COM. REP. NO. 348-22
RE: H.B. No. 1773
Honorable Scott K. Saiki
Speaker, House of Representatives
Thirty-First State Legislature
Regular Session of 2022
State of Hawaii
Your Committee on Health, Human Services, & Homelessness, to which was referred H.B. No. 1773 entitled:
"A BILL FOR AN ACT RELATING TO HEALTH,"
begs leave to report as follows:
purpose of this measure is to
appropriate state funds required to draw down the federal matching funds to
extend Medicaid postpartum coverage to twelve months following the end of
Your Committee received testimony in support of this measure
from the Executive Office on Early Learning; Hawaii State Commission on the
Status of Women; American Heart Association; AlohaCare; Hawaii Medical Service
Association; Hawaii Association of Health Plans; Early Childhood Action
Strategy; Healthcare Association of Hawaii; Healthy Mothers Healthy Babies;
Planned Parenthood Alliance Advocates-Hawai‘i; Hawaii Children's Action Network Speaks!;
Hawaii Women Lawyers; Hawai‘i Section of the Obstetricians and
Gynecologists; American Academy of Pediatrics, Hawaii Chapter; Save Medicaid
Hawaii; Hawaii Medical Association; Hawaii Family Forum; Hawai‘i
Pacific Health; Kaiser Permanente Hawai‘i; UnitedHealthcare; Hawai‘i
Public Health Association; Hawaii Primary Care Association; Hawaii Women's
Coalition; ‘Ahahui o Nā Kauka; and eighteen individuals. Your Committee received comments on this
measure from the Department of Budget
and Finance and Department of Human Services.
Your Committee finds that the twelve months following childbirth are a critical time, as women are more likely to die of pregnancy-related conditions during this period than during pregnancy or childbirth. Your Committee further finds that Medicaid pregnancy coverage, which pays for nearly half of all births in the United States, expires sixty days after childbirth. However, a provision in the American Rescue Plan Act of 2021 gives states a new option to extend Medicaid postpartum coverage to twelve months via a state plan amendment. This measure appropriates the state funds necessary to draw down federal matching funds to extend Medicaid postpartum coverage to twelve months following the end of pregnancy, which will improve health access for women and children by providing stability and continuity of care with known and trusted providers.
As affirmed by the record of votes of the members of your Committee on Health, Human Services, & Homelessness that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1773 and recommends that it pass Second Reading and be referred to your Committee on Finance.
Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,
RYAN I. YAMANE, Chair