HOUSE OF REPRESENTATIVES
THIRTY-FIRST LEGISLATURE, 2021
STATE OF HAWAII
A BILL FOR AN ACT
RELATING TO HEALTH.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. This Act shall be known and may be cited as the "Fair Share Health Care Disclosure Act".
SECTION 2. The legislature finds that public assistance programs are essential to ensure that all residents have access to healthy food, quality health insurance, basic needs, cash assistance, child care, and income supports. These programs have helped millions of individuals rise out of poverty.
The legislature further finds that some employers have abused public assistance programs by providing their employees with low wages and poor benefits with the intention or expectation that the employees will enroll in public assistance programs to subsidize their income. Nationwide, this business strategy costs taxpayers billions of dollars per year and puts responsible businesses at a competitive disadvantage. For example, more than sixty per cent of enrollees in medicaid and the children's health insurance program are members of working families.
The legislature believes that large, profitable employers should pay wages and benefits that do not impoverish workers or shift costs to taxpayers.
The purpose of this Act is to require the department of human services to compile data and identify employers that have numerous employees enrolled in public assistance programs so that the legislature and other policy makers will have a deeper understanding of the causes and sources of underemployment and poverty wages, and the resulting economic impacts on society, business, and the state budget.
SECTION 3. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows:
share health care disclosure; report. (a) The department shall compile
data regarding employers having employees who receive public assistance,
including benefits under the state medicaid program and other health care related
services or benefits administered by the department, by reviewing employment
information submitted to the department by recipients. No later than twenty days prior to the
convening of each regular session, the department shall submit a report to the
legislature that identifies the fifty employers having the highest number of
employees who were recipients of public assistance during the previous fiscal
For each of the fifty employers, the report shall also include the:
(2) Number of
full-time and part-time employees during the previous fiscal year;
(3) Number of
recipients employed by the employer during the previous fiscal year;
(4) Number of
recipients who were a spouse or dependent of an employee;
(5) Cost to the
State, if available, of providing public assistance to the employees, spouses
of employees, and dependents of employees; and
(6) Number of
employees who were also recipients and were eligible to receive employer-provided
health benefits in excess of the minimum requirements established by chapter
The report shall not include the names or other personally identifiable
information of any employees, spouses of employees, or dependents of employees
and shall be subject to the privacy standards established pursuant to the
Health Insurance Portability and Accountability Act of 1996, P.L. 104-191,
and its related regulations, as may be amended.
The department of labor and industrial relations shall assist the
department in complying with this section, including sharing employment data.
As used in this section, "recipients" means employees who
receive public assistance as described in subsection (a)."
SECTION 4. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 2060.
Department of Human Services; Department of Labor and Industrial Relations; Public Assistance; Employers; Employees; Report
Requires the department of human services to compile information regarding employers having employees who receive public assistance and to submit an annual report to the legislature on the 50 employers with the highest number of employees receiving public assistance. Requires the department of labor and industrial relations to share employment data with the department of human services. Effective 7/1/2060. (HD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.