STAND. COM. REP. NO.
Honolulu, Hawaii
MAR28 , 2024
RE: H.C.R. No. 182.
H.D. 1
Honorable Scott K. Saiki
Speaker, House of Representatives
Thirty—Second State Legislature
Regular Session of 2024
State of Hawaii
Sir:
Your Committee on Health & Homelessness, to which was
referred H.C.R. No. 182 entitled:
“HOUSE CONCURRENT RESOLUTION REQUESTING THE AUDITOR TO ASSESS
THE CHALLENGES TO THE TIMELY DELIVERY OF HEALTH CARE SERVICES
IN THE STATE DUE TO PRIOR AUTHORIZATION REQUIREMENTS AND
INCLUDE AN ANALYSIS OF PRIOR AUTHORIZATION REFORM, WITH INPUT
OF DATA AND FEEDBACK FROM ALL STAKEHOLDERS, INCLUDING PATIENT
ADVOCATES, PROVIDERS, FACILITIES, AND PAYERS,”
begs leave to report as follows:
The purpose of this measure is to request the Auditor to
assess the challenges to the timely delivery of health care
services in the State due to prior authorization requirements and
include an analysis of prior authorization reform, with input of
data and feedback from all stakeholders, including patient
advocates, providers, facilities, and payers.
Your Committee received testimony in support of this measure
from the State Health Planning and Development Agency; Hawaii
Medical Service Association; Hawaii Medical Association; Hawaii
Radiological Society; Hawaii Association of Professional Nurses;
Hawaii Provider Shortage Crisis Task Force; Ahahui o na Kauka; and
seven individuals. Your Committee received comments on this
measure from the Office of the Auditor.
HCR182 HD1 HSCR HLT
 STAND. COM. REP. NO. /~~J2.-24
Page 2
Your Committee has amended this measure by:
(1) Amending the resolution to change the Auditors
assessment to a study conducted by the Legislative
Reference Bureau;
(2) Inserting language to clarify the contents of the study;
(3) Amending the title to reflect the change from the
Auditor assessment to the Legislative Reference Bureau
study; and
(4) Making technical, non—substantive amendments for the
purpose of clarity, consistency, and style.
As affirmed by the record of votes of the members of your
Committee on Health & Homelessness that is attached to this
report, your Committee concurs with the intent and purpose of
H.C.R. No. 182, as amended herein, and recommends that it be
referred to your Committee on Finance in the form attached hereto
as H.C.R. No. 182, H.D. 1.
Respectfully submitted on
behalf of the members of the
Committee on Health &
Homelessness,
~D1 AU BELATTI, Chair
HCR182 HD1 HSCR HLT
 State of Hawaii
House of Representatives ~ ,~‘-3~ ~
The Thirty-second Legislature
Record of Votes of the Committee on Health & Homelessness
Bill/Resolution No.: Committee Referral: Date:
~ ~3Ir~ri2~’P
0 The committee is reconsidering its previous decision on the measure.
The recommendation is to: Q Pass, unamended (as is) Pass, with amendments (HD) C Hold
C Pass short form bill with HD to recommit for future public hearing (recommit)
HLT Members Ayes Ayes (WR) Nays Excused
1. BELATTI, Della Au (C)
2. TAKENOUCHI, Jenna (VC)
3. AMATO, Terez
4. ILAGAN, Greggor
~ ~
5. KOBAYASHI, Bertrand
6. MARTEN, Lisa
7. NISHIMOTO, Scott Y.
8. GARCIA, Diamond 7
TOTAL(8) (p 0 o ‘2—
The recommendation is: LI Not Adopted
If joint referral, did not support recommendation.
Vice Chair’s or designee’s ~
Distribution: Original (White) — CoI~~ii~e1 Duplicate (Yellow) — Chief Clerk’s Office Duplicate (Pink) — HMSO