STAND. COM. REP. NO. 1122
RE: H.B. No. 600
Honorable Donna Mercado Kim
President of the Senate
Twenty-Eighth State Legislature
Regular Session of 2015
State of Hawaii
Your Committee on Human Services and Housing, to which was referred H.B. No. 600, H.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO COMMUNITY CARE FOSTER FAMILY HOMES,"
begs leave to report as follows:
The purpose and intent of this measure is to authorize the Department of Health to permit two private-pay individuals who are married to be cared for in the same community care foster family home if certain qualifying conditions are met by the home and home operator.
Your Committee received testimony in support of this measure from the Adult Foster Home of the Pacific, Adult Foster Homecare Association of Hawaii, and numerous individuals. Your Committee received comments on this measure from the Department of Human Services and Department of Health.
Your Committee finds that community care foster family homes provide an essential function in the State by providing residents with housing, supervision, personal care, and assistance with daily living activities. Your Committee recognizes that the State's aging population has varying health needs, and that Medicaid clients as well as private-pay clients have limited options for long-term care. Your Committee finds that providing flexibility in the licensing options for community care foster family homes would allow the Department of Health to better address Hawaii's long-term care needs.
Your Committee has amended this measure by:
(1) Inserting language to allow civil union couples along with married couples to be cared for in the same community care foster family home;
(2) Making the Department of Health's authority to allow married or civil union couples to be cared for in the same community care foster family home discretionary regardless of the two individuals' payment sources so that couples that are not both private-pay and not both Medicaid recipients can still have the opportunity to be cared for in the same home;
(3) Inserting a provision giving the Department of Health the discretion to reassign one of the beds in the community care foster family home back to use for a Medicaid client as originally intended in section 321-481, Hawaii Revised Statutes, once the married or civil union relationship no longer exists in the home;
(4) Making the measure effective upon its approval; and
(5) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.
As affirmed by the record of votes of the members of your Committee on Human Services and Housing that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 600, H.D. 1, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 600, H.D. 1, S.D. 1, and be referred to the Committee on Ways and Means.
Respectfully submitted on behalf of the members of the Committee on Human Services and Housing,
SUZANNE CHUN OAKLAND, Chair