STAND. COM. REP. NO.1418

Honolulu, Hawaii

, 2003

RE: H.B. No. 512

H.D. 1

S.D. 2

 

 

Honorable Robert Bunda

President of the Senate

Twenty-Second State Legislature

Regular Session of 2003

State of Hawaii

Sir:

Your Committee on Ways and Means, to which was referred H.B. No. 512, H.D. 1, S.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO HEALTH,"

begs leave to report as follows:

The purpose of this measure is to:

(1) Allow a patient's next of kin access to the patient's records;

(2) Allow the disclosure of a mental health patient's medical records for insurance reimbursement claim purposes; and

(3) Make appropriations from the emergency and budget reserve fund for various programs, services, and projects essential to the public health, safety, and welfare.

Upon further consideration, your Committee has amended this bill by:

(1) Removing the requirement that a health care provider must consider indicators, suspicion, or substantiation of abuse in deciding to release patient records in section 2 of the bill;

(2) Deleting two categories of next of kin and adding one new category consisting of reciprocal beneficiary as defined in section 572C-3, Hawaii Revised Statutes, in section 2 of the bill;

(3) Adding an exception for records subject to Title 42 Code of Federal Regulations Part 2, confidentiality of alcohol and drug abuse patient records, to disclosure of patient records in section 4 of the bill;

(4) Adding language in section 5 of the bill clarifying the justification for appropriating funds from the emergency and budget reserve fund;

(5) Adding language to clarify that various appropriations in Part III of the bill are grants and subsidies made pursuant to chapter 42F, Hawaii Revised Statutes;

(6) Making all appropriated amounts for only fiscal year 2003-2004;

(7) Changing the appropriated amounts as follows:

(A) Molokai General Hospital: from $850,000 to $750,000;

(B) Waianae District Comprehensive Health Center: from $1,236,260 to $965,841; and

(C) Wahiawa General Hospital: from $1,200,000 to $600,000;

(8) Deleting the appropriation for St. Francis Medical Center Maui renal dialysis;

(9) Adding two appropriations:

(A) $300,000 for an adolescent treatment center to treat poly-drug abuse on island of Hawaii; and

(B) $200,000 for community anti-drug efforts aimed at preventing crystal methamphetamine use on island of Hawaii; and

(10) Repealing the sunset schedule for June 30, 2003, of Act 121, Session Laws of Hawaii 1999, as amended by Act 243, section 8 paragraph 2 Session Laws of Hawaii 2000, regarding mental health parity.

Due to the various additions of new sections to the bill and the deletions of existing sections from the bill, your Committee has also renumbered the sections of the bill accordingly.

As affirmed by the record of votes of the members of your Committee on Ways and Means that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 512, H.D. 1, S.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as H.B. No. 512, H.D. 1, S.D. 2.

Respectfully submitted on behalf of the members of the Committee on Ways and Means,

____________________________

BRIAN T. TANIGUCHI, Chair