Bill Text: HI SB3129 | 2024 | Regular Session | Amended


Bill Title: Relating To Health.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Engrossed) 2024-03-14 - The committee(s) on HLT recommend(s) that the measure be deferred. [SB3129 Detail]

Download: Hawaii-2024-SB3129-Amended.html

THE SENATE

S.B. NO.

3129

THIRTY-SECOND LEGISLATURE, 2024

S.D. 2

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO HEALTH.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  The legislature finds that Hawaii residents deserve universal access and equity to quality health care at an affordable cost.  The Hawaii Prepaid Healthcare Act of 1974, the State Health Insurance Program Act of 1989, and the current successful med-QUEST program administered by the department of human services, are true examples of the State's remarkable tradition of health system reform innovation.  However, the State presently falls short of access to health care insurance with approximately eighty thousand uninsured and many more underinsured residents.

     The legislature also finds that with increasing health care insurance costs; excessive regulatory, administrative, and delivery system complexities; growing unaffordability for families, businesses, and government; unacceptable variation in outcomes despite numerous examples of high-quality care; and growing stresses on recruiting and retaining sufficient health care professionals, a renewed commitment towards guaranteeing universal coverage, streamlined administrative costs, and health system modernization are necessary.

     Presently, the state health planning and development agency administers the statewide health planning and cost containment activities.  While the state health planning and development agency has an effective certificate of need program, it is not sufficient to contain health care costs.  Furthermore, existing law requires health plans funded by the Hawaii employer-union health benefits trust fund and the state medicaid agency to provide administrative data, including health and dental insurance data, to the state health planning and development agency.  This data, along with the acquisition of medicare data sets specific to Hawaii, is necessary to facilitate greater transparency and understanding of health care costs, health care system quality, population health conditions, and health care disparities.

     Therefore, the purpose of this Act is to establish a task force known as the hui hoʻomana, which means "group to transform and empower", to make recommendations to achieve universal access and equity to quality health care at an affordable cost for state residents.

     SECTION 2.  (a)  There is established the hui hoʻomana within the state health planning and development agency for administrative purposes only, to make recommendations to achieve universal access and equity to quality health care at an affordable cost for state residents.

     (b)  The hui hoʻomana shall consist of up to twenty-six voting members and ten nonvoting ex officio members.  The voting members shall include:

     (1)  The administrator of the state health planning and development agency or the administrator's designee;

     (2)  The director of health or the director's designee;

     (3)  The director of human services or the director's designee;

     (4)  The insurance commissioner or the commissioner's designee;

     (5)  The chief executive officer of the Hawaii health systems corporation or the chief executive officer's designee;

     (6)  The administrator of the Hawaii employer-union health benefits trust fund or the administrator's designee;

     (7)  The dean of the university of Hawaii John A. Burns school of medicine or the dean's designee;

     (8)  The dean of the university of Hawaii Nancy Atmospera-Walch school of nursing or the dean's designee;

     (9)  One representative from the city and county of Honolulu who shall be selected by the mayor of the city and county of Honolulu;

    (10)  One representative of the county of Kauai who shall be selected by the mayor of the county of Kauai;

    (11)  One representative of the county of Maui who shall be selected by the mayor of the county of Maui; and

    (12)  One representative of the county of Hawaii who shall be selected by the mayor of the county of Hawaii.

     The administrator of the state health planning and development agency shall invite the following individuals or their designees to participate on the hui hoʻomana as voting members:

     (1)  The president of the National Association of Social Workers, Hawaii Chapter;

     (2)  The president and chief executive officer of the Hawaii Medical Service Association;

     (3)  One representative of the Kaiser Foundation Health Plan and Hospitals;

     (4)  The president and chief executive officer of the Healthcare Association of Hawaii;

     (5)  The chief executive officer of the Hawaii Primary Care Association;

     (6)  The executive director of the Hawaii Medical Association;

     (7)  The executive director of the Hawaii - American Nurses Association;

     (8)  The president and chief executive officer of The Queen's Health System;

     (9)  The president and chief executive officer of Hawaii Pacific Health;

    (10)  The president of the Accountable Healthcare Alliance of Rural Oahu;

    (11)  The chief executive officer of Papa Ola Lōkahi;

    (12)  The chief executive officer of AlohaCare;

    (13)  The state director of AARP Hawaii; and

    (14)  The president of the Hawaii Pharmacists Association.

     The nonvoting ex-officio members of hui hoʻomana shall include:

     (1)  The chief of staff from the office of the governor or the chief's designee;

     (2)  The chair of the senate standing committee on health and human services or the chair's designee;

     (3)  The chair of the house of representatives standing committee on health and homelessness or the chair's designee;

     (4)  Two members selected and invited by the administrator of the state health planning and development agency from the statewide health coordinating council who shall be confirmed by the senate;

     (5)  The director of corrections and rehabilitation or the director's designee;

     (6)  One member from the department of health with expertise in rural health who shall be selected by the director of health;

     (7)  The director of the executive office on aging or the director's designee;

(8)  The attorney general or the attorney general's designee;

     (9)  The superintendent of education or the superintendent's designee; and

    (10)  The director of commerce and consumer affairs or the director's designee.

     The first meeting of the hui hoʻomana shall be held no later than thirty days after the enactment of this Act, at which the members shall elect a chair, vice chair, and any other necessary officers from among the members.

     A majority of the hui hoʻomana voting members present at any given meeting shall constitute a quorum to conduct business.

     The hui hoʻomana shall meet not less than quarterly and may meet more often than quarterly.  The state health planning and development agency shall provide administrative and clerical support required by the hui hoʻomana.

     (c)  The hui hoʻomana shall:

     (1)  Identify and prioritize necessary actions for a comprehensive plan to provide universal access to equitable and affordable high-quality health care for state residents;

     (2)  Determine a responsible party, timelines, and deadline for each necessary action identified in the comprehensive plan; and

     (3)  Identify resources required and funding options, which may include financing from private, state, and federal entities.

     (d)  Members of the hui hoʻomana shall serve without compensation but may be reimbursed for reasonable expenses necessary for the performance of their duties, including travel expenses.

     (e)  The hui hoʻomana shall submit a report of its findings and recommendations, including any proposed legislation, to the legislature no later than twenty days prior to the convening of the regular session of 2025, and a final report of its findings and recommendations, including any proposed legislation, to the legislature before its dissolution.

     (f)  The hui hoʻomana shall be dissolved on July 1, 2025.

     SECTION 3.  If any part of this Act is found to be in conflict with federal requirements that are a prescribed condition for the allocation of federal funds to the State, the conflicting part of this Act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of the Act in its application to the agencies concerned.  The rules under this Act shall meet federal requirements that are a necessary condition to the receipt of federal funds by the State.

     SECTION 4.  This Act shall take effect on December 31, 2050.


 


 

 

Report Title:

SHPDA; Health Care Task Force; Hui Hoʻomana; Reports

 

Description:

Establishes the Hui Hoʻomana Task Force within the State Health Planning and Development Agency to develop a comprehensive plan to provide universal access to equitable and affordable high-quality health care for state residents, including defining action plan items, setting timeline and deadline for each action item, and identifying resources required and funding options. Requires reports to the Legislature. Dissolves the Hui Hoʻomana Task Force on 7/1/2025.  Takes effect 12/31/2050.  (SD2)

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.

 

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