STAND. COM. REP. NO. 78

Honolulu, Hawaii

, 2019

RE: H.B. No. 578

H.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Sir:

Your Committee on Health, to which was referred H.B. No. 578 entitled:

"A BILL FOR AN ACT RELATING TO HEALTH,"

begs leave to report as follows:

The purpose of this measure as received by your Committee is to:

(1) Permit an administrative order to overcome objection to medical treatment by an involuntarily committed psychiatric patient without need for judicial hearing and order;

(2) Establish criteria for issuance of the administrative order; and

(3) Establish criteria for an administrative authorization process to determine whether the administrative order should be issued.

For the purposes of a public hearing on this measure, your Committee circulated a proposed H.B. No. 578, H.D. 1 (Proposed Draft) and notified the public that it would be accepting testimony on this proposal, which authorizes the State Health Planning and Development Agency to mandate the submission of Medicare Advantage (Medicare Part C) administrative data and healthcare services claims to the Hawaii Health Data Center, the State's all-payer claims database for gathering and tracking healthcare cost and utilization data.

The Department of Health, University of Hawaii at Manoa and College of Social Sciences, State Health Planning and Development Agency, Office of Enterprise Technology Services, and Executive Office on Aging testified in support of the Proposed Draft. The Hawaii Employer-Union Health Benefits Trust Fund provided comments.

Your Committee considered the merits of both H.B. No. 587, as received by your Committee, and the Proposed Draft, and upon careful consideration, adopted the Proposed Draft, changed its effective date to July 1, 2050, to encourage further discussion, and made technical, nonsubstantive amendments for clarity, consistency, and style.

As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 578, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 578, H.D. 1, and be referred to your Committee on Judiciary.

Respectfully submitted on behalf of the members of the Committee on Health,

____________________________

JOHN M. MIZUNO, Chair