2012-1503 HB1905 SD1 SMA

PART I

SECTION 1. Section 346-53, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:

"(b) The director shall determine the allowance for general assistance to households without minor dependents based upon the total amount appropriated for general assistance to households with minor dependents, and other funds appropriated to the department of human services, among other relevant factors."

SECTION 2. Section 346-71, Hawaii Revised Statutes, is amended by amending subsection (e) to read as follows:

"(e) Within the limitations of this section, the department shall by rules adopted pursuant to chapter 91, determine:

(1) The allowance for general assistance to households without minor dependents [~~based upon the total amount appropriated for general assistance to households without minor dependents;~~] pursuant to section 346‑53(b);

(2) A method for determining assistance amounts; and

(3) Other necessary provisions to implement general assistance to households without minor dependents."

PART II

SECTION 3. The legislature finds that the national and global economic crisis that began in the second half of 2008 has caused significant economic problems in numerous industries in the State, including the airline, cruise ship, tourist, and construction industries. Mass layoffs have been reported by an increasing number of Hawaii businesses statewide, from the agricultural sector to the medical-services sector. Difficult economic times and declining tax revenues have resulted in budget cuts for many state services.

The current and impending situation jeopardizes the safety net of basic human services needs for Hawaii's residents and families. While all of Hawaii's residents will be affected by the situation, gap group families and families closest to the poverty line will suffer the most.

The purpose of this part is to appropriate moneys to maintain the levels of programs determined to be essential to public welfare.

SECTION 4. There is appropriated out of the general revenues of the State of Hawaii the sum of $250,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Blueprint for Change for neighborhood place walk-in centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 5. There is appropriated out of the general revenues of the State of Hawaii the sum of $550,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Hawaii Primary Care Association for the Hawaii immigrant health initiative program provided at federally qualified health centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 6. There is appropriated out of the general revenues of the State of Hawaii the sum of $1,500,000 or so much thereof as may be necessary for fiscal year 2012-2013 for youth service centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 7. There is appropriated out of the general revenues of the State of Hawaii the sum of $210,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to Hale Mahaolu for personal care services.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 8. There is appropriated out of the general revenues of the State of Hawaii the sum of $200,000 or so much thereof as may be necessary for fiscal year 2012-2013 for the shelter plus care program.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 9. There is appropriated out of the general revenues of the State of Hawaii the sum of $1,900,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Hawaii Primary Care Association for adult dental care provided at federally qualified health centers; provided that the funds shall not be used for any other purpose. The governor is authorized to utilize enhanced federal medical assistance percentages funds to offset the amount appropriated; provided that the total amount shall not exceed $2,000,000. The department of human services shall report to the legislature on:

(1) The number of adults receiving these benefits;

(2) The cost per person;

(3) Total breakdown of administrative costs and other overhead costs; and

(4) Statistics, if available, on how this dental program is reducing the number of emergency dental-related medical procedures;

provided that the department of human services shall submit its report no later than twenty days prior to the convening of the 2013 regular session.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 10. There is appropriated out of the general revenues of the State of Hawaii the sum of $100,000 or so much thereof as may be necessary for fiscal year 2012-2013 for Maui community college, University of Hawaii, for the adult dental care program.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 11. There is appropriated out of the general revenues of the State of Hawaii the sum of $30,000 or so much thereof as may be necessary for fiscal year 2012-2013 for outstationed eligibility worker services provided at federally qualified health centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 12. There is appropriated out of the general revenues of the State of Hawaii the sum of $80,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Hawaii Primary Care Association for outreach services provided at federally qualified health centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 13. There is appropriated out of the general revenues of the State of Hawaii the sum of $44,636 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Hawaii Primary Care Association for outreach services to locate uninsured children for services at federally qualified health centers.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 14. There is appropriated out of the general revenues of the State of Hawaii the sum of $300,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to Adult Friends for Youth for youth gang prevention and intervention services.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 15. There is appropriated out of the general revenues of the State of Hawaii the sum of $800,000 or so much thereof as may be necessary for fiscal year 2012-2013 for child care subsidies.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 16. There is appropriated out of the general revenues of the State of Hawaii the sum of $450,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to Hawaii Centers for Independent Living for statewide independent living services.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 17. There is appropriated out of the general revenues of the State of Hawaii the sum of $500,000 or so much thereof as may be necessary for fiscal year 2012-2013 to the office of youth services for a youth gang response system.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 18. There is appropriated out of the general revenues of the State of Hawaii the sum of $1,000,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the united peer learning integrated new knowledge program for statewide non-school hour programs.

