Report Title:

Palliative Care Resources; Appropriation

 

Description:

Appropriates $225,000 for fiscal year 2007-2008 and $160,000 for fiscal year 2008-2009 for palliative care resources.  (HB1495 HD1)

 


HOUSE OF REPRESENTATIVES

H.B. NO.

1495

TWENTY-FOURTH LEGISLATURE, 2007

H.D. 1

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT


 

 

making an appropriation for palliative care resources.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  There is appropriated out of the general revenues of the State of Hawaii the following sums, or so much thereof as may be necessary as a grant pursuant to chapter 42F, Hawaii Revised Statutes, to Kokua Mau as follows:

1.  Integrate palliative care into long-term care settings by:

(A)  Identifying select, leading skilled nursing facilities;

(B)  Providing competency building for direct care staff;

(C)  Building upon University of Hawaii center on aging's appropriate (end-of-life) care for residents of nursing homes project;

(D)  Including national End of Life Nursing Education Consortium geriatric curriculum specific for skilled nursing facilities; and

(E)  Leading organizational capacity building for site teams to advance palliative care training.


Fiscal year 2007-2008                           $72,000

Fiscal year 2008-2009                           $72,000

     2.  Implement statewide physician orders for life-sustaining treatment by:

     (A)  Developing and carrying out professional education on rapid identification document and physician orders for life-sustaining treatment;

     (B)  Initiating a public awareness campaign integrated into continued campaigns on advance care planning; and

     (C)  Collaborating with key community stakeholders.

Fiscal year 2007-2008                           $90,000

Fiscal year 2008-2009                           $60,000

     3.  Implement a hospice and palliative care resource center demonstration project by:

     (A)  Developing a referral and resource center to assist individuals, professionals, and businesses in anticipating and addressing pressing life-altering conditions resulting from chronic, progressive, life-limiting illnesses or terminal illnesses;

     (B)  Actively engaging in counseling about options for care, assisting with referrals, and providing education for clients to access resources in the community;

     (C)  Leading discussions surrounding values clarification in making advance care planning decisions, understanding hospice and palliative care; and

     (D)  Providing referral to appropriate services of care.

Fiscal year 2007-2008                           $90,000

Fiscal year 2008-2009                           $60,000

     4.  Implement statewide assessment of benchmark indicators by:

     (A)  Following up previous surveys to assess such end of life indicators as advance directive completion rates, attitudes and beliefs toward hospice, and palliative and end of life care; and

     (B)  Collaborating with other states to implement the behavioral risk factor surveillance system survey for national trends and comparisons.

Fiscal year 2007-2008                           $18,000

     Total funding for fiscal year 2007-2008        $270,000

     Total funding for fiscal year 2008-2009        $192,000

     The sums appropriated shall be expended by the department of health for the purposes of this Act.

     SECTION 2.  This Act shall take effect on July 1, 2007.