STAND. COM. REP. NO. 2128

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  S.B. No. 2030
                                        S.D. 1




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

Sir:

     Your Committee on Health and Human Services, to which was
referred S.B. No. 2030 entitled: 

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

begs leave to report as follows:

     The purpose of this measure is to appropriate funds for the
nonprofit, community-based, health-care system for the medically
underserved.

     Your Committee received testimony in support of this measure
from the Department of Health (DOH), Bay Clinic, Inc., Hawaii
State Primary Care Association, Waimanalo Health Center, Hana
Community Health Center, Kalihi Palama Health Center, Waianae
Coast Comprehensive Health Center, Healthcare Association of
Hawaii, Legal Aid Society of Hawaii, and two private individuals.

     Hawaii's system of nonprofit, community-based, health-care
providers specialize in preventive care for those who are denied
care due to cultural or socio-economic conditions.  These
nonprofit, community-based, health-care providers also contribute
greatly to the economies of the depressed areas they serve, being
directly or indirectly responsible for annually adding seventy-
five million dollars and nine hundred jobs to the local economy.

     Your Committee finds that adequate financial support for
this system of nonprofit, community-based, health-care providers
is constantly threatened by a lack of resources as it is
established for those who cannot afford to pay for care.

 
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                                   STAND. COM. REP. NO. 2128
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     Your Committee has amended this measure by:

     (1)  Clarifying that the DOH may provide resources for the
          purposes of the appropriation;

     (2)  Deleting reference to the DOH providing resources of
          in-kind staffing support;

     (3)  Deleting reference to including community health
          centers, school-based clinics, and Care-A-Van program
          for homeless as providers; and

     (4)  Clarifying that costs, scope of service, and need on
          all islands are factors to be considered in
          distribution of funds on a per visit basis.

     As affirmed by the record of votes of the members of your
Committee on Health and Human Services that is attached to this
report, your Committee is in accord with the intent and purpose
of S.B. No. 2030, as amended herein, and recommends that it pass
Second Reading in the form attached hereto as S.B. No. 2030,
S.D. 1, and be referred to the Committee on Ways and Means.

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



                                   ______________________________
                                   SUZANNE CHUN OAKLAND, Chair

 
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