The sum appropriated shall be expended by the office of youth services of the department of human services for the purposes of this part.

SECTION 19. There is appropriated out of the general revenues of the State of Hawaii the sum of $600,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to the Partners in Development Foundation to:

(1) Provide comprehensive family training (early childhood, parent, adult education, and intensive child-caregiver activities) and transitional services to sheltered and unsheltered homeless families on the leeward coast of Oahu;

(2) Offer early screening, assessment, and referral services for homeless children from birth to age five; and

(3) Prepare homeless children for kindergarten by providing developmentally appropriate social, emotional, and cognitive activities in a child-caregiver interactive learning environment.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 20. There is appropriated out of the general revenues of the State of Hawaii the sum of $3,200,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to PATCH (People Attentive to Children) for the preschool open doors program.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

SECTION 21. There is appropriated out of the general revenues of the State of Hawaii the sum of $150,000 or so much thereof as may be necessary for fiscal year 2012-2013 to provide funding for grants pursuant to chapter 42F, Hawaii Revised Statutes, to The Children's Alliance of Hawaii, Inc., to provide child sex assault services.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

PART III

SECTION 22. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2012-2013 for the creation of positions under the department of human services for the supplemental nutrition assistance program.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

PART IV

SECTION 23. Section 412:3-114.5, Hawaii Revised Statutes, is amended to read as follows:

"[[]§412:3-114.5[]] Mandatory reporting of suspected financial abuse of an elder. (a) A financial institution shall report suspected financial abuse that is directed towards, targets, or is committed against an elder to the appropriate police department [~~of human services~~] and may report suspected financial abuse to the department if:

(1) In connection with providing financial services to the elder, the officer or employee of a financial institution:

(A) Has direct contact with the elder; or

(B) Reviews or approves the elder's financial documents, records, or transactions; and

(2) The officer or employee, within the scope of employment or professional practice:

(A) Observes or has knowledge of an incident the officer or employee believes in good faith appears to be financial abuse; or

(B) In the case of officers or employers who do not have direct contact with the elder, has a good faith suspicion that financial abuse has occurred or may be occurring, based solely on the information present at the time of reviewing or approving the document, record, or transaction.

(b) Suspected financial abuse shall be reported immediately [~~to the department~~] by telephone [~~and by written~~ ~~report sent within five business days.~~] and by electronic filing, or as soon as practicably possible, and by written report sent within two business days, to the appropriate police department; provided that suspected financial abuse may be reported to the department of human services.

[(c) Upon notification by a financial institution of suspected financial abuse, the department, in a timely manner, shall determine whether the department has jurisdiction over the elder involved; and if not, shall notify the financial institution, which shall then notify the proper local law enforcement agency immediately by telephone and forward the written report to the agency within three business days. A financial institution shall not be liable for failing to report suspected financial abuse to a local law ~~enforcement agency in cases in which the department fails to notify the institution of the department’s~~ ~~lack of jurisdiction.~~]

(c) The department shall inform the appropriate police department of all reports received by the department regarding a case of financial abuse; provided that the name of the person who reported the case of financial abuse shall be released to the police department pursuant only to court order or the person's consent.

(d) The department shall inform the appropriate police department or office of the prosecuting attorney of any relevant information concerning a case of financial abuse when the information is required by the police department or the office of the prosecuting attorney for the investigation or prosecution of that case; provided that the name of the person who reported the case of financial abuse shall be released to the police department or the office of the prosecuting attorney pursuant only to court order or the person's consent.

[~~(d)~~] (e) Notwithstanding any other state law to the contrary, including but not limited to laws concerning confidentiality, any person, including the financial institution, who:

(1) Participates in the making of a report pursuant to this section; and

(2) Believes, in good faith, that the action is warranted by facts known to that person,

shall have immunity from any liability, civil or criminal, that might be otherwise incurred or imposed by or as a result of the making of the report. Any person making the report shall have the same immunity with respect to participation in any judicial proceeding resulting from the report.

[(e)] (f) For the purposes of this section:

"Department" means the department of human services.

"Elder" means a person who is sixty-two years of age or older.

"Financial abuse" means financial abuse or economic exploitation."

PART V

SECTION 24. The legislature finds that homelessness is a complex and multifaceted issue requiring planning, coordination, implementation, and funding across federal, state, local, business, and community lines. Locally, many government agencies, nonprofit organizations, and other private sector organizations have worked diligently and successfully to assist those who are homeless. Yet, Hawaii has experienced an increase in the number of homeless individuals and families.

