STAND. COM. REP. NO.  563-18


Honolulu, Hawaii

                , 2018


RE:   H.B. No. 538

      H.D. 1





Honorable Scott K. Saiki

Speaker, House of Representatives

Twenty-Ninth State Legislature

Regular Session of 2018

State of Hawaii




     Your Committee on Health & Human Services, to which was referred H.B. No. 538 entitled:




begs leave to report as follows:


     The purpose of this measure, as received by your Committee, is to require the Department of Health to charge and collect fees for the licensing, relicensing, certification, and recertification of community care facilities and submit a report to the Legislature on the fees.


     For the purposes of a public hearing on this measure, your Committee circulated a proposed H.B. No. 538, H.D. 1 (Proposed Draft), and notified the public that it would be accepting testimony on the proposal, which would create the Intellectual and Developmental Disabilities Medicaid Waiver Administrative Claiming Special Fund to provide funding for the operation of the Hawaii Medicaid Section 1915(c) Home and Community-Based Services for People with Intellectual and Development Disabilities waiver.


     The Department of Human Services, Department of Health, The Arc in Hawaii, The Arc of Kona, Advantage Health Care Provider, and several individuals supported the Proposed Draft.  Full Life provided comments.



     Your Committee recognizes the comments made by Advantage Health Care Provider and its testimony, which noted that improvements in the home and community-based care services can serve to achieve the following goals:


     (1)  Improving patient/client experience;


     (2)  Improving the quality of care being delivered; and


     (3)  Decreasing costs by looking at interventions and strategies such as standardizations, consolidation of similar services, removal of duplicative services, utilizing qualified staff, and adapting scientifically proven strategies and evidence-based practice.


     Your Committee considered the merits of both H.B. No. 538, as introduced, and the Proposed Draft, and upon careful consideration, recommends passage of the Proposed Draft.


     Your Committee has further amended this measure by changing its effective date to July 1, 3000, to encourage further discussion.


     As affirmed by the record of votes of the members of your Committee on Health & Human Services that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 538, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 538, H.D. 1, and be referred to your Committee on Finance.



Respectfully submitted on behalf of the members of the Committee on Health & Human Services,