Report Title:
Approp.; Health/Human Svs.; Emergency and Budget Reserve Fund
Description:
Appropriates funds from the emergency budget and reserve fund for various health and human services programs, including grants, subsidies, and purchases of services, for FY 2004-2005. (SB3068 SD2)
THE SENATE |
S.B. NO. |
3068 |
TWENTY-SECOND LEGISLATURE, 2004 |
S.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO STATE FUNDS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that expenditures from the emergency and budget reserve fund established by section 328L-3, Hawaii Revised Statutes, are needed to meet the emergency economic situation currently facing the State. The legislature determines that the moneys are urgently needed to maintain levels of programs that are essential to the public health, safety, and welfare. The legislature further finds that the grants and subsidies under this Act are in the public interest and serve the public health, safety, and welfare.
PART I
SECTION 2. The legislature finds that the Hawaii poison hotline is part of a national poison prevention network that connects the public directly to specially trained pharmacists and nurses to help manage poison exposure and answer poison related questions twenty-four hours a day. Currently, the hotline receives twelve thousand calls a year. Through the hotline, the staff is able to provide early management of poisoning cases, precluding the need for an emergency services visit or response. Additionally, the hotline provides professional toxicology consultative services twenty-four hours a day at no charge to hospitals, other acute care health facilities, and health care providers.
The purpose of this part is to appropriate funds to the department of health for the Hawaii poison hotline.
SECTION 3. There is appropriated out of the emergency and budget reserve fund the sum of $200,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, to enable the department of health to operate a hospital-based poison center twenty-four hours a day.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART II
SECTION 4. The legislature finds that the Kauai community health center is one of Hawaii's newest community health centers, serving individuals in Kauai county who live below two hundred per cent of the federal poverty level. The legislature further finds that the center provides comprehensive medical services, including dental services, which help to alleviate the high rates of dental disease. Establishment of the center provided better access to much needed health and dental services by the poor and uninsured of Kauai county.
The purpose of this part is to ensure that the dental program at the Kauai community health center has sufficient resources to continue to serve the residents of Kauai county.
SECTION 5. There is appropriated out of the emergency and budget reserve fund the sum of $50,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for dental services at Kauai community health center.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART III
SECTION 6. The legislature finds that Act 263, Session Laws of Hawaii 1996, authorized the transfer of the Hana medical center from the State to the Hana Community Health Center in July 1997, with a guarantee to continue providing needed financial support for the center's essential medical programs. The Hana community would not have accepted this transfer without the commitment to ensure the center's continued viability.
The legislature further finds that Hana is one of the most isolated areas in the State. During the rainy season from October to March, the frequent storms often wash out the roadways and disrupt electricity and telephone service. Hana town is fifty-seven miles from Wailuku, and the trip takes two hours along a single lane road with six hundred seventeen turns and fifty-six one-lane bridges. The district is made up of small, isolated settlements scattered over more than two hundred square miles. Many of the villages are located a minimum of forty-five minutes from the main town of Hana.
The Hana Community Health Center provides a hybrid of services. Unlike most clinics, the center must also coordinate activities with the ambulance services and provide assistance in stabilizing patients with life-threatening illnesses or traumatic injuries. These services are required twenty-four hours a day because the center is the only health care provider in the district. The coordination of emergency services and provision of life support care is absolutely essential to the three thousand residents of Hana and the five hundred thousand tourists who visit annually.
Hana also has some of the worst health and socioeconomic indicators in the State. Native Hawaiians account for sixty-five per cent of all the center's patients. Hana is federally designated as a medically underserved population, dental underserved population, and as a health professional shortage area. The center currently provides prevention-oriented health care, acute and chronic care, urgent care, limited laboratory testing, limited x-ray services, and prepackaged medications in lieu of a full pharmacy. A greatly reduced level of home health care is also provided, and seniors and those with mobility problems have benefited from this program.
In fiscal year 2001-2002, the center provided medical care to one thousand five hundred forty-nine patients, who made four thousand eight hundred nineteen visits, an increase of almost seven per cent from the previous fiscal year. Visitors accounted for twenty-five per cent of the patients, all of whom required urgent or emergency care. Almost nineteen per cent of the patients served did not have health insurance, and twenty per cent of the patients receiving care were insured through a medicaid or medicare health plan.
