STAND. COM. REP. NO. 2651

Honolulu, Hawaii

RE:    S.B. No. 2935

       S.D. 2

Honorable Shan S. Tsutsui

President of the Senate

Twenty-Sixth State Legislature

Regular Session of 2012

State of Hawaii

Sir:

     Your Committee on Ways and Means, to which was referred S.B. No. 2935, S.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO HEALTH CARE COORDINATION,"

begs leave to report as follows:

     The purpose and intent of this measure is to establish a public-private partnership to research, facilitate, develop, and implement a model and system of collaborative health care delivery in a county with a population between one hundred thousand and one hundred seventy thousand that moves patients, including acute care patients, efficiently, appropriately, and cost effectively throughout the continuum of care.

     Written comments in support of this measure were submitted by the Mayor, Maui County; and United Public Workers.  Written comments on the measure were submitted by the Maui Memorial Medical Center.

     Your Committee finds that this measure will promote innovative partnerships to resolve many of the crisis-type difficulties regarding health care delivery and coordination between multiple levels of care.  Your Committee further finds that such partnerships will result in appropriate discharge of patients from acute care settings into more appropriate sub-acute care settings, expanded inpatient capacity at acute care facilities, and more efficient, cost-effective quality of health care for all patients.

     Your Committee has amended this measure by:

     (1)  Allowing, rather than requiring, Hale Makua Health Services (Hale Makua) to become a membership corporation with Hawaii Health Systems Corporation as its sole member; and clarifying that if this occurs, the Board of Directors of Hale Makua shall be appointed by Hawaii Health Systems Corporation from a list provided by Hale Makua;

     (2)  Clarifying that the rights and duties of Hawaii Health Systems Corporation that are delegated to the Maui Regional System Board of Directors are limited to those rights and duties relating to health care issues on Maui;

     (3)  Authorizing the termination of the partnership between Hale Makua and Hawaii Health Systems Corporation, upon not less than one hundred eighty days notice to the presiding officers of the Legislature, if a significant change in services or a substantial change to the partnership occurs;

     (4)  Changing the appropriation to an unspecified sum; and

     (5)  Making technical nonsubstantive amendments for the purposes of clarity, consistency, and style.

     As affirmed by the record of votes of the members of your Committee on Ways and Means that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 2935, S.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as S.B. No. 2935, S.D. 2.

Respectfully submitted on behalf of the members of the Committee on Ways and Means,

____________________________

DAVID Y. IGE, Chair