positions for
               consultation and forensic review of cases to
               prevent child abuse;

          (B)  To the DOH for public health nursing positions;

     (4)  To the DOH for hospital-based risk screening for
          families identified as "at risk", $1;

     (5)  To the DHS for substance abuse treatment services for
          pregnant and parenting women and their families, $2 for
          personnel, and $7 for specified services;

     (6)  To the DHS for staffing and services for facilities to
          deliver diversion services and child protective
          services for targeted families, $1;

     (7)  To the DHS for training of foster parents, as follows:

          (A)  $1 for training; and

          (B)  $1 to increase foster board payments for children
               with special needs; and

     (8)  To the DOH to increase the capacity of the phone-in and
          short-term home visitation services, $1.

     Your Committee has amended this measure by deleting its
contents and inserting S.B. No. 175, S.D. 2, that makes
appropriations of unspecified sums for each of the following
programs, services, or personnel for each of the next two fiscal
years:

     (1)  To the DOH for implementation of child death review
          teams;

     (2)  To the Attorney General for positions for deputy
          attorney generals for the family law division to handle
          child abuse cases;

     (3)  For the medical/health case management system:

          (A)  To the DHS for physician positions for
               consultation and forensic review of cases to
               prevent child abuse;


 
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          (B)  To the DOH for public health nursing positions;

     (4)  To the DOH for the Hawaii Children's Trust Fund;

     (5)  To the DOH for the Healthy Start program;

     (6)  To the DOH for substance abuse treatment services for
          pregnant and parenting women and their families;

     (7)  To the DHS for staffing and services for the
          neighborhood places program (Blueprint for Change);

     (8)  To the DHS for training of foster parents, as follows:

          (A)  $1 for training; and

          (B)  $1 to increase foster board payments for children
               with special needs; and

     (9)  To the DOH for psychosocial support services to
          increase the capacity of parent line and home reach
          services.

     As amended, this measure:

     (1)  Deletes funding for hospital-based risk screening and
          for child protection services diversion services; and

     (2)  Adds funding for Hawaii Children's Trust Fund, Healthy
          Start, and Blueprint for Change.

     As affirmed by the record of votes of the members of your
Committee on Health and Human Services that is attached to this
report, your Committee is in accord with the intent and purpose
of H.B. No. 1367, H.D. 2, as amended herein, and recommends that
it pass Second Reading in the form attached hereto as H.B.
No. 1367, H.D. 2, S.D. 1, and be referred to the Committee on
Ways and Means.


                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committee on Health and Human
                                   Services,



                                   ______________________________
                                   SUZANNE CHUN OAKLAND, Chair

 
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