Dental care was initiated in October 1999 with the financial support of private foundations. The center provided dental services to two hundred twenty-seven patients, who made four hundred twenty-eight visits to the dentist between October 1999 and June 2000. Forty per cent of those dental patients were children and adolescents. One-third of patients served had no dental insurance, and twenty-one per cent of those receiving care were insured through a medicaid dental plan.
In March 2000, through a small federal grant, the center started "Mai E Ai", a lunch program for seniors age sixty years or older. Based on the traditional Hawaiian diet, a "local style" cooking, healthy meals prepared mostly from food available in the Hana district are served three days a week. Mai E Ai includes a physical fitness program before lunch and transportation to and from the program for kupuna in need. Home delivered meals are provided for those seniors unable to participate in the program due to physical limitations. Between March 20, 1999 and June 30, 2000, Mai E Ai served four hundred eighty congregate meals and one hundred ninety-eight home delivered meals to thirty-five kupuna.
When the center was operating as the Hana medical center as part of the State's community hospitals system, it required a subsidy of approximately $1,500,000 annually. Immediately upon transfer of the Hawaii health systems corporation in fiscal year 1997-1998, the legislature reduced its appropriation for the center's operations to $1,064,000. This was a thirty per cent reduction in funding in its first year of operation. In fiscal year 1998-1999, the legislature appropriated $800,000 for the operation of the center, $264,000 less than the amount appropriated the year before, or a second reduction of twenty-five per cent in the center's second year of operation. In the following year, the legislature appropriated $750,000 for operations, a further reduction of six per cent during the center's third year of operation. In fiscal year 2000-2001, the legislature maintained the appropriation at the $750,000 level. This amount is at least fifty per cent less than the cost of operations before the transfer to the center, or $617,300 less than what it cost the State to operate. The center operated at a $123,536 deficit in fiscal year 1998-1999 and a $53,463 deficit in fiscal year 1999-2000, which was covered by a $243,000 bank loan.
The center has demonstrated an ability to generate funds from a variety of funding sources for the initiation of new programs and services. However, State support will always be required to fund core medical services. This is a fact recognized by the state administration and the legislature prior to privatization.
The purpose of this part is to appropriate funds to the Hana Community Health Center to allow it to continue its current level of operations.
SECTION 7. There is appropriated out of the emergency and budget reserve fund the sum of $500,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to department of education funding in Act 200, Session Laws of Hawaii 2003, for mental/behavioral health services for Hana high and elementary school.
The sum appropriated shall be expended by the department of education for the purposes of this part.
SECTION 8. There is appropriated out of the emergency and budget reserve fund the sum of $700,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy, pursuant to chapter 42F, Hawaii Revised Statutes, to the Hana Community Health Center for operational expenses.
SECTION 9. There is appropriated out of the emergency and budget reserve fund the sum of $500,000, or so much thereof as may be necessary for the fiscal year 2004-2005, as a grant-in-aid pursuant to chapter 42F, Hawaii Revised Statutes, to the Hana Community Health Center for a capital improvement project for a nutrition training center.
The sums appropriated in sections 8 and 9 shall be expended by the department of health for the purposes of this part.
PART IV
SECTION 10. The legislature finds that the health of Molokai residents is at risk, with nearly one in six residents diagnosed with diabetes. Lamalama Ka 'Ili Community Health Services of Molokai General Hospital is a program dedicated to the health and well being of Molokai residents. Lamalama Ka 'Ili offers a diabetes self management education program (which includes diabetes education, nutrition counseling, free blood sugar checks, and access to a diabetes specialist) that is recognized by the American Diabetes Association. Additionally, Lamalama Ka 'Ili offers a certified hospice program, which provides end of life care for Molokai residents and their families, cancer care management, palliative care, a cancer patient support group, and a myriad of other programs including telemedicine video conference services.
The purpose of this part is to provide financial support to Molokai General Hospital for Lamalama Ka 'Ili Community Health Services to fund its programs and general operating costs.
