CONFERENCE COMMITTEE REPORT NO. 169

                            Honolulu, Hawaii
                                            , 1999

                            RE:   H.B. No. 172
                                  H.D. 1
                                  S.D. 2
                                  C.D. 1




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

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

Sir:

     Your Committee on Conference on the disagreeing vote of the
House of Representatives to the amendments proposed by the Senate
in H.B. No. 172, H.D. 1, S.D. 2, entitled:

    "A BILL FOR AN ACT RELATING TO HOSPICE SERVICES,"

having met, and after full and free discussion, has agreed to
recommend and does recommend to the respective Houses the final
passage of this bill in an amended form.

     The purpose of this bill is to increase the availability of
quality hospice care services by:

     (1) Requiring health insurers to cover hospice care
         services;
     
     (2) Allowing hospice homes in areas zoned for residential
         use; and

     (3) Authorizing the Department of Health to license and
         regulate hospice service agencies.

     Your Committee on Conference has amended this bill by:

     (1) Requiring health insurers to reimburse costs of hospice
         room and board, as well as referral visits, rather than
         establishing a certain amount for reimbursement of room
         and board expenses;

     (2) Changing the content requirements and timing of the
         notice of hospice care coverage required to be sent by
         health insurers to their members and policyholders;

     (3) Moving the new definition of "hospice home" to section
         321-15.1, Hawaii Revised Statutes; and

     (4) Making nonsubstantive, technical revisions for purposes
         of style and clarity.

     Your Committee on Conference is in accord with the intent
and purpose of H.B. No. 172, H.D. 1, S.D. 2, as amended herein,
and recommends that it pass Final Reading in the form attached
hereto as H.B. No. 172, H.D. 1, S.D. 2, C.D. 1.

                                   Respectfully submitted,

MANAGERS ON THE PART OF THE        MANAGERS ON THE PART OF THE
           SENATE                              HOUSE
                                   
                                   
                                   
______________________________     ______________________________
SUZANNE CHUN OAKLAND, Co-Chair     ALEXANDER C. SANTIAGO, Co-
                                   Chair
                                   
                                   
______________________________     ______________________________
CAROL FUKUNAGA, Co-Chair           MARILYN B. LEE, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
WHITNEY ANDERSON, Member           BERTHA C. KAWAKAMI, Co-Chair
                                   
                                   
                                   
                                   ______________________________
                                   MICHAEL PUAMAMO KAHIKINA,
                                   Member
                                   
                                   
                                   
                                   ______________________________
                                   COLLEEN MEYER, Member