STAND. COM. REP. NO. 1543_______

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.C.R. No. 232
                                     H.D. 1




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Human Services and Housing, to which was
referred H.C.R. No. 232 entitled: 

     "HOUSE CONCURRENT RESOLUTION REQUESTING THE DEPARTMENT OF
     HUMAN SERVICES TO ADOPT INFANT AND CHILD CARDIOPULMONARY
     RESUSCITATION IN THEIR ADMINISTRATIVE RULES GOVERNING
     LICENSURE AND REGISTRATION OF CHILD CARE PROVIDERS,"

begs leave to report as follows:

     The purpose of this concurrent resolution is to ensure that
Hawaii's children receive immediate and appropriate emergency
care by requesting the Department of Human Services (DHS) to
adopt infant and child cardiopulmonary resuscitation (CPR) in
their administrative rules governing licensure and registration
of child care providers.

     The American Heart Association and the American Red Cross
testified in support of this measure.  DHS testified in support
of the intent of this measure.

     Children do get hurt, even in safe environments.  The extent
of injury can be minimized and death may be avoided by the timely
actions of a trained caregiver.  When prompt resuscitation is
provided, the survival rate for children suffering respiratory
arrest exceeds 50 percent and most patients survive
neurologically intact.


 
 
 
 
                                 STAND. COM. REP. NO. 1543_______
                                 Page 2

 
     Your Committee has amended this measure by urging DHS to:

     (1)  Fashion its administrative rules after the American Red
          Cross' recommendations;

     (2)  Set a ratio that requires a sufficient number of
          persons who are trained and certified in CPR and first
          aid to be on the premises of a child care facility in
          relation to the numbers of children; and

     (3)  Submit its amended administrative rules to the
          Legislature no later than 20 days prior to the
          convening of DHS's first scheduled public hearing.

     As affirmed by the record of votes of the members of your
Committee on Human Services and Housing that is attached to this
report, your Committee concurs with the intent and purpose of
H.C.R. No. 232, as amended herein, and recommends that it be
referred to the Committee on Finance in the form attached hereto
as H.C.R. No. 232, H.D. 1.

                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committee on Human Services
                                   and Housing,



                                   ______________________________
                                   DENNIS A. ARAKAKI, Chair