STAND.
COM. REP. NO. 536-22
Honolulu, Hawaii
, 2022
RE: H.B. No. 1794
H.D. 2
Honorable Scott K. Saiki
Speaker, House of Representatives
Thirty-First State Legislature
Regular Session of 2022
State of Hawaii
Sir:
Your Committee on Health, Human Services, & Homelessness, to which was referred H.B. No. 1794, H.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO OPIOIDS,"
begs leave to report as follows:
The
purpose of this measure is to
require the Department of Health to:
(1) By January 1, 2024, implement standardized
quality metrics to track and address health care processes or outcomes
applicable to improving the quality of care and targeting improvements in
outcomes for patients having opioid use disorders;
(2) Implement value-based purchasing based on the
standardized quality metrics by July 1, 2024, to be applicable to all state
purchases of health and human services entered into after July 1, 2024;
(3) Collect data from health service providers on
levels of opioid prescriptions, use of opioids in health care settings, and
patient interactions for opioid use disorders;
(4) Annually report to the Legislature on the
compiled data and any updates on the implementation of value-based purchasing;
and
(5) Establish a working group to determine major
shifts in operations and clinical models that substance use disorder treatment
providers need to make before adjusting to efforts to incentivize new demands
for higher quality care.
Your Committee finds
that this measure seeks to improve the quality of health care to patients with opioid
use disorders by requiring the Department of Health to develop measurement tools
and collect data that correlates payments to providers with measures of quality
of care and outcomes delivered. Your
Committee, however, recognizes the concerns of the Department of Health that
the deadlines presented do not provide sufficient time to complete the
requirements under this measure.
Accordingly,
your Committee has amended this measure by:
(1) Delaying by six months the date by which the
Department of Health shall develop and implement standardized quality metrics
to track and address the required health care processes and outcomes; and
(2) Delaying by six months the date by which the
Department of Health shall implement value-based purchasing based on those
standardized quality metrics.
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. 1794, H.D. 1, as amended herein, and recommends that it be referred to your Committee on Consumer Protection & Commerce in the form attached hereto as H.B. No. 1794, H.D. 2.
Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,
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____________________________ RYAN I. YAMANE, Chair |
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