Honolulu, Hawaii



RE:    H.B. No. 1440

       H.D. 1

       S.D. 1




Honorable Donna Mercado Kim

President of the Senate

Twenty-Eighth State Legislature

Regular Session of 2015

State of Hawaii




     Your Committee on Ways and Means, to which was referred H.B. No. 1440, H.D. 1, entitled:




begs leave to report as follows:



The purpose and intent of this measure is to make an appropriation to support the Hawaii Keiki:  Healthy and Ready to Learn program.


     Your Committee received testimony in support of this measure from the University of Hawaii, Kapiolani Child Protection Center and the Sex Abuse Treatment Center, Hawaii Pacific Health, Project Vision Hawaii, and six individuals.


     Your Committee finds that a growing body of research supports the effectiveness of school nurses in addressing chronic childhood conditions.  Since July 2014, the Hawaii Keiki: Healthy and Ready to Learn program, in partnership with the Department of Education, has worked to increase access to healthcare for children by providing school health nursing and primary care services to public schools in five complex areas.  Your Committee further finds that there are plans to expand the Hawaii Keiki: Health and Ready to Learn program to all fifteen Department of Education complex areas.


     Your Committee believes that expansion of this program will make it possible to provide services that reflect the individual community health needs of each complex area.  Your Committee finds that the registered nurses and advanced practice registered nurses currently in the schools are having a transformative effect by providing their schools with information on the kinds of health and wellness barriers that exist for their students.  By making strategic decisions based on this data and laying the foundation for school-based community health services, private providers, funders, and other state agencies have now come to the table to focus on further expansion and sustainability.


     Your Committee has amended this measure by changing the effective date to July 1, 2051, to facilitate further discussion on the measure.


     As affirmed by the record of votes of the members of your Committee on Ways and Means that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1440, H.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as H.B. No. 1440, H.D. 1, S.D. 1.


Respectfully submitted on behalf of the members of the Committee on Ways and Means,