STAND. COM. REP. NO. 1496

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.C.R. No. 34
                                     




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Health, to which was referred H.C.R. No.
34 entitled: 

     "HOUSE CONCURRENT RESOLUTION REQUESTING THE AUDITOR TO
     ASSESS THE SOCIAL AND FINANCIAL EFFECTS OF REQUIRING HEALTH
     INSURERS TO OFFER COVERAGE FOR BONE MASS MEASUREMENT AND
     HORMONE REPLACEMENT THERAPY IN CONNECTION WITH OSTEOPOROSIS,
     ANNUAL MAMMOGRAMS FOR WOMEN AGED FORTY AND OLDER, CERVICAL
     CYTOLOGY SCREENING, AND TWICE YEARLY DIRECT ACCESS TO
     OBSTETRIC AND GYNECOLOGICAL SERVICES,"

begs leave to report as follows:

     The purpose of this concurrent resolution is to request the
Auditor to study the social and financial impacts as required by
section 23-51, Hawaii Revised Statutes, of requiring insurance
coverage for:

     (1)  Bone mass measurement and hormone replacement therapy
          in connection with osteoporosis;

     (2)  Annual mammograms for women aged forty and over;

     (3)  Cervical cytology screening for women aged eighteen and
          over; and

     (4)  Direct access to obstetric and gynecological services,
          twice yearly and not as an employer option, for the
          subscriber of any dependent covered by the policy.


 
 
                                 STAND. COM. REP. NO. 1496
                                 Page 2

 
     The Hawaii State Commission on the Status of Women testified
in support of this concurrent resolution.  The Legislative
Information Services of Hawaii, Inc., supported the measure with
revisions.

     As affirmed by the record of votes of the members of your
Committee on Health that is attached to this report, your
Committee concurs with the intent and purpose of H.C.R. No. 34
and recommends that it be referred to the Committees on Consumer
Protection and Commerce and Legislative Management.

                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committee on Health,



                                   ______________________________
                                   ALEXANDER C. SANTIAGO, Chair