SECTION 11. There is appropriated out of the emergency and budget reserve fund the sum of $50,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to Molokai General Hospital for Lamalama Ka 'Ili Community Health Services programs and general operating costs.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART V
SECTION 12. Molokai General Hospital is the only hospital on the island of Molokai and serves a population of approximately seven thousand residents. The hospital is a thirty-bed facility with fourteen acute care and sixteen long-term care beds. It provides twenty-four hour emergency care, urgent care, acute medical and pediatric inpatient care, low risk midwifery care, radiology services, ultrasound services, laboratory services, respiratory therapy, and physical therapy.
Although Molokai General Hospital is not a state hospital, it receives a monthly subsidy from the State, as a community hospital, and also receives aid from the county of Maui and federal grants and contracts. Molokai General Hospital receives most of its financial and management support as a subsidiary of Queen's Health Systems. However, because of the Queen's Health Systems' recent decrease in revenues, Molokai General Hospital's financial support has been severely affected. Thus, Molokai General Hospital must rely on increased financial support from the State, the county of Maui, and federal grants.
The purpose of this part is to provide financial support to Molokai General Hospital for its operating costs.
SECTION 13. There is appropriated out of the emergency and budget reserve fund the sum of $750,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for the operating costs of Molokai General Hospital.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART VI
SECTION 14. The legislature finds that donated dental services have been in operation since 1986 when the National Foundation for Dentistry for the Handicapped started the first donated dental services program in Colorado for individuals who are elderly, disabled, or medically compromised. This program links eligible individuals with volunteer dentists who provide needed dental care services. The National Foundation for Dentistry for the Handicapped is a charitable affiliate of the American Dental Association.
The legislature further finds that Hawaii is one of thirty-three states implementing a donated dental services program. The program began in January 2002 and is administered by the department of health, through the state council on developmental disabilities. Since the program started, thirty-seven individuals received completed dental care services with a total value of completed treatment of $81,550. The program involves fifty-eight volunteer dentists and twenty volunteer dental laboratories. However, without additional financial support, the donated dental services program in Hawaii is scheduled to end on March 31, 2004.
In an effort to address and support the dental care needs of people who are elderly, disabled, or medically compromised in Hawaii, the legislature appropriated $83,320 to the program for two previous fiscal years. There is a need to financially support the donated dental services program in order to implement the program for the next fiscal year 2004-2005. The purpose of this part is to appropriate funds to continue implementation of the donated dental services program in Hawaii.
SECTION 15. There is appropriated out of the emergency and budget reserve fund the sum of $30,765, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for the donated dental services program in Hawaii.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART VII
SECTION 16. The legislature finds that community health centers and clinics provide much needed, high quality primary health care services to Hawaii's rural communities. These health centers are safety net providers of quality primary care services to all, on a sliding scale, regardless of insurance status or ability to pay. These facilities include the Kahuku Hospital on Oahu, the Molokai General Hospital, and the Hana Community Health Center on Maui among others. To cover the operational costs of providing quality care, community health centers generally rely on funding from a number of sources including federal and state funding, as well as from private grants.
The legislature further finds that the Waianae Coast Comprehensive Health Center is of particular concern. The forty thousand residents of Waianae, Oahu, due to their isolated location, rely heavily on the emergency medical services of the Waianae Coast Comprehensive Health Center, as the nearest emergency room is twenty miles away at St. Francis-West. The Waianae health center has only one ambulance and a twenty-four-hour emergency room. The lack of resources has considerable consequences for Waianae residents and visitors alike. The twenty-four-hour emergency room at the Waianae Coast Comprehensive Health Center may be closed unless continued legislative support is received.
The purpose of this part is to appropriate funds to cover operating costs of the twenty-four-hour emergency room at the Waianae Coast Comprehensive Health Center.
SECTION 17. There is appropriated out of the emergency and budget reserve fund sum of $750,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for emergency services at the Waianae Coast Comprehensive Health Center.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART VIII
SECTION 18. The legislature finds that Hawaii's community health centers provide family-oriented, high quality primary medical, dental, and behavioral health care services for people living in rural and urban medically underserved communities. These health centers exist in areas where economic, geographic, or cultural barriers limit access to primary health care for a substantial portion of the population, and they tailor services to the needs of the community. Such centers include: the Hana Community Health Center and Community Clinic of Maui; the Hamakua Health Center and Bay Clinic on the island of Hawaii; and the Kokua Kalihi Valley Comprehensive Family Services, Queen Emma Clinics, and the Kalihi-Palama, Waikiki, Waimanalo, and Waianae Coast Comprehensive Health Centers on Oahu. Residents, neighbor island visitors, and tourists statewide rely on community health centers to provide a wide array of medical services in rural communities.