According to 2009 data, Hawaii has twice as many people who are homeless per one hundred thousand people as the national average. The 2011 State-wide Point in Time Count indicated a six per cent increase in homelessness throughout the State. Further, 2010 data indicate that almost one third of the sheltered homeless are children; more than ten per cent are veterans; over sixty per cent have lived in Hawaii for more than ten years; almost half of the families who are homeless include someone who is employed; and almost thirty per cent are Hawaiian or part Hawaiian; thus, showing that there is no single profile of someone who is homeless.

In January 2011, the governor of the State of Hawaii pronouncing the elimination of homelessness a "moral imperative", appointed the first governor's coordinator on homelessness, to lead the effort to prevent and eliminate homelessness in Hawaii through the use of strategic approaches, structural changes, and unprecedented collaborative and civic involvement.

On March 4, 2011, the governor of the State of Hawaii hosted with the United States Department of Veterans Affairs, an interagency leadership forum on homelessness attended by leaders from government, business, the community, and the faith community, to advocate for the development of a collaborative strategy to end homelessness in Hawaii.

On June 22, 2010, the United States Interagency Council on Homelessness, comprised of nineteen Cabinet Secretaries and agency heads, released "Opening Doors: Federal Strategic Plan to Prevent and End Homelessness", the nation's first comprehensive strategic plan to prevent and end homelessness.

"Opening Doors" identified the following four ambitious goals of finishing the job of ending chronic homelessness in five years; preventing and ending homelessness among veterans in five years; preventing and ending homelessness for families, youth, and children in ten years; and setting a path to ending all types of homelessness.

The governor of Hawaii has found it to be imperative and in the public interest to capitalize on the opportunities and momentum generated by the United States Interagency Council on Homelessness, to provide leadership for the prevention and elimination of homelessness, and to keep Hawaii at the forefront of providing care to its residents in the spirit of the Law of the Splintered Paddle (Ke Kānāwai Mamalahoe), Hawaii State Constitution, Article IX, Section 10.

Consequently, on July 19, 2011, Governor Neil Abercrombie, through the issuance of Executive Order No. 11-21, pursuant to the provisions of section 26-41, Hawaii Revised Statutes, temporarily established the Hawaii interagency council on homelessness.

The purpose of this part is to establish the Hawaii interagency council on homelessness by statute, which will further enhance the ability of the council to provide solutions for ending homelessness in Hawaii. By establishing the interagency council on homelessness by statute the importance of ending homelessness will be highlighted and continuity through administrations is strengthened.

SECTION 25. Chapter 346, Hawaii Revised Statutes, is amended by adding a new part to be appropriately designated and to read as follows:

"PART . HAWAII INTERAGENCY COUNCIL ON HOMELESSNESS

§346- Hawaii interagency council on homelessness; establishment. There is established the Hawaii interagency council on homelessness, which shall be an advisory body exempt from section 26-34. The Hawaii interagency council on homelessness shall be placed within the department of human services for administrative purposes.

The Hawaii interagency council on homelessness shall:

(1) Serve as the statewide homelessness planning and policy development entity with broad representation from state and county government and the community;

(2) Formulate and advise the governor on the implementation of a unified ten-year, statewide plan to address homelessness in all Hawaii counties;

(3) Facilitate the acquisition of funding and resources for state and county homeless programs;

(4) Recommend policy, regulatory and statutory changes, and identify resource strategies for the successful execution of the ten-year plan;

(5) Assemble accurate fiscal and demographic information to support policy development and track outcomes;

(6) Consider collaborative homelessness initiatives of other states that have demonstrated positive measurable outcomes as possible models for state and local programs;

(7) Promote systems integration of social, health, training, and housing services to reduce duplication among homeless assistance programs;

(8) Advise on the development and implementation of a public education program on homelessness in Hawaii and disseminate information including data and best practices; and

(9) Report annually to the governor, the legislature, and the mayors on the progress of its activities, including formulation and progress of the ten-year plan.

The ten-year plan will be developed to assist individuals who are homeless or facing homelessness; prioritize the needs of the most vulnerable individuals and families; encourage and promote partnerships between public and private entities to identify, renovate, and secure dignified transitional, as well as, permanent housing options; promote development and utilization of support services including job training, mental health, and substance abuse treatment that will enhance the transition out of homelessness; increase access to public areas for all members of the community; support efforts to obtain accurate statistics on those who are homeless; and activate, coordinate, and maintain responsive action among the public, business, and faith-based communities to become part of the homelessness solution strategy.

