STAND. COM. REP. NO. 2973

Honolulu, Hawaii

RE: H.B. No. 3105

H.D. 2

S.D. 1

 

 

Honorable Robert Bunda

President of the Senate

Twenty-Third State Legislature

Regular Session of 2006

State of Hawaii

Sir:

Your Committees on Health and Human Services, to which was referred H.B. No. 3105, H.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO PSYCHOTROPIC MEDICATION,"

beg leave to report as follows:

The purpose of this measure is to provide fee-for-service mental health consumers improved access to psychotropic medications, repeal the pre-authorization exemption for psychotropic medications, and repeal the requirement that the Department of Human Services report on the costs and effects of the Act.

Your Committees received testimony in support of this measure from the Hawaii Medical Service Association and NAMI Oahu. Your Committees received testimony in support of the intent of this measure with suggested amendments from the Department of Human Services, the Hawaii Disability Rights Center, and the Hawaii Psychiatric Medical Association. Your Committees received testimony in opposition to this measure from Kaiser Permanente.

Your Committees find that open access to psychotropic medications is necessary for successful treatment of mental illnesses. Equal access should be made available to all individuals participating in Hawaii medicaid medical plans. Testimony submitted by the Department of Human Services, the Hawaii Disability Rights Center, and the Hawaii Psychiatric Medical Association suggested amending this measure by removing the QUEST exclusion.

Your Committees have amended this measure by replacing its contents with the contents of S.B. No. 3224, SD2 which:

(1) Repeals the QUEST exemption;

(2) Repeals the definition of "consultation" and the requirement that a prescribing physician consult with a psychiatrist prior to prescribing;

(3) Retains the pre-authorization exemption;

(4) Retains the reporting requirement for the Department of Human Services and extends the date one year;

(5) Repeals the sunset date; and

(6) Changes the defective effective date making it effective upon approval.

As affirmed by the records of votes of the members of your Committees on Health and Human Services that are attached to this report, your Committees are in accord with the intent and purpose of H.B. No. 3105, H.D. 2, as amended herein, and recommend that it pass Second Reading in the form attached hereto as H.B. No. 3105, H.D. 2, S.D. 1, and be referred to the Committee on Ways and Means.

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

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SUZANNE CHUN OAKLAND, Chair

____________________________

ROSALYN H. BAKER, Chair