STAND. COM. REP. NO. 178-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: H.B. No. 2238
                                     H.D. 1




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 2000
State of Hawaii

Sir:

     Your Committees on Human Services and Housing and Health, to
which was referred H.B. No. 2238 entitled: 

     "A BILL FOR AN ACT RELATING TO FEDERALLY QUALIFIED HEALTH
     CENTERS,"

beg leave to report as follows:

     The purpose of this bill is to ensure access to primary and
preventive health care to all of Hawaii's residents by providing
a mechanism to provide supplemental Medicaid/QUEST payments to
federally qualified health centers and rural health centers that
parallels provisions of the Balanced Budget Act of 1997.

     The Hawaii State Primary Care Association and the Waianae
Coast Comprehensive Health Center testified in support of this
measure.  The Department of Human Services opposed this measure.

     Your Committees find that this measure will ensure that
community health centers continue to act as safety net providers
to serve those most in need of health care.

     Your Committees have amended this measure by:

     (1)  Appropriating $1 for purposes of further discussion;
          and

     (2)  Making technical, nonsubstantive amendments for
          purposes of clarity and style.


 
 
                                 STAND. COM. REP. NO. 178-00
                                 Page 2

 
     As affirmed by the records of votes of the members of your
Committees on Human Services and Housing and Health that are
attached to this report, your Committees are in accord with the
intent and purpose of H.B. No. 2238, as amended herein, and
recommends that it pass Second Reading in the form attached
hereto as H.B. No. 2238, H.D. 1, and be referred to the Committee
on Finance.

                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committees on Human Services
                                   and Housing and Health,

                                   
                                   
                                   
                                   
______________________________     ______________________________
ALEXANDER C. SANTIAGO, Chair       DENNIS A. ARAKAKI, Chair