STAND. COM. REP. NO. 2805

Honolulu, Hawaii

RE: S.B. No. 3107

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Twenty-Ninth State Legislature

Regular Session of 2018

State of Hawaii

Sir:

Your Committee on Ways and Means, to which was referred S.B. No. 3107 entitled:

"A BILL FOR AN ACT RELATING TO CHRONIC HEALTH CONDITIONS,"

begs leave to report as follows:

The purpose and intent of this measure is to appropriate funds for the treatment of persons with multiple chronic conditions, including mental health disorders, substance use disorders, and homelessness.

Your Committee received written comments in support of this measure from the Queen's Health Systems; Hawaii Substance Abuse Coalition; Life Foundation and the CHOW Project; OCC Legislative Priorities Committee, Democratic Party of Hawaii; Drug Policy Forum of Hawaii; and one individual.

Your Committee finds that investing more of the State's resources into assisting and treating persons struggling with multiple chronic conditions will help to curb the rising costs of healthcare by reducing the need for more acute medical interventions in the future.

Your Committee has amended this measure by:

(1) Replacing references to "substance abuse" with "substance use" for consistency throughout the measure, and to reflect that "substance use" is the umbrella term used in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), to reference what were previously known as substance abuse and substance dependence disorders;

(2) Changing the appropriations to unspecified amounts;

(3) Changing the effective date to July 1, 2050, to facilitate further discussion on the measure; and

(4) Making technical nonsubstantive changes for 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. 3107, as amended herein, and recommends that it pass Third Reading in the form attached hereto as S.B. No. 3107, S.D. 1.

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

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DONOVAN M. DELA CRUZ, Chair