HOUSE OF REPRESENTATIVES

H.B. NO.

2154

TWENTY-FIFTH LEGISLATURE, 2010

H.D. 1

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO HEALTH CARE CASE MANAGEMENT.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  The modern health care environment has progressively become a maze of complex medical, social, and fiscal considerations that are currently at the center of much public debate.  In response to this growing complexity, patients have increasingly begun to use health care case managers and case management agencies to assist them in navigating an often interconnected array of medical services and solutions.

     Public programs designed to assist elderly and disabled populations have also gradually begun to use the services of health care case management agencies as a means to ensure that the health care needs of these vulnerable populations are being adequately met with all available resources.

     The legislature finds that as the use of case managers and case management agencies increases, it is imperative to ensure the delivery of quality health care services to Hawaii's elderly and disabled populations.  Therefore, the purpose of this Act is to convene a temporary health care case management task force in the department of human services to research the quality of care provided by case managers and case management agencies, and to ensure that appropriate standards of practice are consistently followed.  The work of the task force can then be used to draft good legislation and develop effective public policy regarding the delivery of quality health care services to Hawaii's elderly and disabled populations.

     SECTION 2.  (a)  There is established a temporary health care case management task force within the department of human services for administrative purposes to consist of ten members as follows:

     (1)  A member of the house of representatives appointed by the speaker of the house of representatives;

     (2)  A member of the senate appointed by the president of the senate;

     (3)  Two members representing case management agencies appointed by the speaker of the house of representatives;

     (4)  Two members representing case management agencies appointed by the president of the senate; and

     (5)  Four members, appointed by the governor from a list submitted by the speaker of the house of representatives and president of the senate, each representing a different organization that represents clients in community care homes.

     (b)  The members of the health care case management task force shall choose a chairperson from among their membership.

     (c)  The health care case management task force shall review the policies and procedures of case managers and case management agencies, including the following:

     (1)  Case management services provided under the department of health's early intervention programs;

     (2)  Case management services funded by the public health nursing services special fund under section 321-432;

     (3)  Case management services provided to the interdepartmental cluster for services to children under section 321D-1;

     (4)  Case management services provided for persons with developmental disabilities or mental retardation under sections 333F-2, 333F-6, and 333F-21;

     (5)  Case management agencies contracted by the department of health for the state mental health system under section 334-2.5;

     (6)  Case managers providing services to clients under the department of health's community residential treatment system under section 334-102;

     (7)  Home and community-based case management agencies licensed by the department of human services under section 346-333; and

     (8)  Private health care case management agencies.

     (d)  In its review of health care case managers and case management agencies, the health care case management task force shall consider, among other things:

     (1)  Industry-wide standards for best practices with respect to service coordination and delivery;

     (2)  Factors that underlie the need, or perceived need, for a case manager's services;

     (3)  Current regulations or certifications required for case managers and whether they are reasonably enforced;

     (4)  The parameters that underlie licensing standards for those case management agencies that require licensing;

     (5)  The licensing process for those case management agencies that require licensing and whether licensing standards are applied equitably and are reasonably enforced; and

     (6)  The use of state funds and the mechanisms in place to ensure that state funds are appropriately expended.

     (e)  Members of the health care case management task force shall serve without compensation and shall not be reimbursed for expenses.

     (f)  The health care case management task force shall submit a report of its findings and recommendations, including any proposed legislation, to the legislature no later than twenty days prior to the convening of the regular session of 2011.

     (g)  The health care case management task force shall cease to exist on June 30, 2011.

     SECTION 3.  This Act shall take effect on July 1, 2010, and shall be repealed on June 30, 2011.



 

 

Report Title:

Health Care Case Management; Task Force

 

Description:

Convenes a temporary Health Care Case Management Task Force to research the quality of care provided by case managers and case management agencies and to ensure that standards of practice are consistently followed. (HB2154 HD1)

 

 

 

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