The legislature further finds that the estimated number of Hawaii residents who do not have health insurance has doubled -- growing from 68,200 in 1996 to 135,900 in 2001. This increase generates a considerable economic impact on the State's hospitals, community health centers, and other participants in the health care industry and threatens their ability to effectively serve the whole community.
The legislature further finds that it is in the best interest of the State to ensure access to primary and preventive health care for its residents. Access to health care gives rise to a healthier population, who can then play a key role in the economic revitalization of our State. Moreover, providing access to care reduces state expenditures attributable to hospital and emergency room services for preventable injuries or illnesses.
SECTION 19. (a) The legislature finds that, while community health centers represent the best system of community-based primary care for uninsured people, financial support for community health centers is inadequate to meet increasing demands. More specifically, community health centers have experienced a forty-one per cent increase in uninsured visits since 1997.
(b) The legislature shall provide cost-effective primary medical, dental, and behavioral care for Hawaii residents who are uninsured, to ensure that the community health center system remains financially viable and stable in the face of a growing population of uninsured. The legislature shall budget for these services as long as this health crisis exists.
SECTION 20. There is appropriated out of the emergency and budget reserve fund the sum of $750,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for Kauai Community Health Center.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART IX
SECTION 21. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $90,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to Hale Mahaolu for the personal care program for disabled or chronically ill frail adults and elders residing in Maui county.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART X
SECTION 22. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $200,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, to provide treatment services for child victims of intrafamilial sexual abuse, including psychological treatment and case management services for child victims and their families who are not covered under the child protective services system of the department of human services.
The sum appropriated shall be expended by the judiciary via the children's justice center for the purposes of this part.
PART XI
SECTION 23. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $150,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for forensic medical examinations of children in foster custody placements.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XII
SECTION 24. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $100,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to the Hawaii Youth Services Network for its Transitional Living Program for Unserved Street Youth.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XIII
SECTION 25. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $100,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for substance abuse services for youth and adolescents, including, but not limited to, preventive services, school education programs, counseling, evaluation, treatment, therapy, family services, case management, recovery services, and substance abuse treatment services, and the coordination of these services.
The sum appropriated shall be expended by the department of health for the department's alcohol and drug abuse division for the purposes of this part.
PART XIV
SECTION 26. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $1,000,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for the residential alternative community care program.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XV
SECTION 27. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $200,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for the chore services program.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XVI
SECTION 28. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $300,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, for the bridge to hope program, including one position for outreach; provided that if federal funds are made available to fund any portion of bridge to hope Temporary Assistance to Needy Families program participant costs, then the sum appropriated by this section shall be reduced by the amount of federal funds received and the state funds that were replaced by federal funds shall lapse to the emergency and budget reserve fund.
The sum appropriated shall be expended by the University of Hawaii for the purposes of this part.
PART XVII
SECTION 29. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $200,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to Volunteer Legal Services Hawaii for its Na Keiki Law Center project focusing on protecting the legal rights of children.
The sum appropriated shall be expended by the department of labor and industrial relations for the office of community services, for the purposes of this part.
PART XVIII
SECTION 30. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $100,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to fund the continuation of the Kaneohe Community Family Center's core services, particularly for families that are low-income, unemployed, or underemployed and families of at-risk youths. Core services include information and referral, support and self-help, parenting education, family strengthening, job readiness and career development, and community leadership.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XIX
SECTION 31. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $100,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to fund the continuation of the Kuhio Park Terrace Family Center's core services to low-income individuals and families residing in Kuhio Park Terrace and Kuhio Homes. Core services include:
(1) Family strengthening activities such as linking families to supportive services, offering parenting classes and parent/child activities, and providing emergency rental assistance;
(2) Education and life skills support, such as computer and literacy classes and training of volunteers;
(3) Pre-employment activities; and
(4) Community improvement through community celebrations.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XX
SECTION 32. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $300,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, for the operation of the Waipahu Community Adult Day Health Center and Youth Day Care Center pilot project.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXI
SECTION 33. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $150,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, for the Domestic Violence Clearinghouse and Legal Hotline for Maui program services.
