STAND. COM. REP. NO. 1180-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: H.C.R. No. 111
                                     H.D. 1




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

Sir:

     Your Committee on Health, to which was referred H.C.R. No.
111 entitled: 

     "HOUSE CONCURRENT RESOLUTION REQUESTING THE STATE AUDITOR TO
     CONDUCT A PROGRAM AND FINANCIAL AUDIT OF THE DEPARTMENT OF
     HEALTH'S ADULT MENTAL HEALTH DIVISION,"

begs leave to report as follows:

     The purpose of this concurrent resolution is to gather
comprehensive and accurate information before making funding
decisions for adult mental health services by requesting the
State Auditor to conduct a program and financial audit of the
Department of Health's (DOH) Adult and Mental Health Division.

     The Hawaii Government Employees Association testified in
support of this measure.  DOH opposed this measure.

     The State is currently involved in ongoing litigation
regarding the Hawaii State Hospital, and DOH testified that
determinations of such findings by the Legislature as found in
this concurrent resolution might be used by the U.S. Department
of Justice in arguing that the State agreed with these findings.
DOH raised concerns about the accuracy of many of the statements
made in this measure, as it could be erroneously construed that
the State concurred with these statements as findings and fact. 

     Your Committee has amended this measure by:


 
 
 
                                 STAND. COM. REP. NO. 1180-00
                                 Page 2

 
     (1)  Deleting statements that may be used against the State
          in pending litigation;

     (2)  Requesting that the Auditor's review include
          information provided directly from those consultants
          and experts that DOH and the Adult Mental Health
          Division have consulted with in the development and
          implementation of programs, services, and activities
          that have resulted in the requests to the Twentieth
          Legislature, Regular Session of 2000;

     (3)  Requesting that the Auditor consider how other states
          have successfully dealt with the challenges of
          deinstitutionalization of persons with mental illness
          and developmental disabilities, such as Minnesota,
          Rhode Island, Oregon, Ohio, New York, and Washington;
          and

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

     As affirmed by the record of votes of the members of your
Committee on Health that is attached to this report, your
Committee concurs with the intent and purpose of H.C.R. No. 111,
as amended herein, and recommends that it be referred to the
Committee on Finance in the form attached hereto as H.C.R. No.
111, H.D. 1.

                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committee on Health,



                                   ______________________________
                                   ALEXANDER C. SANTIAGO, Chair