THE SENATE	S.B. NO.	759
THIRTY-SECOND LEGISLATURE, 2023
STATE OF HAWAII

A BILL FOR AN ACT

Relating to Health.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

SECTION 1. The legislature finds that accessing care is often complicated for neighbor island residents. Most of the State's specialty practices are located on O‘ahu, since many medical specialists are unwilling to practice in underserved rural areas of the State. This inherent barrier to accessing care underscores the severe need for comprehensive health care coordination on the neighbor islands.

The legislature further finds that the department of health's office of primary care and rural health, in partnership with community organizations such as Community First, conducted a community health needs assessment for Hawai‘i Island titled "Access to Care -- Health for Our Communities". The assessment analyzes 3,287 resident survey responses and identifies delays in health care delivery as residents' greatest obstacle to care. Nearly six in ten respondents report delays, often due to limited availability of specialists practicing on O‘ahu.

The legislature further finds that larger societal concerns such as affordable housing, the State's high cost of living, transportation difficulties, and child care challenges are barriers to care disproportionately affecting residents of underserved rural areas. To ensure health equity, the State must look beyond the symptoms of social determinants of health to address the root causes of negative health outcomes disproportionately affecting rural communities, low-income communities, communities of color, and sexual and gender minorities.

The legislature further finds that coordinated efforts at all levels are necessary to examine social determinants impacting a community's access to health care resources and improve public health. The establishment of a strong health network in underserved areas would allow these areas to efficiently develop a health care plan encompassing preventative and primary health care, specialty care, and urgent and emergency care. On Hawai‘i Island, a comprehensive plan to align health care priorities with existing resources will foster collaboration between providers, avoid service duplication, streamline care delivery for the island's most vulnerable residents, and serve as a model for other counties.

The purpose of this Act is to require the office of primary care and rural health to establish and administer a pilot program to collaboratively address the health and wellness needs of Hawai‘i county's most underserved residents and facilitate discussions between key Hawai‘i county community health and social service organizations to develop a 2030 one shared health vision plan for Hawai‘i county.

SECTION 2. (a) The office of primary care and rural health shall establish and administer a pilot program to collaboratively address the health and wellness needs of Hawai‘i county's most underserved residents and facilitate discussions between key Hawai‘i county community health and social service organizations to develop a 2030 one shared health vision plan for Hawai‘i county that aligns with appropriate providers' goals and objectives.

(b) The office of primary care and rural health shall submit the 2030 one shared health vision plan required by subsection (a), including any proposed long-term legislative grant-in-aid requests, to the legislature no later than twenty days prior to the convening of the regular session of 2024.

SECTION 3. There is appropriated out of the general revenues of the State of Hawaii the sum of $           or so much thereof as may be necessary for fiscal year 2023-2024 and the same sum or so much thereof as may be necessary for fiscal year 2024-2025 for the pilot program established pursuant to section 2 of this Act.

The sums appropriated shall be expended by the office of primary care and rural health for the purposes of this Act.

SECTION 4. This Act shall take effect on July 1, 2023.

INTRODUCED BY:

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Report Title:

Office of Primary Care and Rural Health; Pilot Program; 2030 One Shared Health Vision Plan; Hawaii County; Report; Appropriation

Description:

Requires the Office of Primary Care and Rural Health to establish and administer a pilot program to collaboratively address the health and wellness needs of Hawai‘i County's most underserved residents and develop a 2030 One Shared Health Vision Plan. Requires the Office of Primary Care and Rural Health to submit the plan to the Legislature prior to the convening of the Regular Session of 2024. Appropriates funds.

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.