STAND. COM. REP. NO. 2970

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  H.B. No. 1917
                                        S.D. 1




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 2000
State of Hawaii

Sir:

     Your Committees on Education and Technology and Health and
Human Services, to which was referred H.B. No. 1917 entitled: 

     "A BILL FOR AN ACT RELATING TO SCHOOL HEALTH,"

beg leave to report as follows:

     The purpose of this measure is to require the Department of
Education (DOE) and the Department of Health (DOH) to jointly
establish a comprehensive school health system.

     Your Committees received testimony in support of this
measure from the DOH, DOE, HGEA-AFSCME, Hawaii Nurses'
Association, Kokua Kalihi Valley, and Hawaii State Primary Care
Association.

     This measure also:

     (1)  Requires the Director of Health, with the assistance of
          the Superintendent of Education, to establish and
          operate a demonstration project which shall consist of
          not less than one comprehensive school health program
          in each of the seven school districts;

     (2)  Establishes a joint DOE and DOH planning committee
          (joint committee) to coordinate a phased implementation
          of a comprehensive school health system and
          comprehensive school health demonstration project;


 
a                                                     HB1917 SD1
                                                      
                                   STAND. COM. REP. NO. 2970
                                   Page 2


     (3)  Requires the joint committee to report to the
          Legislature in 2001 on its plan and coordination and
          the Director of Health to report to the Legislature in
          2002 and 2003 on the experience of each comprehensive
          school health program; and

     (4)  Makes an unspecified appropriation for comprehensive
          health demonstration programs.

     This measure is intended to plan for the eventual adoption
of a school site based method of preventing health problems in
school students, through a comprehensive, multi-faceted, and
integrated approach that is based on collaboration among the DOE,
DOH, community resource groups, and parents.  The intended result
is to form a seamless health intervention system encompassing
prevention, early intervention, and health care.

     Your Committees have amended this measure by:

     (1)  Requiring that the principal consult with the joint
          committee prior to establishing and operating a
          demonstration project;

     (2)  Adding dental hygiene services to the demonstration
          program;

     (3)  Adding that the joint committee is to study the
          staturorily required work day hours of school health
          aides and other DOH personnel working in schools, and
          to report to the legislature;

     (4)  Adding a requirement that the appropriate collective
          bargaining representative designate members to sit on
          the planning committee; and

     (5)  Making a technical, nonsubstantive amendment.

     As affirmed by the records of votes of the members of your
Committees on Education and Technology and Health and Human
Services that are attached to this report, your Committees are in
accord with the intent and purpose of H.B. No. 1917, as amended
herein, and recommend that it pass Second Reading in the form
attached hereto as H.B. No. 1917, S.D. 1, and be referred to the
Committee on Ways and Means.


 
a                                                     HB1917 SD1
                                                      
 
                                   STAND. COM. REP. NO. 2970
                                   Page 3


                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committees on Education and
                                   Technology and Health and
                                   Human Services,



____________________________       ______________________________
SUZANNE CHUN OAKLAND, Chair        DAVID Y. IGE, Chair

 
a                                                     HB1917 SD1