STAND. COM. REP. NO. 471

                                   Honolulu, Hawaii
                                                     , 1999

                                   RE:  S.B. No. 1022
                                        S.D. 1




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Health and Human Services, to which was
referred S.B. No. 1022 entitled: 

     "A BILL FOR AN ACT RELATING TO HEALTH-CARE DECISIONS,"

begs leave to report as follows:

     The purpose of this measure is to enact a Uniform Health
Care Decisions Act.

     Your Committee received testimony in support of this measure
from the Executive Office on Aging (EOA), Governor's Surrogate
Decision Making Committee, Commission on Persons with
Disabilities, and Hawaii Medical Association.  The American
Association of Retired Persons presented oral testimony in
support of this measure.

     This is an administration measure.  According to the EOA,
this measure provides a single comprehensive chapter to replace
statutory provisions for medical treatment decisions and durable
power of attorney for health care decisions.  This measure is
intended to provide a blueprint on procedures for making critical
end-of-life decisions in advance.

     Your Committee has amended this measure by:

     (1)  Deleting section 5 regarding standard form language and
          inserting authority for the DOH to develop a standard
          form in order to allow flexibility to adapt to changing

 
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          demands over time, with the intent that the EOA advise
          the DOH on developing the form; and

     (2)  Making technical, nonsubstantive amendments for
          purposes of clarity and style.

     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 is in accord with the intent and purpose
of S.B. No. 1022, as amended herein, and recommends that it pass
Second Reading in the form attached hereto as S.B. No. 1022,
S.D. 1, and be referred to the Committee on Judiciary.


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



                                   ______________________________
                                   SUZANNE CHUN OAKLAND, Chair

 
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