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.

THE SENATE	S.B. NO.	1817
TWENTY-FOURTH LEGISLATURE, 2007
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, to the executive office on aging as follows:

1.  Integrate palliative care into long-term care settings by identifying select, leading skilled nursing facilities; providing competency building for direct care staff; building upon University of Hawaii center on aging's appropriate (end-of-life) care for residents of nursing homes project; including national End of Life Nursing Education Consortium geriatric curriculum specific for skilled nursing facilities; and leading organizational capacity building for site teams to advance palliative care training.

Fiscal year 2007-2008                           $60,000

Fiscal year 2008-2009                           $60,000

     2.  Implement statewide physician orders for life-sustaining treatment by developing and carrying out professional education on rapid identification document and physician orders for life-sustaining treatment; initiating a public awareness campaign integrated into continued campaigns on advance care planning; and collaborating with key community stakeholders.

Fiscal year 2007-2008                           $75,000

Fiscal year 2008-2009                           $50,000

     3.  Implement hospice and palliative care resource center demonstration project by 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; actively engaging in counseling about options for care, assisting with referrals, and providing education for clients to access resources in the community; leading discussions surrounding values clarification in making advance care planning decisions, understanding hospice and palliative care, and providing referral to appropriate services of care.

Fiscal year 2007-2008                           $75,000

Fiscal year 2008-2009                           $50,000

     4.  Implementing statewide assessment of benchmark indicators by 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 collaborating with other states to implement the behavioral risk factor surveillance system survey for national trends and comparisons.

Fiscal year 2007-2008                           $15,000

     Total funding for fiscal year 2007-2008        $225,000

     Total funding for fiscal year 2008-2009        $160,000

     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.

INTRODUCED BY:

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