STAND. COM. REP. NO. 3292

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  H.B. No. 2511
                                        H.D. 1




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 2000
State of Hawaii

Sir:

     Your Committee on Ways and Means, to which was referred H.B.
No. 2511, H.D. 1, entitled: 

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

begs leave to report as follows:

     The purpose of this bill is to allow the Department of Human
Services to employ civil service and non-civil service personnel
to service Medicaid waiver programs.

     Your Committee finds that waiver programs are exceptions to
federal social service program initiatives with which the State
must comply in order to receive federal funding.  If the State
desires to conduct a demonstration project that departs from
federal regulations, the State must obtain a waiver in order to
receive federal funding.  The waiver usually is limited to a
period not exceeding a specified number of years.

     Your Committee finds that this bill will give the Department
of Human Services greater flexibility with respect to the type of
personnel needed in providing a continuum of services for
eligible, disabled individuals in the Medicaid waiver home- and
community-based programs as well as state-funded programs.

     As affirmed by the record of votes of the members of your
Committee on Ways and Means that is attached to this report, your

 
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                                   STAND. COM. REP. NO. 3292
                                   Page 2


Committee is in accord with the intent and purpose of H.B. No.
2511, H.D. 1, and recommends that it pass Third Reading.

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



                                 ________________________________
                                 CAROL FUKUNAGA, Co-Chair



                                 ________________________________
                                 ANDREW LEVIN, Co-Chair

 
a                                                     HB2511 HD1