STAND. COM. REP. NO.  536-22

 

Honolulu, Hawaii

                , 2022

 

RE:   H.B. No. 1794

      H.D. 2

 

 

 

 

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-First State Legislature

Regular Session of 2022

State of Hawaii

 

Sir:

 

     Your Committee on Health, Human Services, & Homelessness, to which was referred H.B. No. 1794, H.D. 1, entitled:

 

"A BILL FOR AN ACT RELATING TO OPIOIDS,"

 

begs leave to report as follows:

 

     The purpose of this measure is to require the Department of Health to:

 

     (1)  By January 1, 2024, implement standardized quality metrics to track and address health care processes or outcomes applicable to improving the quality of care and targeting improvements in outcomes for patients having opioid use disorders;

 

     (2)  Implement value-based purchasing based on the standardized quality metrics by July 1, 2024, to be applicable to all state purchases of health and human services entered into after July 1, 2024;

 

     (3)  Collect data from health service providers on levels of opioid prescriptions, use of opioids in health care settings, and patient interactions for opioid use disorders;

 

     (4)  Annually report to the Legislature on the compiled data and any updates on the implementation of value-based purchasing; and

 

     (5)  Establish a working group to determine major shifts in operations and clinical models that substance use disorder treatment providers need to make before adjusting to efforts to incentivize new demands for higher quality care.

 

     Your Committee received comments on this measure from the Department of Health and Hawaii Psychiatric Medical Association.

 

     Your Committee finds that this measure seeks to improve the quality of health care to patients with opioid use disorders by requiring the Department of Health to develop measurement tools and collect data that correlates payments to providers with measures of quality of care and outcomes delivered.  Your Committee, however, recognizes the concerns of the Department of Health that the deadlines presented do not provide sufficient time to complete the requirements under this measure.

 

     Accordingly, your Committee has amended this measure by:

 

     (1)  Delaying by six months the date by which the Department of Health shall develop and implement standardized quality metrics to track and address the required health care processes and outcomes; and

 

     (2)  Delaying by six months the date by which the Department of Health shall implement value-based purchasing based on those standardized quality metrics.

 

     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. 1794, H.D. 1, as amended herein, and recommends that it be referred to your Committee on Consumer Protection & Commerce in the form attached hereto as H.B. No. 1794, H.D. 2.

 

 


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

 

 

 

 

____________________________

RYAN I. YAMANE, Chair