CONFERENCE COMMITTEE REPORT NO. 120

                            Honolulu, Hawaii
                                            , 1999

                            RE:   S.B. No. 131
                                  S.D. 3
                                  H.D. 3
                                  C.D. 1




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

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

Sir:

     Your Committee on Conference on the disagreeing vote of the
Senate to the amendments proposed by the House of Representatives
in S.B. No. 131, S.D. 3, H.D. 3, entitled:  

     "A BILL FOR AN ACT RELATING TO LONG-TERM CARE," 

having met, and after full and free discussion, has agreed to
recommend and does recommend to the respective Houses the final
passage of this bill in an amended form.

     The purpose of this measure is to require a study by the
Joint Legislative Committee on Long-Term Care (JLC) to conduct a
study on whether to adopt the July 1998 Model Long-Term Care
Insurance Model Act and Model Regulations, and to make an
appropriation for a universal long-term care study.

     Upon further consideration, and with the input and
concurrence of stakeholders, your Committee on Conference has
amended this measure by:

     (1)  Clarifying the purpose section to more accurately
          reflect the provisions of the conference draft;

     (2)  Deleting the study by the JLC on the adoption of the
          model act and model regulation;

 
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     (3)  Enacting provisions of the July 1998 Long-Term Care
          Insurance Model Act and Model Regulation;

     (4)  Revising Act 339, Session Laws of Hawaii 1997, to
          provide that the JLC shall cease to exist upon
          introduction of legislation, if any, for the Regular
          Session of 2000;

     (5)  Adding provisions relating to universal availability of
          long-term care insurance, including employer-related
          guidelines;

     (6)  Clarifying the obligations of mutual benefits societies
          that offer long-term care insurance;

     (7)  Clarifying the actuarial study provision to enumerate
          specific models and making an appropriation for
          expenses for the study;

     (8)  Deleting the regulatory funding for the Insurance
          Division;

     (9)  Deleting the managed long-term care demonstration
          project, as this is included in H.B. No. 100, relating
          to the state budget; and

     (10) Adding an appropriation for the JLC for expenses to
          conduct public briefings on the findings and
          recommendations of the actuarial study.

     This measure, as amended, is an outgrowth of the work of the
JLC, established by Act 339, Session Laws of Hawaii 1997.  The
JLC undertook an eighteen month study to develop a sound
financial plan to address a problem of compelling state interest,
the current and future long-term care needs of the people of
Hawaii.  This measure represents a major component of a financial
plan.  An actuarial study is included in this measure to study
the feasibility and advisability of establishing a
state-sponsored universal program of long-term care that offers
comprehensive, protective coverage to the largest numbers of
people.  A universal program would complement an insurance-based
long-term care program that is established in this measure.

     Your Committee on Conference is in accord with the intent
and purpose of S.B. No. 131, S.D. 3, H.D. 3, as amended herein,
and recommends that it pass Final Reading in the form attached
hereto as S.B. No. 131, S.D. 3, H.D. 3, C.D. 1.

 
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                                   Respectfully submitted,

MANAGERS ON THE PART OF THE        MANAGERS ON THE PART OF THE
            HOUSE                             SENATE
                                   
                                   
                                   
______________________________     ______________________________
DENNIS A. ARAKAKI, Co-Chair        SUZANNE CHUN OAKLAND, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
ALEXANDER C. SANTIAGO, Co-Chair    BRIAN KANNO, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
RON MENOR, Co-Chair                BRIAN T. TANIGUCHI, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
TERRY NUI YOSHINAGA, Co-Chair      CAROL FUKUNAGA, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
BERTHA C. KAWAKAMI, Co-Chair       ANDREW LEVIN, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
GALEN FOX, Member                  ROBERT BUNDA, Member
                                   
                                   
                                   
                                   ______________________________
                                   JONATHAN CHUN, Member
                                   
                                   
                                   
                                   ______________________________
                                   CAL KAWAMOTO, Member
                                   
                                   
                                   
                                   ______________________________
                                   SAM SLOM, Member


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