STAND. COM. REP. NO. 1085-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: S.B. No. 2320
                                     S.D. 1
                                     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 S.B. No. 2320, S.D. 1, entitled: 

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

beg leave to report as follows:

     The purpose of this bill is to establish a Commission for
Long-Term Care, Disability, and Elderly Services (Commission)
composed of experts in the Office of the Lieutenant Governor to
prepare recommendations for the establishment of an integrated,
cost-effective, and responsive long-term care delivery system to
provide quality care for citizens in the State.  The bill also 
appropriates an unspecified amount for start-up funds for the
Commission.

     Concerned individuals submitted testimony in support of the
bill.  The Department of Human Services, the State Executive
Office On Aging, the Office of the Lieutenant Governor, the
Office of the Attorney General, and Healthcare Association of
Hawaii submitted testimony in opposition to the bill.  The
Disability and Communication Access Board and the State Planning
Council On Developmental Disabilities submitted comments on the
bill.


 
 
 
 
 
 
                                 STAND. COM. REP. NO. 1085-00
                                 Page 2

 
     After careful consideration, your Committees have amended
the bill by:

     (1)  Adding a findings and purpose section to give a
          situational context to the bill; 

     (2)  Transferring the Commission from the Office of the
          Lieutenant Governor to the Legislature's Joint
          Legislative Committee on Long-Term Care Financing
          (Joint Legislative Committee);

     (3)  Clarifying that the Commission is a temporary agency;

     (4)  Increasing the number of Commission members from
          thirteen to fifteen for greater participation of the
          long-term care industry;

     (5)  Providing that the Senate President and the Speaker of
          the House will jointly appoint the Commission members
          from a greater and different pool of candidates,
          rather than submitting nominees for appointment by the
          Governor;

     (6)  Providing that Commission member select the chairperson
          without a salary equal to a department deputy director,
          rather than the Governor appointing an executive
          director with a salary;

     (7)  Revising the functions and duties of the Commission and
          requiring the Commission to report to the Joint
          Legislative Committee on its findings and
          recommendations regarding certain sections of its
          assigned areas of study at specified intervals; 

     (8)  Authorizing the Commission to contract for consultation
          services;

     (9)  Changing the expending agency to the Legislature,
          rather than the Office of the Lieutenant Governor;

    (10)  Changing the effective date to July 1, 2000 for all
          sections of the Act, with a repeal date of December 31,
          2004; and

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


 
 
                                 STAND. COM. REP. NO. 1085-00
                                 Page 3

 
     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 S.B. No. 2320, S.D. 1, as amended herein,
and recommend that it pass Second Reading in the form attached
hereto as S.B. No. 2320, S.D. 1, H.D. 1, and be referred to the
Committee on Finance.

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

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