§346- Membership. The Hawaii interagency council on homelessness shall be composed of the following members:

(1) Governor's coordinator on homelessness, who will serve as chair;

(2) Director of human services or designee;

(3) Administrator of the homeless programs office of the department of human services or designee;

(4) Director of health or designee;

(5) Director of labor and industrial relations or designee;

(6) Director of public safety or designee;

(7) Director of business, economic development, and tourism or designee;

(8) Adjutant general of the department of defense or designee;

(9) Administrator of the office of Hawaiian affairs or designee;

(10) Attorney general or designee;

(11) Superintendent of education or designee;

(12) One representative to be designated by the speaker of the house of representatives;

(13) One senator to be designated by the president of the senate;

(14) The mayor of each of each county or designee;

(15) A representative of the United States Department of Veterans Affairs;

(16) A representative from the Office of Community Planning and Development, United States Department of Housing and Urban Development;

(17) A representative of the Continuum of Care Network of the city and county of Honolulu;

(18) A representative of the Continuum of Care Network of Maui, Kauai, and Hawaii counties;

(19) A representative of a faith-based organization with interfaith relationships, to be designated by the governor; and

(20) A representative of the business community, to be designated by the governor.

The non-governmental members of the Hawaii interagency council on homelessness shall serve without compensation but shall be reimbursed for expenses, including travel expenses, necessary for the performance of their duties.

In the event a Hawaii interagency council on homelessness member is unable to attend a meeting, the member may appoint a designee to attend and to act on the member's behalf during the meeting.

§346- Meetings. The Hawaii interagency council on homelessness shall meet quarterly, or more frequently as it deems necessary.

A majority of the members of the Hawaii interagency council on homelessness shall constitute a quorum to do business and to validate any decision or act of the council."

SECTION 26. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2012-2013 for administrative expenses of the Hawaii interagency council on homelessness.

The sum appropriated shall be expended by the department of human services for the purposes of this part.

PART VI

SECTION 27. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

"§346- National Human Trafficking Resource Center hotline; printable poster. (a) The department may make available on its public website information on the National Human Trafficking Resource Center hotline and an electronic version of the National Human Trafficking Resource Center hotline poster for establishments to print. The poster shall be no smaller than eight and one-half inches by eleven inches in size that states the following:

"If you or someone you know is being forced to engage in any activity and cannot leave – whether it is commercial sex, housework, farm work, or any other activity – call the National Human Trafficking Resource Center hotline at 1-888-373-7888 to access help and services.

Victims of human trafficking are protected under United States and Hawaii law.

The hotline is:

(1) Available twenty-four hours a day, seven days a week;

(2) Toll-free;

(3) Operated by a nonprofit, non-governmental organization;

(4) Anonymous and confidential;

(5) Accessible in one hundred-seventy languages; and

(6) Able to provide help, referral to services, training, and general information."

(b) A poster required under subsection (a) shall be printed in English, Spanish, and any other languages mandated by the Voting Rights Act of 1965, P.L. 89-110, in the county where the poster will be posted."

PART VII

SECTION 28. The purpose of this part is to alleviate the current gap in service for survivors of human trafficking by proposing a comprehensive plan that coordinates relevant state-funded programs.

SECTION 29. (a) There is established a task force within the department of human services to develop a comprehensive state plan to coordinate services for survivors of human trafficking.

(b) The director of human services or the director's designee shall oversee the task force and shall coordinate the development of the state plan on services for survivors of human trafficking. The task force shall consist of the following members or their designee:

(1) The director of human services;

(2) One senate member to be selected by the senate president;

(3) One house member to be selected by the speaker of the house of representatives;

(4) Two representatives of human trafficking victims' organizations; one to be selected by the senate president and one to be selected by the speaker of the house of representatives; and

(5) Two victims of human trafficking; one to be selected by the senate president and one to be selected by the speaker of the house of representatives.

(c) The task force shall create a state plan on the coordination of services for survivors of human trafficking. The activities of the task force shall include but not be limited to:

(1) Gathering and disseminating information to law enforcement agencies and the offices of the prosecuting attorney in each county, the department of the attorney general, the department of human services, the office of community services, nonprofit organizations, and the public on available services for survivors of human trafficking. Services for survivors of human trafficking shall include but not be limited to:

(A) Case management;

(B) Emergency temporary housing;

(D) Mental health counseling;

(E) Drug addiction screening and treatment;

(F) Language interpretation and translation services;

(G) English language instruction;

(H) Job training and placement assistance;

(I) Post-employment services and job retention;

(J) Transportation services; and

(K) Services to assist the individual and any of the individual's family members to establish permanent residency in the State of Hawaii or other localities in the United States;

(2) Identifying a single point of access for individuals or organizations that need assistance or guidance in navigating the processes and regulations of state agencies to services for survivors of human trafficking or projects that promote services for survivors of human trafficking;

(3) Designating the department of human services as the appropriate agency to provide services to income-qualified, United States citizens and "qualified immigrants" who are survivors of human trafficking and the office of community services as the appropriate agency to provide services to "disadvantaged, refugee, and immigrant" survivors of human trafficking;

(4) Identifying a single executive department or a division within a department to establish a program for coordinating services for survivors of human trafficking; and

(5) Proposing legislation and making recommendations to the governor regarding human trafficking.

