CONFERENCE COMMITTEE REP. NO. 16

Honolulu, Hawaii

, 2019

RE: H.B. No. 1449

H.D. 1

S.D. 2

C.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Honorable Ronald D. Kouchi

President of the Senate

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Sirs:

Your Committee on Conference on the disagreeing vote of the House of Representatives to the amendments proposed by the Senate in H.B. No. 1449, H.D. 1, S.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO THE NURSING FACILITY SUSTAINABILITY PROGRAM,"

having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.

The purpose of this measure is to:

(1) Extend the Nursing Facility Sustainability Program to 2021;

(2) Allow the Nursing Facility Sustainability Fee to be used to enhance capitated rates for the purpose of paying quality incentives;

(3) Increase the Nursing Facility Sustainability Fee limit from 4.0% to 5.5% of net patient service revenue;

(4) Increase the per resident daily maximum fee from $13.46 to $20 for each facility, and increase the per resident reduced daily maximum fee from $5.85 to $9 for facilities that meet certain exceptions; and

(5) Appropriate funds for the Nursing Facility Sustainability Program.

Your Committee on Conference has amended this measure by:

(1) Changing the appropriation from the Nursing Facility Sustainability Program Special Fund to $21,000,000; and

(2) Changing its effective date to June 29, 2019; provided that sections 7 and 8 shall take effect on July 1, 2019.

As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of H.B. No. 1449, H.D. 1, S.D. 2, as amended herein, and recommends that it pass Final Reading in the form attached hereto as H.B. No. 1449, H.D. 1, S.D. 2, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE SENATE

ON THE PART OF THE HOUSE

____________________________ RUSSELL E. RUDERMAN Chair	____________________________ JOY A. SAN BUENAVENTURA Co-Chair
____________________________ ROSALYN H. BAKER Co-Chair	____________________________ JOHN M. MIZUNO Co-Chair
____________________________ GIL RIVIERE Co-Chair	____________________________ NADINE K. NAKAMURA Co-Chair