Bill Text: HI SCR149 | 2018 | Regular Session | Amended
Bill Title: Requesting The Executive Office On Aging And The University Of Hawaii Center On Aging To Convene A Working Group To Review In-home Care Services And Make Recommendations To Improve The Quality Of Care And Urging The Department Of Health To Adopt Administrative Rules To Protect Consumers.
Spectrum: Partisan Bill (Democrat 12-0)
Status: (Passed) 2018-04-27 - Received notice of reconsideration, Senate agreement, and Adopted (Sen. Com. No. 847). [SCR149 Detail]
Download: Hawaii-2018-SCR149-Amended.html
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THE SENATE |
S.C.R. NO. |
149 |
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TWENTY-NINTH LEGISLATURE, 2018 |
S.D. 1 |
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STATE OF HAWAII |
H.D. 2 |
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SENATE CONCURRENT
RESOLUTION
REQUESTING THE EXECUTIVE OFFICE ON AGING AND THE UNIVERSITY OF HAWAII CENTER ON AGING TO CONVENE A WORKING GROUP TO REVIEW IN-HOME CARE SERVICES AND MAKE RECOMMENDATIONS TO IMPROVE THE QUALITY OF CARE AND URGING THE DEPARTMENT OF HEALTH TO ADOPT ADMINISTRATIVE RULES TO PROTECT CONSUMERS.
WHEREAS, the population of kupuna is growing and by 2020, nearly three hundred thousand people will be age sixty-five or older in Hawaii; and
WHEREAS, a significant percentage of these individuals will need life sustaining assistance with the necessary activities of their daily lives, such as bathing, moving, eating, toileting, preparing food, cleaning, and essential shopping, among others to support their continued quality of life; and
WHEREAS, when given the choice, most individuals prefer to receive care at home; and
WHEREAS, home care is less expensive than facility-based care; and
WHEREAS, home care agencies are a different model from community care home facilities; and
WHEREAS, families regularly report an inability to access home care because of a shortage of available care workers; and
WHEREAS, home care agencies are one of the fastest growing segments in the United States, and home care workers comprise a significant number of the total direct care workforce; and
WHEREAS, more than ninety percent of home care workers are women; and
WHEREAS, home care workers in Hawaii are increasingly caring for highly complex client needs, including conditions such as dementia, severe and persistent mental illness, paraplegia, post-traumatic stress disorder, and multiple and complex chronic diseases which may require specialized training or certification to properly treat clients; and
WHEREAS, there is a need to understand the correlation between caregiver pay, benefits, and training, and the quality of care provided and the difference between home care services compared to community care home services, where the client resides on the owner's or landlord's property; and
WHEREAS, there is a need to study the home health care system in Hawaii and make recommendations to improve the system; and
WHEREAS, there is a need for the Department of Health to adopt administrative rules relating to home health care agencies in Hawaii to protect consumers no later than October 1, 2018; now, therefore,
BE IT RESOLVED by the Senate of the Twenty-Ninth Legislature of the State of Hawaii, Regular Session of 2018, the House of Representatives concurring, that the Executive Office on Aging and the University of Hawaii (UH) Center on Aging are requested to convene a working group to:
(1) Review the provision of in-home care services in Hawaii;
(2) Make recommendations that will improve the quality of care; and
(3) Include its review and recommendations in a report to the Legislature no later than twenty days prior to the Regular Session of 2019; and
BE IT FURTHER RESOLVED that the Executive Office on Aging and UH Center on Aging are requested to convene the in-home care services working group no later than July 1, 2018; and
BE IT FURTHER RESOLVED that the in-home care services working group's review of the provision of home care in Hawaii and report include:
(1) A description of the various ways in which people in Hawaii receive home care, including care provided by home care agencies authorized under section 321-14.8, Hawaii Revised Statutes, home health agencies authorized by section 321-11, Hawaii Revised Statutes, and emerging aging in place care models that provide home care or home health care services in the community;
(2) A description of the home care workforce, including the relationship of home care workers to the people they are caring for;
(3) A description of the continuum of work being performed;
(4) A description of the skills that home care workers need, the current percentage of Hawaii's home care workers with training or certification, and the nature of that training or certification;
(5) Data regarding how current and expected workforce supply meets demand, including:
(A) Retention rates of caregivers employed by care agencies;
(B) Ability of families to access home care; and
(C) Projected workforce shortage, if any, over the next ten years;
(6) Data regarding the current wages and benefits paid to home care workers and by whom;
(7) Data regarding home care worker and client injuries, including abuse and neglect;
(8) The relationship between the quality of care provided and the wages, benefits, and training and certification standards of home care workers;
(9) Evaluation of experiences in other states between increased wages, benefits, and training and certification standards and the quality of care provided;
(10) Recommendations on how to improve the quality of care for people receiving home care services in Hawaii;
(11) Recommendations on how to finance home care services in Hawaii; and
(12) Recommendations on how to improve wages, benefits, training and certification requirements, and training delivery for home care workers in Hawaii; and
BE IT FURTHER RESOLVED that the working group should be composed of the following individuals and organizational representatives:
(1) A representative of the Executive Office on Aging, to co-chair the committee;
(2) A representative of the UH Center on Aging, to co-chair the committee;
(3) An appointee of the Governor;
(4) An appointee of the Senate President;
(5) An appointee of the Speaker of the House of Representatives;
(6) An appointee of the Director of Human Services;
(7) An appointee of the Director of Health;
(8) A representative of a not-for-profit provider of home care services to be designated by the Senate President;
(9) A representative of a for-profit provider of homecare services to be designated by the Speaker of the House of Representatives;
(10) A representative of a community advocacy group working for and with home care workers in Hawaii to be designated by the Governor;
(11) A representative of the Department of Labor and Industrial Relations;
(12) A representative of the Department of Business, Economic Development, and Tourism; and
(13) Additional members, at the discretion of the co-chairs; and
BE IT FURTHER RESOLVED that the Department of Health is urged to adopt administrative rules regarding home care agencies in Hawaii to protect consumers prior to October 1, 2018; and
BE IT FURTHER RESOLVED that the Department of Health is urged to report to the Legislature on the administrative rules regarding home care agencies that it has adopted; and
BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Governor; Senate President; Speaker of the House of Representatives; Director of Health; Director of Human Services; Director of Labor and Industrial Relations; Director of Business, Economic Development, and Tourism; Director of the Executive Office on Aging; and Director of the UH Center on Aging.
Working Group; In-Home Care Services; Administrative Rules