The sum appropriated shall be expended by the judiciary, circuit court of the second circuit, for the purposes of this part.
PART XXII
SECTION 34. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $421,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to the Blueprint for Change for the delivery of diversion services and child protective services to target families, including the establishment of additional sites for neighborhood places.
The sum appropriated shall be expended by the department of human services for the purposes of this part.
PART XXIII
SECTION 35. There is appropriated out of the emergency and budget reserve fund the sum of $150,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for costs related to homeless assistance.
The sum appropriated shall be expended by the housing and community development corporation of Hawaii for the purposes of this part.
PART XXIV
SECTION 36. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $500,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, for existing Kalihi area youth service centers; provided that moneys not required by existing Kalihi area youth service centers may be used for other youth service centers in the State.
The sum appropriated shall be expended by the department of human services for the office of youth services for the purposes of this part.
PART XXV
SECTION 37. There is appropriated out of the emergency and budget reserve fund the sum of $750,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, to Kahuku hospital to fund the costs of emergency room operations, inpatient and outpatient care for the underinsured, medical malpractice insurance, and labor.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXVI
SECTION 38. There is appropriated out of the emergency and budget reserve fund the sum of $500,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for Wahiawa General Hospital to provide indigent care services.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXVII
SECTION 39. There is appropriated out of the emergency and budget reserve fund the sum of $50,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, to the St. Francis Medical Center for the operations of the bone marrow registry.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXVIII
SECTION 40. There is appropriated out of the emergency and budget reserve fund the sum of $75,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to the Maui AIDS Foundation for the case management program.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXIX
SECTION 41. There is appropriated out of the emergency and budget reserve fund the sum of $1,450,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, to the department of health to provide resources to nonprofit, community-based health-care providers to care for the uninsured. This appropriation shall pay for providing direct care, which includes primary medical, dental, and mental health care, and may pay for the purchase of prescription drugs. The department of health may distribute moneys on a per visit basis, taking into consideration need on all islands.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXX
SECTION 42. There is appropriated out of the emergency and budget reserve fund the sum of $300,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a subsidy pursuant to chapter 42F, Hawaii Revised Statutes, for the Kapiolani Medical Center for Women and Children Sex Abuse Treatment Center master contract.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXXI
SECTION 43. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $300,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant-in-aid to the county of Hawaii for the establishment of an adolescent treatment center to treat poly-drug abuse on the island of Hawaii.
The sum appropriated shall be expended by the county of Hawaii for the purposes of this part.
PART XXXII
SECTION 44. There is appropriated out of the emergency and budget reserve fund of the State of Hawaii the sum of $100,000, or so much thereof as may be necessary for fiscal year 2004-2005, as a grant-in-aid to the county of Hawaii for community anti-drug efforts aimed at preventing crystal methamphetamine use on the island of Hawaii.
The sum appropriated shall be expended by the county of Hawaii for the purposes of this part.
PART XXXIII
SECTION 45. There is appropriated out of the emergency and budget reserve fund the sum of $450,000, or so much thereof as may be necessary for fiscal year 2004-2005, pursuant to chapter 103F, Hawaii Revised Statutes, for the department of health to contract with primary health care centers for comprehensive oral health services to underserved children.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART XXXIV
SECTION 46. There is appropriated out of the emergency and budget reserve fund the sum of $200,000, or so much thereof as may be necessary for fiscal year 2004-2005, to develop a plan to implement the Hawaii Rx program to carry out the purposes of chapter 346, part XIII, Hawaii Revised Statutes.
The sum shall be expended by the department of human services; provided that the department shall provide a quarterly progress report on the plan development to the legislature; and provided further that the department shall provide a progress report to the legislature no later than twenty days prior to the convening of the 2005 regular session.
PART XXXV
SECTION 47. This Act shall take effect on July 1, 2004.