(d) The director of human services shall submit a report of the task force's activities, including recommendations and proposed legislation, if any, to the legislature no later than twenty days prior to the convening of the regular session of 2014. The working group shall dissolve on June 30, 2014.

(e) For the purposes of this part, "survivor of human trafficking" means a person:

(1) Who has had or now has the condition or status of debt bondage, involuntary servitude, severe forms of trafficking in persons, or sex trafficking, as those terms are defined in title 22 United States Code section 7102;

(2) Whose prostitution was promoted or advanced by any of the means set forth in section 712-1202(1), Hawaii Revised Statutes; or

(3) Who was subject to performing labor or services by any of the means described in section 707-781(1), Hawaii Revised Statutes.

(f) The members of the task force shall not receive compensation for their services.

(g) No member shall be made subject to chapter 84, Hawaii Revised Statutes, solely because of that member's participation as a member of the task force.

PART VIII

SECTION 30. Section 346-332, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:

"(b) Community care foster family homes shall be required to reserve at least one bed for medicaid patients[.]; provided that if:

(1) A medicaid patient, who is the only medicaid patient residing in the community care foster family home, departs; and

(2) There is only one remaining private-pay client in the community care foster family home and a physician who is licensed to practice under chapter 453 has certified to the department in a timely manner that the removal of that private-pay client from the community care foster family home may cause that client to sustain transfer trauma,

then the department may not, for a period of at least six months following the medicaid patient's departure, and on account of the medicaid patient's departure, suspend or revoke the certificate of approval issued to the community care foster family home under section 346-334."

SECTION 31. Section 346-334, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:

"(b) The department shall adopt rules pursuant to chapter 91 relating to:

(1) Standards of conditions and competence for the operation of community care foster family homes;

(2) Procedures for obtaining and renewing a certificate of approval from the department;

(3) Minimum grievance procedures for clients of community care foster family home services; and

(4) Requirements for primary and substitute caregivers caring for three clients in community care foster family homes including:

(A) Mandating that primary [~~and substitute~~] caregivers be twenty-one years of age or older[;], and that substitute caregivers be eighteen years of age or older;

(B) Mandating that primary and substitute caregivers complete a minimum of twelve hours of continuing education every twelve months or at least twenty-four hours of continuing education every twenty-four months;

(C) Allowing the primary caregiver to be absent from the community care foster family home for no more than twenty-eight hours in a calendar week, not to exceed five hours per day; provided that the substitute caregiver is present in the community care foster family home during the primary caregiver's absence;

(D) Where the primary caregiver is absent from the community care foster family home in excess of the hours as prescribed in subparagraph (C), mandating that the substitute caregiver be a certified nurse aide; and

(E) Mandating that the substitute caregiver have, at a minimum, one year prior work experience as a caregiver in a community residential setting or in a medical facility."

PART IX

SECTION 32. The department of human services shall collaborate with the Healthcare Association of Hawaii, the Hawaii Long Term Care Association, nursing facility providers, and home- and community-based service providers, including adult residential care homes and foster family homes, to develop a revised methodology for determining the level of acuity of nursing facility residents who are medicaid recipients, including those with complex medical conditions, to set reimbursements at levels that are fair and equitable. The department of human services and the collaborating organizations and providers shall submit to the legislature a joint report containing recommendations and an implementation plan no later than twenty days prior to the convening of the regular session of 2013.

SECTION 33. The department of human services shall work with the department of health to develop an equitable referral system relating to the discharge of patients from hospitals, nursing homes, and long-term care facilities based on the patient's acuity level for proper placement in either an adult residential care home, community care foster family home, or an expanded adult residential care home.

PART X

SECTION 34. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.

SECTION 35. This Act shall take effect on July 1, 2012; provided that part V shall be repealed on June 30, 2022.

HOUSE OF REPRESENTATIVES	H.B. NO.	1905
TWENTY-SIXTH LEGISLATURE, 2012		H.D. 2
STATE OF HAWAII		S.D. 1
		Proposed