STAND. COM. REP. NO.   1422-16

Honolulu, Hawaii

                , 2016

RE:   H.R. No. 108

Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Eighth State Legislature

Regular Session of 2016

State of Hawaii

Sir:

     Your Committees on Health and Consumer Protection & Commerce, to which was referred H.R. No. 108 entitled:

"HOUSE RESOLUTION REQUESTING THE INSURANCE DIVISION OF THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS TO CONDUCT A SURVEY OF THE MEDICAL PROFESSIONAL COMMUNITY TO DETERMINE THE EXTENT OF THE DEVELOPMENT OF ACCOUNTABLE CARE ORGANIZATIONS AND DIRECT PRIMARY CARE OR "CONCIERGE MEDICINE" WITHIN THE COMMUNITY AND THE IMPACT OF THESE BUSINESS ARRANGEMENTS ON THE ABILITY OF PATIENTS TO ACCESS PRIMARY CARE SERVICES IN THE STATE,"

beg leave to report as follows:

The purpose of this measure is to request the insurance division of the Department of Commerce and Consumer Affairs to conduct a survey of the medical professional community to determine the extent to which:

     (1)  Accountable care organizations providing primary care services have developed in this State;

     (2)  Health care providers, in terms of their numbers and types, are participating in accountable care organizations;

     (3)  Patients, in terms of their numbers and the type of insurance plan covering them (i.e., private insurance, Medicare, or Medicaid), are being served and provided primary care through accountable care organizations;

     (4)  Direct primary care, or "concierge medicine," has penetrated the Hawaii healthcare marketplace;

     (5)  Health care providers, in terms of their numbers and types, are participating in direct primary care, or "concierge medicine," arrangements;

     (6)  Patients, in terms of their numbers and the type of insurance plan covering them (i.e., private insurance, Medicare, or Medicaid), are being served and provided primary care through direct primary care, or "concierge medicine," practices; and

     (7)  Accountable care organizations and direct primary care, or "concierge medicine," have either increased or decreased the access of Medicare or Medicaid patients to primary care services in the State.

Planned Parenthood Votes Northwest and Hawaii supported this measure. The Department of Commerce and Consumer Affairs commented on this measure.

     As affirmed by the records of votes of the members of your Committees on Health and Consumer Protection & Commerce that are attached to this report, your Committees concur with the intent and purpose of H.R. No. 108 and recommend that it be referred to your Committee on Finance.

Respectfully submitted on behalf of the members of the Committees on Health and Consumer Protection & Commerce,

____________________________ ANGUS L.K. McKELVEY, Chair

____________________________ DELLA AU BELATTI, Chair