STAND. COM. REP. NO. 2345

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  S.B. No. 2490
                                        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. 2490 entitled: 

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

begs leave to report as follows:

     The purpose of this measure is to require the Department of
Health (DOH) to develop a social model of health care for the
operation of adult residential care facilities (ARCFs); maintain
a current inventory of vacancies in ARCFs; establish a standard
admissions procedure for ARCFs and use a uniform assessment tool
for this purpose; and establish an information and referral
process for potential clients of ARCFs.

     Your Committee received testimony in support of this measure
from the DOH, Department of Human Services, Executive Office on
Aging, American Association of Retired Persons, Hawaii Coalition
for Affordable Long Term Care, Hawaii Nurses' Association, and
Alliance of Residential Care Administrators.

     This measure also appropriates funds to the DOH for the
Aging Network, ASK 2000, and implementation of this measure.

     This measure is intended to provide for an efficient,
streamlined, and accessible long-term care system, by addressing
perpetual and perplexing issues concerning the proper regulation
and functioning of a long-term care system.

     Your Committee has amended this measure by:

 
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                                   STAND. COM. REP. NO. 2345
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     (1)  Clarifying the purpose section to comport with the
          amended measure by deleting reference to fragmentation
          and patient data;

     (2)  Deleting, on recommendation of the DOH, statutory
          sections on social model, standard admission procedure,
          and inventory, because these duties are currently
          included in the statutes;

     (3)  Deleting the section in the bill relating to county
          codes;

     (4)  Deleting the sections in the measure relating to the
          appropriation to the DHS for implementation of this
          measure, severability clause, revisor of statutes, and
          administrative rules, as being unnecessary; and

     (5)  Adding a requirement for the DOH to conduct a study and
          to report to the legislature for the 2001 Regular
          Session on reorganizing all adult residential care
          homes and facilities into a new "adult residential care
          facilities".

     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. 2490, as amended herein, and recommends that it pass
Second Reading in the form attached hereto as S.B. No. 2490,
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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