STAND. COM. REP. NO. 931-00

                                 Honolulu, Hawaii
                                                   , 2000

                                 RE: S.B. No. 2493
                                     S.D. 2
                                     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. 2493, S.D. 2, entitled: 

     "A BILL FOR AN ACT MAKING AN APPROPRIATION FOR SUBSTANCE
     ABUSE TREATMENT SERVICES,"

beg leave to report as follows:

     The purpose of this bill is to increase treatment services
for substance abusers by appropriating funds for specialized
substance abuse treatment services for:

     (1)  Pregnant women;

     (2)  Families involved with Child Protective Services (CPS);
          and

     (3)  Teenagers.

     Several individuals testified in support of this measure.
The Department of Human Services testified in support of this
measure, as long as it does not replace the priorities as
established in the Executive Supplemental Budget Request.  The
Department of Health (DOH) testified in support of the intent of
this measure, insofar that it does not replace or adversely
impact priorities of its Executive Supplemental Budget Request.

     Your Committees find that this measure addresses two
distinct populations:

 
 
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     (1)  Pregnant women and families involved with CPS who have
          children under five years of age; and

     (2)  Teenagers.

     DOH testified that there are approximately 1,539 families
with at least one child under five years of age in the CPS system
that would need specialized treatment services for mothers and
babies.  At $6,000 per treatment episode, the estimated cost of
treatment services for this population would be $9,234,000.

     According to the 1998 Hawaii Student Alcohol and Drug Use
Survey, there are at least 16,701 students statewide in both
public and private schools, grades six through twelve, needing
treatment for either alcohol or drug abuse.  DOH estimates that
the cost for school-based and residential substance abuse
treatment would be approximately $8,947,500.

     This measure appropriates funds for specialized substance
abuse treatment services, provided that the sum be matched by
private and federal sources.  DOH testified that this requirement
may be problematic as application cycles for grants that might
address the specialized services for pregnant women and teens may
not coincide with the fiscal period for which funds are being
appropriated.

     Your Committees have amended this measure by:

     (1)  Separating the two distinct populations into their own
          appropriation sections;

     (2)  Appropriating $1 for each population requiring
          specialized substance abuse treatment services to
          facilitate further discussion;

     (3)  Providing more flexibility for DOH by requiring that
          the sums be matched by private or federal sources; and

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

     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. 2493, S.D. 2, as amended herein,
and recommend that it pass Second Reading in the form attached
hereto as S.B. No. 2493, S.D. 2, H.D. 1, and be referred to the
Committee on Finance.


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

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