STAND. COM. REP. NO.479

Honolulu, Hawaii

, 2003

RE: S.B. No. 402

S.D. 1

 

 

Honorable Robert Bunda

President of the Senate

Twenty-Second State Legislature

Regular Session of 2003

State of Hawaii

Sir:

Your Committees on Education and Health, to which was referred S.B. No. 402 entitled:

"A BILL FOR AN ACT RELATING TO MEDICAL EDUCATION,"

beg leave to report as follows:

The purpose of this measure is to establish the Hawaii Medical Education Council (Council) to coordinate and govern graduate medical education in the State.

The Queen's Medical Center, Wahiawa General Hospital, St. Francis Medical Center, and St. Francis Medical Center-West testified in support of this measure. The University of Hawaii, Department of Health, and Hawaii Pacific Health supported the measure's intent.

Your Committees find that Hawaii is facing a shortage of health care professionals, including physicians, nurses, pharmacists, medical laboratory technologists and other technicians, and speech pathologists. This measure establishes a medical education council to assess the current status of the State's health care workforce, analyze the capability of existing health care training programs to meet those needs, project future workforce needs, and develop and implement a plan to ensure that adequate funding is available to train Hawaii's health care workforce.

Your Committees have amended this measure:

(1) By deleting definitions for "accredited clinical education program", "accredited clinical training program", "health care professionals in training", and "program", and adding definitions for "graduate medical education", "graduate medical education program", and "health care training program";

(2) By clarifying that the program administered by the Council is the graduate medical education and health professions education program, and that program funding sources include grants and contracts;

(3) By clarifying the makeup of the Council's membership to include the Dean of the School of Nursing and Dental Hygiene at the University of Hawaii, the Vice Dean for Academic Affairs at the School of Medicine, the Director of Health or the Director's representative, representatives from the health professions community and the federal health care industry, representatives from the three hospitals that conduct graduate medical education programs; by deleting the health care insurance industry representative; and by reducing public membership on the Council from three persons to one person;

(4) To allow the Council chairperson to vote and be included in the determination of a quorum;

(5) To make permanent the council terms of the Dean of the School of Medicine, Dean of Nursing and Dental Hygiene, Vice Dean of Academic Affairs of the School of Medicine, and the Director of Health or the Director's representative, and to clarify the staggering of terms of the other council members;

(6) By clarifying the duties of the Council;

(7) To require that Council expenditures be made for a public purpose, be exempt from public procurement requirements, and be reported annually to the Legislature;

(8) By deleting language requiring the Department of Health to review the feasibility of establishing a quasi-governmental agency to oversee the University of Hawaii School of Medicine;

(9) By inserting an effective date of July 1, 2003; and

(10) By making technical, nonsubstantive amendments for purposes of clarity and style.

As affirmed by the records of votes of the members of your Committees on Education and Health that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 402, as amended herein, and recommend that it pass Second Reading in the form attached hereto as S.B. No. 402, S.D. 1, and be referred to the Committee on Ways and Means.

Respectfully submitted on behalf of the members of the Committees on Education and Health,

____________________________

ROSALYN H. BAKER, Chair

____________________________

NORMAN SAKAMOTO, Chair