Honorable Robert Bunda

President of the Senate

Twenty-Third State Legislature

Regular Session of 2006

State of Hawaii

Sir:

Your Committee on Human Services, to which was referred S.R. No. 44 entitled:

begs leave to report as follows:

The purpose of this measure is to request the Department of Human Services to ensure that the current residential alternative community care program model is not dismantled with the proposed QUEST expanded access program.

Your Committee received testimony in support of the measure from the Case Management Council, Case Management Inc., Catholic Charities Hawaii, Miyata Reporting Services, the Adult Foster Home Association of Hawaii, and one hundred eighty-nine individuals. The Department of Human Services submitted testimony in opposition to this measure. Your Committee received comments on the measure from Evercare and Aloha Care.

Your Committee finds that this measure requests that the Department of Human Services perpetuate the current Residential Alternative Community Care program model, which is comprised of a licensed case management agency coupled with a community care foster family home.

Your Committee has amended this measure by adding provisions describing the Residential Alternatives Community Care Foster Family Homes Service Array, recognizing that case management agencies provide case management and service assessment functions, and requesting the Department of Human Services, the Adult Foster Home Association, the Case Management Council, and other interested stakeholders to work together to clearly define the three distinct components of the Residential Alternatives Community Care Foster Family Homes Service Array and their mode of service delivery for inclusion in the Department's Request for Proposal regarding the QUEST Expanded Access Program.

As affirmed by the record of votes of the members of your Committee on Human Services that is attached to this report, your Committee concurs with the intent and purpose of S.R. No. 44, as amended herein, and recommends that it be referred to the Committee on Ways and Means, in the form attached hereto as S.R. No. 44, S.D. 1.