CONFERENCE COMMITTEE REP. NO. 140

Honolulu, Hawaii

, 2019

RE: S.B. No. 1237

S.D. 1

H.D. 1

C.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Sirs:

Your Committee on Conference on the disagreeing vote of the Senate to the amendments proposed by the House of Representatives in S.B. No. 1237, S.D. 1, H.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO HEALTH,"

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 require health insurance providers that provide Medicare Advantage (Medicare Part C) health benefit plans to submit administrative data, including health care services claims and payment data, to the State Health Planning and Development Agency for inclusion in the all-payer claims database.

Your Committee on Conference finds that the all-payer claims database is a tool to address health care cost drivers in the State. However, under existing law, the all-payer claims database does not have access to Medicare Advantage plan data in Hawaii, despite Medicare Advantage participants comprising approximately forty-five percent of the Medicare population in the State. Your Committee on Conference further finds that this measure updates existing law to close gaps in the all-payer claims database caused by missing Medicare Advantage data so the database can be used more effectively to plan for Hawaii's aging population and the accompanying increase in medical expenditures by the state and federal governments.

Your Committee on Conference has amended this measure by:

(1) Requiring health insurance providers to begin submitting administrative data to the State Health Planning and Development Agency on July 1, 2019;

(2) Specifying the format for Medicare Advantage administrative data submissions to the State Health Planning and Development Agency;

(3) Changing the effective date to July 1, 2019; and

(4) Making a technical, nonsubstantive amendment for the purposes of clarity and consistency.

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 S.B. No. 1237, S.D. 1, H.D. 1, as amended herein, and recommends that it pass Final Reading in the form attached hereto as S.B. No. 1237, S.D. 1, H.D. 1, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE HOUSE

ON THE PART OF THE SENATE

____________________________ JOHN M. MIZUNO Co-Chair	____________________________ ROSALYN H. BAKER Chair
____________________________ JOY A. SAN BUENAVENTURA Co-Chair	____________________________ KARL RHOADS Co-Chair
____________________________ BERTRAND KOBAYASHI Co-Chair