STAND. COM. REP. NO. 3^/^
Honolulu, Hawaii
APR 1 9 2024
RE: H.C.R. No. 94
H. D. 2
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. 94, H.D. 2, entitled:
"HOUSE CONCURRENT RESOLUTION REQUESTING THE DEPARTMENT OF
HUMAN SERVICES TO CONDUCT A STUDY ON THE FEASIBILITY OF
INCREASING THE MEDICAID REIMBURSEMENT PAYMENT RATE FOR
HAWAII'S COMMUNITY CARE FOSTER FAMILY HOMES AND EXPANDED
ADULT RESIDENTIAL CARE HOMES FOR MEDICAID CLIENTS EVERY TEN
YEARS,"
begs leave to report as follows:
The purpose and intent of this measure is to request the
Department of Human Services to conduct a study on the feasibility
of increasing the Medicaid reimbursement payment rate for Hawaii's
community care foster family homes and expanded adult residential
care homes for Medicaid clients in 2032 and every ten years
thereafter.
Your Committee received testimony in support of this measure
from International Longshore & Warehouse Union Local 1000 and one
individual.
Your Committee received comments on this measure from the
Department of Human Services.
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 STAND. COM.
Page 2
Your Committee finds that the State has a limited number of
beds in nursing homes for patients requiring a nursing home level
of care, and that community care foster family homes (CCFFHs) and
expanded adult residential care homes (E-ARCHs) provide additional
options for a nursing home level of care throughout the State.
Your Committee further finds that Senate Resolution No. 4, S.D. 1,
adopted during the Regular Session of 2022, requested the
Department of Human Services to study the feasibility of
increasing the Medicaid reimbursement rates for CCFFHs, E-ARCHs,
and other types of home- and community-based services care
providers and services, and in response, the Department submitted
a report of its findings and recommendations to the Legislature in
December 2022. This measure requests the Department to conduct a
similar study in 2032 and every ten years thereafter to
continually monitor the issues relating to Medicaid reimbursement
rates for CCFFHs and E-ARCHs.
Your Committee notes the Department of Human Services'
testimony that the feasibility study requested in this measure for
2032 will require significant resources and funding and that the
Department will need additional general fund appropriations a year
in advance, with the first appropriation in the biennium budget of
2031. Your Committee further notes the Department of Human
Services' testimony that Medicaid reimbursement rates for CCFFHs
and E-ARCHs have been increased in the last eight years, including
a five percent increase in 2022, and therefore, language in this
measure's legislative findings regarding the lack of rate
increases is inaccurate.
Accordingly, your Committee has amended this measure by:
(1) Deleting language in its legislative findings stating
that the Medicaid rate for CCFFH reimbursement has not
been increased in the last eight years;
(2) Inserting language to request the Department of Human
Services to request funding by 2031 to conduct the
feasibility study in 2032; and
(3) Making technical, nonsubstantive amendments for the
purposes of clarity and consistency.
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 STAND. COM. REP. NO.
Page 3
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. 94, H.D. 2, as amended herein, and recommends its
adoption in the form attached hereto as H.C.R. No. 94, H.D. 2,
S.D. 1.
Respectfully submitted on
behalf of the members of the
Committee on Health and Human
Services,
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 The Senate
Thirty-Second Legislature
State of Hawai‘i
Record of Votes
Committee on Health and Human Services
HHS
Bill / Resolution No.:* Committee Referral: Date:
H H5, C'PN ^/l-l
The Committee is reconsidering its previous decision on this measure.
If so, then the previous decision was to:___________________________________
The Recommendation is:
__ Pass, unamended '-^ass, 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:
L^zh^dopted __ Not Adopted
Distribution: Original Yellow Pink Goldenrod
File with Committee Report Clerk's Office Drafting Agency Committee File Copy
*Only one measure per Record of Votes
Revised; 12/27/23