STAND. COM. REP. NO. 232

Honolulu, Hawaii

, 2021

RE: H.B. No. 1106

H.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-First State Legislature

Regular Session of 2021

State of Hawaii

Sir:

Your Committee on Health, Human Services, & Homelessness, to which was referred H.B. No. 1106 entitled:

"A BILL FOR AN ACT RELATING TO HEALTH,"

begs leave to report as follows:

The purpose of this measure is to require all health care and wellness service providers to submit health information to a health information exchange, to be operated and maintained by a state designated entity, for the purposes of facilitating the use and movement of health information among organizations.

Your Committee received testimony in support of this measure from Hawaii Medical Service Association, Hawaii Health Information Exchange, Hawaii Data Collaborative, Hawaii Primary Care Association, and Cancer Center of Hawaii. Your Committee received comments on this measure from the Department of the Attorney General, Department of Human Services, The Queen's Health Systems, Healthcare Association of Hawaii, and Hawaii Pacific Health.

Your Committee finds that the ability to securely and efficiently exchange patient health information electronically has become vitally important to improve health outcomes for Hawaii's patients, reduce health care costs, and connect the State's health care providers. Your Committee further finds that requiring health care and wellness service providers to submit health information to a health information exchange will ensure that providers have complete and accurate medical records for their patients.

Your Committee has amended this measure by:

(1) Specifying that the Governor is responsible for designating the entity responsible for developing and maintaining the health information exchange;

(2) Clarifying the specific provisions of federal law with which the transmission of medical records must comply;

(3) Changing the effective date to July 1, 2060, to encourage further discussion; and

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

As affirmed by the record of votes of the members of your Committee on Health, Human Services, & Homelessness that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1106, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 1106, H.D. 1, and be referred to your Committee on Judiciary & Hawaiian Affairs.

Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,

____________________________

RYAN I. YAMANE, Chair