Bill Text: HI HB326 | 2012 | Regular Session | Amended


Bill Title: QUEST Telehealth Services; Hawaii Patient Centered Health Home Pilot Program; Hawaii Medicaid Modernization and Innovation Council

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Enrolled - Dead) 2012-04-13 - (H) Received notice of all Senate conferees being discharged (Sen. Com. No. 747). [HB326 Detail]

Download: Hawaii-2012-HB326-Amended.html

 

 

STAND. COM. REP. NO. 1152

 

Honolulu, Hawaii

                  

 

RE:    H.B. No. 326

       H.D. 1

       S.D. 2

 

 

 

Honorable Shan S. Tsutsui

President of the Senate

Twenty-Sixth State Legislature

Regular Session of 2011

State of Hawaii

 

Sir:

 

     Your Committee on Ways and Means, to which was referred H.B. No. 326, H.D. 1, S.D. 1, entitled:

 

"A BILL FOR AN ACT RELATING TO HEALTH,"

 

begs leave to report as follows:

 

     The purpose and intent of this measure is to:

 

(1)  Improve access to health care services for Medicaid and QUEST members in underserved areas of the State on the Big Island by allowing for the use of a mobile medical van equipped with access to telehealth services;

 

(2)  Implement a patient-centered health home pilot program to provide integrated health care services and preventative and lifestyle health services for Medicaid patients; and

 

(3)  Establish the Hawaii Medicaid Modernization and Innovation Council to develop and implement the patient-centered health home pilot program.

 

     Your Committee received comments in support of this measure from Jennifer Diesman, Vice President, Government Relations, Hawaii Medical Service Association; Beth Giesting, Chief Executive Officer, Hawaii Primary Care Association; D.V. Shaw, PhD, MPH, MBA, FACMP, Lanai Community Health Center; Susan B. Hunt, MHA, Chief Executive Officer, Hamakua Health Center, Inc.; and four individuals.

 

     Your Committee received comments in opposition to this measure from Patricia McManaman, Director, Department of Human Services.

 

     Your Committee received comments on this measure from Dr. Morris Mitsunaga, MD, President, Hawaii Medical Association.

 

     Your Committee finds that the mobile medical van program will increase access to medical care in underserved rural areas of the State where lower-income residents may not have ready access to medical facilities or health services.  The addition of telehealth capabilities to the mobile medical van will expand the provision of services beyond what is simply available on-site and allow consultations with medical specialists and clinics in other parts of the State or country.

 

     Your Committee also finds that the patient-centered health home model of health care coordination and delivery will be effective in providing Medicaid patients with access to comprehensive integrated health care services that emphasize preventative care and healthy lifestyle choices.  Your Committee believes that this program will improve patient outcomes while reducing long-term health care costs, especially among patients with chronic health conditions that require continual aggressive management.  Your Committee further finds that the Medicaid Modernization and Innovation Council, made up of representatives of many specialties and organizations within the health care delivery industry in Hawaii, will be an effective means of implementing a pilot patient-centered health home program. 

 

     Your Committee has amended this measure by:

 

(1)  Clarifying the intent of the mobile medical van program to serve as wide a segment of the low-income and rural population of the Kona and Kau communities as possible; and

 

(2)  Amending the effective date of this measure to July 1, 2117, to encourage further discussion on these issues.

 

     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. 326, H.D. 1, S.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as H.B. No. 326, H.D. 1, S.D. 2.

 

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

 

 

 

____________________________

DAVID Y. IGE, Chair

 

 

 

 

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