Honorable Calvin K.Y. Say

Speaker, House of Representatives

Twenty-First State Legislature

Regular Session of 2002

State of Hawaii

Sir:

Your Committee on Human Services and Housing, to which was referred H.B. No. 2103 entitled:

begs leave to report as follows:

The purpose of this bill is to require Medicaid and QUEST coverage of chiropractic services.

Several concerned individuals testified in support of this measure.

The Department of Human Services (DHS) opposed this measure.

Your Committee finds that many individuals under QUEST or Medicaid seek chiropractic services for a variety of conditions and ailments, but must pay out-of-pocket. Testifiers claim that under workers' compensation and certain health plans, chiropractic care is covered, yet it is not covered under Medicaid and QUEST.

Your Committee believes that this measure is worthy of consideration, as more individuals are relying on chiropractic care as a reliable source of health care, and it is a legitimate concern that workers' compensation insurance covers chiropractic care, but QUEST and Medicaid doesn't. Your Committee notes that DHS is working on a cost-analysis of the chiropractic coverage under QUEST and Medicaid.

Your Committee has amended this bill by changing the effective date to July 1, 2020 to promote further discussion.

As affirmed by the record of votes of the members of your Committee on Human Services and Housing that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 2103, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 2103, H.D. 1, and be referred to the Committee on Finance.