STAND. COM. REP. NO. 323

Honolulu, Hawaii

, 2025

RE: H.B. No. 213

H.D. 1

Honorable Nadine K. Nakamura

Speaker, House of Representatives

Thirty-Third State Legislature

Regular Session of 2025

State of Hawaii

Madame:

Your Committee on Health, to which was referred H.B. No. 213 entitled:

"A BILL FOR AN ACT RELATING TO LOAN REPAYMENT FOR HEALTHCARE PROFESSIONALS,"

begs leave to report as follows:

The purpose of this measure is to appropriate funds to the Healthcare Education Loan Repayment program to continue to provide loan repayment assistance to health care workers in Hawaii.

Your Committee received testimony in support of this measure from the Office of the Governor; Department of Health; State Health Planning and Development Agency; University of Hawaiʻi at Mānoa John A. Burns School of Medicine; Hawaii Health Systems Corporation Corporate Board of Directors; Hawaiʻi State Center for Nursing; Hawaiʻi Primary Care Association; Hawaiʻi Pacific Health; Hawaii Substance Abuse Coalition; Hawaii Dental Association; The Queen's Health Systems; Healthcare Association of Hawaii; Kaiser Permanente Hawaiʻi; American College of Obstetricians and Gynecologists – Hawaiʻi Section; Hawaii Medical Association; AlohaCare; Hawaii Medical Service Association; Hawaii Association of Health Plans; Hawaiʻi Association of Professional Nurses; and four individuals.

Your Committee finds that a persistent workforce shortage in the health care industry has created difficulties for patients trying to access health care services, in part because of the combination of the high cost of living in the State and the large amount of educational debt carried by many health care professionals. Your Committee further finds that the Legislature appropriated a total of $30,000,000 over the 2024-2025 fiscal biennium to fund a Healthcare Education Loan Repayment Program (HELP), which assists health care professionals in Hawaii in repaying their health care education loans in exchange for a commitment to provide at least two years of health care service to patients in Hawaii.

In 2023, HELP awarded loan repayments to eight hundred ninety health care workers, including nearly three hundred primary care and behavioral health providers, and had approximately one thousand five hundred applicants waitlisted; these waitlisted applicants will be reviewed, and awards will continue to be provided to the extent that funding is available for 2024 applications. Your Committee believes that continuing to fund this program will help the State in addressing its health care workforce shortages, encourage health care professionals to remain in the State, and ensure Hawaii's residents receive timely access to health care services.

Your Committee has amended this measure by:

(1) Changing the appropriation to an unspecified amount; and

(2) Changing the effective date to July 1, 3000, to encourage further discussion.

Your Committee respectfully requests your Committee on Finance, should it deliberate on this measure, to consider an appropriation amount of $15,000,000.

As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 213, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 213, H.D. 1, and be referred to your Committee on Finance.

Respectfully submitted on behalf of the members of the Committee on Health,

____________________________

GREGG TAKAYAMA, Chair