STAND. COM. REP. NO. 2344

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  S.B. No. 2320
                                        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. 2320 entitled: 

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

begs leave to report as follows:

     The purpose of this measure is to establish the Hawaii
Long-Term Care Commission (commission).

     Your Committee received testimony in support of this measure
from the State Planning Council on Developmental Disabilities and
Hemophilia Foundation of Hawaii.  Testimony in opposition was
received from the Department of Human Services, Executive Office
on Aging, and Hawaii Nurses' Association.

     The purpose of the commission would be to prepare
recommendations for the establishment of an integrated,
cost-effective, and responsive long-term care delivery system to
provide quality care to all of Hawaii's citizens needing
long-term care.  The commission would be temporary and would be
comprised of a panel of experts in long-term care.

     Your Committee believes that the commission is necessary to
help resolve perennial and perplexing issues such as coordination
of policies and programs, facilitation of an adequate amount of
home and community-based services and minimally sufficient
institutional services, maximization of public and private funds,
assurance of accessibility to services and quality care,
establishment of a single-point entry system, assessment

 
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planning, reduction of fragmentation, and analysis of financial
alternatives to funding long-term care.  The work of the
commission will complement that of the Joint Legislative
Committee on Long-Term Care, whose work is limited to studying
financing alternatives.

     Your Committee has amended this measure to meet the concerns
and objections raised in the testimony by establishing the
Long-Term Care Commission within the Office of the Lieutenant
Governor for administrative purposes.  The commission will have a
special function of predominantly coordinating, research,
planning, and grant writing.

     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. 2320, as amended herein, and recommends that it pass
Second Reading in the form attached hereto as S.B. No. 2320,
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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