STAND. COM. REP. NO.
2^l*f
Honolulu, Hawaii
APR 1 9 2024
RE: H.C.R. No. 91
H. D. 1
S. D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Second State Legislature
Regular Session of 2024
State of Hawaii
Sir:
Your Committee on Health and Human Services, to which was
referred H.C.R. No. 91, H.D. 1, entitled:
"HOUSE CONCURRENT RESOLUTION REQUESTING THE DEPARTMENT OF
HUMAN SERVICES TO ESTABLISH A WORKING GROUP TO ADDRESS ISSUES
RELATING TO REIMBURSEMENTS AND PAYMENTS TO HOME AND
COMMUNITY-BASED SERVICES PROVIDERS,"
begs leave to report as follows:
The purpose and intent of this measure is to request the
Department of Human Services to establish a working group to
address issues relating to reimbursements and payments to home-
and community-based services providers.
Your Committee received testimony in support of this measure
from the Big Island Adult Foster Home Operators, International
Longshore & Warehouse Union International, International Longshore
& Warehouse Union Local 1000, and six individuals.
Your Committee received comments on this measure from the
Department of Human Services and Healthcare Association of Hawaii.
Your Committee finds that home- and community-based services
providers provide essential and necessary services to the State's
elderly and vulnerable populations. Your Committee further finds
that adequate reimbursements and payments are crucial to sustain
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and improve the quality of care provided by home- and community­
based residential care home facilities, and that there is a
pressing need to identify and implement measures to enhance
reimbursement rates for all home- and community-based services
providers. This measure requests the establishment of a working
group to address issues relating to reimbursements and payments to
home- and community-based services providers by conducting an
analysis of the current reimbursement and payment system,
identifying areas where improvements can be made, exploring
strategies, and engaging with stakeholders to gather input and
feedback.
Your Committee notes the Department of Human Services'
testimony that the comprehensive analyses and report requested in
this measure are similar to the rate studies contracted by its
Med-QUEST Division's that cost an average of $450,000, and that an
additional $350,000 may be needed since home- and community-based
services are funded through various non-Medicaid sources, and
therefore, federal Medicaid match would be unavailable.
Your Committee has amended this measure by:
(1) Removing language that would have requested the Director
of Health to be a member of the working group;
(2) Inserting language to request the working group to
request funding of $350,000 to conduct the comprehensive
analysis of the current reimbursement and payment system
for home- and community-based services providers; and
(3) Making technical, nonsubstantive amendments for the
purposes of clarity and consistency.
As affirmed by the record of votes of the members of your
Committee on Health and Human Services that is attached to this
report, your Committee concurs with the intent and purpose of
H.C.R. No. 91, H.D. 1, as amended herein, and recommends its
adoption in the form attached hereto as H.C.R. No. 91, H.D. 1,
S.D. 1.
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 STAND. COM. REP. NO.
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Respectfully submitted on
behalf of the members of the
Committee on Health and Human
Services,
2024-2654 HCR SSCR SMA-l.docx
 The Senate
Thirty-Second Legislature
State of Hawaii
Record of Votes
Committee on Health and Human Services
HHS
Bill / Resolution No.:* Committee Referral: Date:
■ HD‘ HHS, CPU
__ The Committee is reconsidering its previous decision on this measure.
If so, then the previous decision was to:________________________________________________
The Recommendation is:
Pass, unamended Pass, with amendments __ Hold __ Recommit
2312 2311 2310 2313
Members Aye, Aye (WR) Nay Excused
SAN BUENAVENTURA, Joy A. (C)
AQUINO. Henry J.C. (VC)
KEOHOKALOLE. Jarrett
SHIMABUKURO. Maile S.L
AWA. Brenton
TOTAL __
Recommendation:
!_□ Adopted __ Not Adopted
Chair’s or Designee’s Signature:______
■
Distribution: Original
—
Yellow Pink
c Goldenrod
File with Committee Report Clerk's Office Drafting Agency Committee File Copy
*Only one measure per Record of Votes
Revised: 12/27/23