STAND. COM. REP. NO.  584

Honolulu, Hawaii

                , 2017

RE:   H.B. No. 93

      H.D. 1

Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Ninth State Legislature

Regular Session of 2017

State of Hawaii

Sir:

     Your Committees on Human Services and Health, to which was referred H.B. No. 93 entitled:

"A BILL FOR AN ACT RELATING TO MEDICAID,"

beg leave to report as follows:

The purpose of this measure is to provide enhanced Medicaid payments to long-term care facilities that accept and care for medically-complex patients awaiting discharge from an acute care hospital by requiring insurers to provide an add-on payment of 40 percent of the Medicaid base rate.

The Hawaii Health Systems Corporation (HHSC) Corporate Board of Directors; HHSC Oahu Region; HHSC East Hawaii Region; Hawaii Disability Rights Center; The Queen's Health Systems; Aloha Nursing Rehab Centre; Hawaii Chapter of the American Physical Therapy Association; Ohana Pacific Management Company, Inc.; Hale Makua Health Services; One Kalakaua Senior Living; Healthcare Association of Hawaii; and numerous individuals testified in support of this measure.  The Department of Human Services and Hawaii Medical Service Association commented on this measure.

     Your Committees have amended this measure by:

(1)  Changing the documentation specifications for long-term facilities regarding Medicaid enrollees, to include at least one qualifying condition, the severity of the symptoms, and the need for direct service worker resources or enhanced supports;

(2)  Providing definitions for "qualifying condition", "severe medical condition", and "severe mental or behavioral health condition";

(3)  Changing its effective date to July 1, 2075, to facilitate further discussion on this measure; and

(4)  Making technical, nonsubstantive amendments for clarity, consistency, and style.

     As affirmed by the records of votes of the members of your Committees on Human Services and Health that are attached to this report, your Committees are in accord with the intent and purpose of H.B. No. 93, as amended herein, and recommend that it pass Second Reading in the form attached hereto as H.B. No. 93, H.D. 1, and be referred to your Committee on Finance.

Respectfully submitted on behalf of the members of the Committees on Human Services and Health,

____________________________ DELLA AU BELATTI, Chair

____________________________ DEE MORIKAWA, Chair