STAND. COM. REP. NO. 19-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: H.B. No. 2271
                                     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. 2271 entitled: 

     "A BILL FOR AN ACT RELATING TO DEVELOPMENTAL DISABILITIES,"

beg leave to report as follows:

     The purpose of this bill is to enable persons with
developmental disabilities live an independent and productive
life in the community by appropriating funds to match federal
funds for the Medicaid Home- and Community-based Services Waiver
Program (Program).

     The Departments of Health (DOH) and Human Services (DHS),
the State Planning Council on Developmental Disabilities
(Council), the Arc in Hawaii, the Goodwill Industries in Hawaii,
the Hawaii Disability Rights Center, the Special Education Center
of Hawaii, the Easter Seals Hawaii, and several individuals
testified in support of this measure.

     The DOH has included in its supplemental budget request for
fiscal year 2001 $4,200,000 for the Program; however, the Council
requested $6,000,000 based on:

     (1)  The emergency appropriation for fiscal year 2000 for
          140 individuals to be admitted into the Program who
          will need funding for fiscal year 2001; and


 
 
 
 
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                                 Page 2

 
     (2)  360 individuals who can be admitted into the Program
          off the wait list in increments of 30 individuals per
          month beginning July 1, 2000, through June 30, 2001.

     Your Committees find that DOH's supplemental budget request
of $4,200,000 will not eliminate the wait list.

     Your Committees have amended this measure by:

     (1)  Clarifying that there are approximately 800 individuals
          who may be eligible for the Program;

     (2)  Deleting the statement that the State has submitted an
          application to HCFA to serve 1,200 individuals by
          fiscal year 2001 since DHS is already authorized to do
          so; and

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

     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. 2271, as amended herein, and
recommend that it pass Second Reading in the form attached hereto
as H.B. No. 2271, H.D. 1, and be referred to the Committee on
Judiciary and Hawaiian Affairs.

                                   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