STAND. COM. REP. NO. 1018

                                   Honolulu, Hawaii
                                                     , 1999

                                   RE:  H.B. No. 895
                                        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. 895, H.D. 2, entitled: 

     "A BILL FOR AN ACT RELATING TO EMERGENCY MEDICAL SERVICES,"

begs leave to report as follows:

     The purpose of this measure is to allow the Department of
Health (DOH) to provide emergency aeromedical services as part of
its required emergency medical services.

     Your Committee received testimony in support of this measure
from the DOH, the Mayor of Maui County, Chair of the County
Council of Maui, Hawaii Medical Association, Healthcare
Association, Hawaii Health Systems Corporation, Air Ambulance
Hawaii, and three private individuals.

     This measure also:

     (1)  Defines "emergency aeromedical services";

     (2)  Requires the DOH to support the interagency dispatch
          policy and procedures for aeromedical transports;

     (3)  Requires the DOH to establish and maintain an emergency
          aeromedical medical services information system to
          serve the emergency health needs of the State;


 
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     (4)  Specifies the elements to be included in the emergency
          aeromedical medical services information system; and

     (5)  Requires the DOH to establish an emergency aeromedical
          services quality improvement advisory committee and
          specifies membership of that committee.

     This measure is intended predominantly to serve the neighbor
island communities which need emergency aeromedical services.
Your Committee believes that the target populations should not be
placed at risk of unnecessary death or disability due to system
delays or unavailable aeromedical services.  Your Committee finds
that the State must provide for an emergency aeromedical system
that assures the timely transport of seriously ill and injured
persons to designated medical facilities.

     Your Committee has amended this measure on the
recommendation of the DOH to insert "Medical oversight by
physicians" as an element of the emergency aeromedical medical
services information system.  Your Committee has also made
technical, nonsubstantive amendments for purposes of clarity and
to reflect preferred drafting style.

     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. 895, H.D. 2, as amended herein, and recommends that
it pass Second Reading in the form attached hereto as H.B.
No. 895, 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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