Honolulu, Hawaii



RE:    S.B. No. 2348

       S.D. 1




Honorable Donna Mercado Kim

President of the Senate

Twenty-Seventh State Legislature

Regular Session of 2014

State of Hawaii




     Your Committee on Health, to which was referred S.B. No. 2348 entitled:




begs leave to report as follows:


     The purpose and intent of this measure is to appropriate funds to establish two special emergency medical response vehicle units to be based in the Puna and Makalei areas on the island of Hawaii, including acquisition of vehicles, equipment, and personnel costs for state-certified emergency medical service personnel.


     Your Committee received testimony in support of this measure from the Department of Health; Hawaii Fire Department; American Medical Response, Hawaii County; and three individuals.


     Your Committee finds that there are increasing demands for emergency medical services on the island of Hawaii, particularly in Puna and Makalei.  Given the growing volume of 911 requests, total land area of these districts, time to access remote populations, and transport distance to the nearest hospital, the total time to complete a transport can be close to two hours before an ambulance unit becomes available in the district after it is dispatched.  Your Committee further finds that emergency medical situations are time sensitive, and rapid response by emergency medical service providers often makes the difference between life and death.


     Your Committee notes that the cost to operate an advanced life support ambulance in these districts is approximately $1,000,000 per year.  Your Committee further notes that one of the vehicles that will serve as an advanced life support ambulance will be donated; therefore, only one ambulance will be purchased using the appropriation funds.


     Your Committee has amended this measure by appropriating funds to establish and fund the operation of two advanced life support ambulances, instead of special emergency medical response vehicle units, and making conforming amendments throughout the measure accordingly.


     As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 2348, as amended herein, and recommends that it pass Second Reading in the form attached hereto as S.B. No. 2348, 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,