Bill Text: HI HR160 | 2014 | Regular Session | Introduced


Bill Title: Concerning the need to reduce the Hawaii Health Systems Corporation's operating deficits.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Passed) 2014-04-03 - Resolution adopted in final form. [HR160 Detail]

Download: Hawaii-2014-HR160-Introduced.html

HOUSE OF REPRESENTATIVES

H.R. NO.

160

TWENTY-SEVENTH LEGISLATURE, 2014

 

STATE OF HAWAII

 

 

 

 

 

HOUSE RESOLUTION

 

 

requesting the hawaii health systems corporation and its regional boards to submit plans and recommendations for reducing its operating deficits.

 

 

 


     WHEREAS, in 1970, the State assumed all responsibility for community hospitals that had previously been managed by the counties; and

 

     WHEREAS, the Office of the Auditor determined in 1971 that "self-sufficiency is one characteristic which is currently missing from the State hospital program", and that the hospitals were heavily dependent on subsidies from the State's general fund; and

 

     WHEREAS, the Office of the Auditor found in 1988 that these financial concerns and other issues remained unaddressed, and that the need for a major organizational restructuring had been thwarted by the lack of any executive-legislative consensus; and

 

     WHEREAS, the Office of the Auditor found in 1992 that the State's hospitals "have been continuously plagued with financial problems" that had required the appropriation of emergency funds to pay for the hospitals' operating deficits; and

 

     WHEREAS, Act 262 of 1996 established the Hawaii Health Systems Corporation as an independent state agency to operate the community hospitals; and

 

     WHEREAS, annual appropriations from the State's general fund to subsidize the Hawaii Health Systems Corporation rose to $37,000,000 by fiscal year 2006; and

 

     WHEREAS, a comprehensive independent review found in 2009 that the Hawaii Health Systems Corporation was "in a financially perilous condition", and projected that state subsidies would continue to climb; and

 

     WHEREAS, general fund appropriations to subsidize the Hawaii Health Systems Corporation are expected to total $105,500,000 for fiscal year 2014; and

 

     WHEREAS, the executive budget request for fiscal year 2015 would increase the State's subsidies to the Hawaii Health Systems Corporation to $133,900,000; and

 

     WHEREAS, the need for greater self-sufficiency that the Office of the Auditor identified in 1971 remains highly relevant today; and

 

     WHEREAS, in order to protect the financial well-being of the State, the rising tide of operating deficits and increasing general fund subsidies for the Hawaii Health Systems Corporation must be reversed, beginning in the next fiscal biennium; and

 

     WHEREAS, the Hawaii Health Systems Corporation should develop and implement a strategy to operate with smaller operating deficits each subsequent fiscal biennium; now, therefore,

 

     BE IT RESOLVED by the House of Representatives of the Twenty-seventh Legislature of the State of Hawaii, Regular Session of 2014, that the Hawaii Health Systems Corporation and each of its five regional boards are requested to submit to the Legislature, not later than twenty days prior to the convening of the Regular Sessions of 2015 and 2016, long-term, multi-biennium plans to reduce the Corporation's operating deficits; and

 

     BE IT FURTHER RESOLVED that these long-term plans include options that the Legislature may consider for effecting large-, medium-, and small-scale deficit reductions, along with the corporation's recommendations for changes in expenditures, revenues, services, access, and other relevant aspects of its operations; and

 

     BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Chair of the Hawaii Health Systems Corporation Board of Directors, the Chairs of the Kauai, East Hawaii, West Hawaii, Maui, and Oahu Regional Boards of the Hawaii Health Systems Corporation, the Director of Health, and the Governor.

 

 

 

 

OFFERED BY:

_____________________________

 

 

Report Title: 

Concerning the need to reduce the Hawaii Health Systems Corporation's operating deficits.

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