STAND. COM. REP. NO. 730

                                   Honolulu, Hawaii
                                                     , 1999

                                   RE:  S.B. No. 856
                                        S.D. 2




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

Sir:

     Your Committee on Ways and Means, to which was referred S.B.
No. 856, S.D. 1, entitled:

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

begs leave to report as follows:

     The purpose of this measure is to reorganize and streamline
adult residential care facilities.

     This measure is a recommendation of the Joint Legislative
Committee on Long-Term Care Financing, created pursuant to Act
339, Session Laws of Hawaii 1997.  House Concurrent Resolution
No. 225, 1998, directed the Joint Legislative Committee to create
a subcommittee to study adult long-term care residential
facilities in Hawaii.

     Your Committee finds that the need for adequate and decent
adult long-term residential care for Hawaii's residents who
require long-term care is growing immensely with the demand
outstripping supply.  Unfortunately, the organization and
regulation of residential care facilities in Hawaii are
fragmented.  This tends to reduce cost-effectiveness and hampers
operational effectiveness in the delivery of residential care
services.

     Your Committee further finds that there is a lack of overall
direction and guidance at the state level regarding the delivery

 
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of residential long-term care services to Hawaii's residents.
Specifically, there is no vision of how residential care
facilities and services may be used to alleviate the burden of
long-term care in Hawaii.  This is reflected in the fragmented
structure of regulation for a plethora of residential care
category types in the Hawaii Revised Statutes and the Hawaii
Administrative Rules.

     This measure is intended to respond to a compelling need to
clearly define how residential care facilities and their services
can be utilized effectively and efficiently.  Your Committee
desires to improve the organizational structure and regulatory
processes based on a more rational, consolidated, and equitable
reorganization of the long-term residential care system in order
to benefit consumers of the system.

     Upon further consideration, your Committee has amended this
bill by deleting the appropriation to the Department of Health in
sections 19 and 20, and by renumbering the remaining sections.

     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 S.B. No.
856, S.D. 1, as amended herein, and recommends that it pass Third
Reading in the form attached hereto as S.B. No. 856, S.D. 2.

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



                                 ________________________________
                                 CAROL FUKUNAGA, Co-Chair



                                 ________________________________
                                 ANDREW LEVIN, Co-Chair

 
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