S.C.R. NO.














urging the hawaii health systems corporation to expand the kau rural health clinic to improve access to urgent care and outpatient behavioral health services.



WHEREAS, individuals with pre-existing mental health conditions may be particularly vulnerable in an emergency; and


WHEREAS, social isolation and loneliness are closely linked to poor health, with recent data from 2020 showing that a significantly higher proportion of people who sheltered-in-place during the coronavirus disease 2019 (COVID-19) stay-at-home order reported negative mental health effects resulting from worry or stress compared to those who did not shelter-in-place; and


WHEREAS physical isolation and loneliness during the COVID‑19 pandemic may present specific health risks for households with adolescents and older adults; and


WHEREAS, rural health clinics help to address the inadequate number of physicians available to serve Medicare beneficiaries in rural areas and increase the availability of medically necessary, face-to-face primary health services and qualified preventative health services furnished by rural health clinic practitioners, including physicians, nurse practitioners, physical assistants, certified nurse-midwives, clinical psychologists, and social workers; and


WHEREAS, in rural, tight-knit communities where there is little privacy, residents are dissuaded from seeking mental health service for fear of community condemnation, prejudices, or negative perceptions; and


WHEREAS, rural health clinics serve an essential role in underserviced communities such as Kau on Hawaii island, enabling greater accessibility to behavioral health services for Medicaid patients; now, therefore,


BE IT RESOLVED by the Senate of the Thirty-first Legislature of the State of Hawaii, Regular Session of 2021, the House of Representatives concurring, that the Hawaii Health Systems Corporation is urged to expand the Kau Rural Health Clinic to improve access to urgent care and outpatient behavioral health services; and


BE IT FURTHER RESOLVED that a certified copy of this Concurrent Resolution be transmitted to the Board of Directors of the Hawaii Health Systems Corporation.









Report Title:

Hawaii Health Systems Corporation; Kau Rural Health Clinic; Mental Health