STAND. COM. REP. NO. 134

Honolulu, Hawaii

, 2021

RE: H.B. No. 309

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. 309 entitled:

"A BILL FOR AN ACT RELATING TO HEALTH,"

begs leave to report as follows:

The purpose of this measure is to expand coverage of breast cancer screening and imaging to include risk factor screening, additional and supplemental imaging, and baseline mammograms for women between the ages of thirty-five and thirty-nine.

Your Committee received testimony in support of this measure from the Hawaii Primary Care Association, Hawaii Medical Association, Hawaii Pacific Health, Hawaii Radiological Society, Planned Parenthood Votes Northwest and Hawaii, and two individuals. Your Committee received testimony in opposition to this measure from the Hawaii Medical Service Association and Hawaii Association of Health Plans. Your Committee received comments on this measure from the Department of Commerce and Consumer Affairs.

Your Committee finds that, on average, women in Hawaii between the ages of forty and forty-nine have higher incidence of breast cancer compared to the national average. Your Committee further finds that expanding coverage and types of coverage of breast cancer screening is in the best interest of public health, and will ensure that women with high risk of breast cancer in Hawaii have access to early breast cancer screening.

Your Committee has amended this measure by:

(1) Requiring the Auditor to conduct an impact assessment report on the mandatory health insurance coverage proposed by this measure;

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

(3) 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. 309, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 309, H.D. 1, and be referred to your Committee on Consumer Protection & Commerce.

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

____________________________

RYAN I. YAMANE, Chair