HOUSE OF REPRESENTATIVES	H.R. NO.	234
TWENTY-FIFTH LEGISLATURE, 2010
STATE OF HAWAII

HOUSE RESOLUTION

REQUESTING a management and financial audit of all community-based programs and services receiving medicaid funding or subsidizing individuals eligible for medicaid.

     WHEREAS, the nature and extent of the current fiscal crisis has necessitated a re-evaluation of government-provided programs and services, including social safety net programs and services; and

     WHEREAS, it is imperative to locate cost-savings within existing social safety net programs and services to preserve them for Hawaii's vulnerable populations; and

     WHEREAS, one of the largest means of funding social safety net programs and services is the federal Medicaid program; and

     WHEREAS, Medicaid is a partnership program administered by states and funded from federal and state revenues; and

     WHEREAS, Medicaid serves as a source of funding for long-term care programs for the elderly and services for adults and children with developmental disabilities and medically fragile conditions; and

     WHEREAS, the Medicaid program will generally not cover long-term care services for a recipient who is not residing in a medical institution, but has provided an exception for those recipients in one of the programs that fall under the Department of Human Service's Home and Community Based Waiver Program; and

     WHEREAS, the Medicaid program also subsidizes eligible individuals in other home and community-based environments including Adult Residential Care Homes, Community Care Foster Family Homes, Developmental Disabilities Domiciliary Homes, and Developmental Disabilities Apartment Complexes; and

     WHEREAS, ensuring the proper use and maximization of the federal and state Medicaid funds provided for these home and community-based programs and services is paramount to ensuring their preservation while allowing the state to remain fiscally responsible; now, therefore,

     BE IT RESOLVED by the House of Representatives of the Twenty-fifth Legislature of the State of Hawaii, Regular Session of 2010, that the Auditor is requested to perform a management and financial audit of all community-based programs and services receiving Medicaid funding or subsidizing individuals eligible for Medicaid for:

     (1)  The biennium period extending from July 1, 2007, to June 30, 2009; and

     (2)  The fiscal year extending from July 1, 2009, to June 30, 2010;

and

     BE IT FURTHER RESOLVED that the management and financial audit include:

     (1)  Medicaid costs per patient per program for each fiscal year;

     (2)  Discussion of factors impacting any increase or decrease in the Medicaid costs per patient per program for each fiscal year; and

     (3)  Any additional information related to the proper use and maximization of Medicaid funds used for these purposes;

and

     BE IT FURTHER RESOLVED that the Auditor report all findings and recommendations to the Legislature no later than 20 days prior to the convening of the Regular Session of 2011; and
     BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Auditor, Director of Human Services, and Director of Health.

OFFERED BY:

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Report Title: 

Audit; Medicaid Funds