Honolulu, Hawaii
                                                     , 1999

                                   RE:  S.B. No. 190
                                        S.D. 1

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


     Your Committee on Health and Human Services, to which was
referred S.B. No. 190 entitled: 


begs leave to report as follows:

     The purpose of this measure is to create a perinatal care
and support services special fund and to require that an
unspecified amount of fees collected by the Department of Health
from the issuance of special commemorative birth certificates be
deposited into the fund with the remainder going to the general

     Your Committee received testimony in support of this measure
from the Department of Health, Mothers Care, and Healthy Mothers
Healthy Babies.

     Your Committee finds that this measure will assure permanent
and ongoing state funding to support perinatal services, which
are a core public health function.  Budget restrictions over the
last few years have necessitated the reduction of perinatal
services.  This measure is an innovative funding solution that
has been successful in other states, according to the Department
of Health.

     Your Committee notes, however, that the moneys generated
from the purchase of the commemorative birth certificates should
not supplant existing general fund resources presently allocated
for perinatal services.

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                                   STAND. COM. REP. NO. 514
                                   Page 2

     Your Committee has amended this measure by:

     (1)  Conforming two statutory provisions to current law;

     (2)  Deleting two duplicative statutory amendment

     (3)  Deleting the perinatal care and support special fund
          and substituting appropriate amendments to the Hawaii
          children's trust fund; 

     (4)  Amending Act 216, Session Laws of Hawaii 1997, to
          preserve the amendments proposed in this measure; and

     (5)  Making technical, nonsubstantive amendments for
          purposes of clarity and 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 S.B. No. 190, as amended herein, and recommends that it pass
Second Reading in the form attached hereto as S.B. No. 190,
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

                                   SUZANNE CHUN OAKLAND, Chair

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