STAND. COM. REP. NO. 436-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: H.B. No. 2808
                                     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 Health and Human Services and Housing, to
which was referred H.B. No. 2808 entitled: 

     "A BILL FOR AN ACT RELATING TO HEALTH SERVICES,"

beg leave to report as follows:

     The purpose of this bill is to make health care and human
services more accessible by:

     (1)  Appropriating $5,000,000 out of the Hawaii Tobacco
          Settlement Special Fund to:

          (A)  Establish health promotion and disease prevention
               programs at twenty high schools;

          (B)  Implement a portion of the State's Children's
               Health Insurance Program and QUEST programs at
               school health rooms; and

          (C)  Establish a portion of the operations of
               community-based primary care clinics at high
               school health rooms;

     (2)  Appropriating $500,000 in matching funds to the
          University of Hawaii (UH) John A. Burns School of
          Medicine to serve as an Area Health Education Center;
          and


 
 
 
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     (3)  Requiring a school-by-school plan for implementation of
          these collaborative efforts.

     The Healthcare Association of Hawaii and several individuals
testified in support of this measure.  The Hawaii State Primary
Care Association testified in support of the intent of this
measure.  The Department of Education also testified in support
of the intent of this measure, but believes that this bill is not
necessary at this time.  UH opposed only the section of this
measure that appropriated funds to UH to serve as an Area Health
Education Center.  The Departments of Health and Human Services
and the Hawaii Nurses' Association opposed this measure.

     Your Committees have amended this measure by:

     (1)  Reducing the appropriations for purposes of further
          discussion;

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

     As affirmed by the records of votes of the members of your
Committees on Health and Human Services and Housing that are
attached to this report, your Committees are in accord with the
intent and purpose of H.B. No. 2808, as amended herein, and
recommend that it pass Second Reading in the form attached hereto
as H.B. No. 2808, H.D. 1, and be referred to the Committee on
Finance.

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

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