Report Title:

Health Care Services

 

Description:

Provides Hawaii Health Care Systems more autonomy and flexibility. (HB658 HD1)

 

HOUSE OF REPRESENTATIVES

H.B. NO.

658

TWENTY-FIRST LEGISLATURE, 2001

H.D. 1

STATE OF HAWAII

 


 

A BILL FOR AN ACT

 

RELATING TO HAWAII HEALTH SYSTEMS CORPORATION.

 

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

SECTION 1. Section 323F-10, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:

"(b) Each regional committee shall sit in an advisory capacity to the chief executive officer on matters concerning the formulation of regional operational and capital improvement budgets, [and] the planning, construction, improvement, maintenance, and operation of public health facilities within its respective jurisdiction, the substantial modifying, decrease, or increase in the scope or type of health care services rendered by the public health facilities within its respective jurisdiction and shall sit in an advisory capacity to the governor on matters concerning the nominees for positions on the corporation board. Nothing in this section shall be construed as precluding or preventing the committees from coordinating their efforts and activities with the facility administrators within their counties.

(c) Each regional committee [may] shall prepare a report for inclusion with the corporations annual report and audit which shall include but not be limited to its comments and analyses on the corporation's regional operational and capital improvement budgets for its respective region, and its recommendations for modifying, decreasing, or increasing the scope or type of health care services to be rendered by the public health facilities with its respective jurisdiction and the costs or savings associated with the modifying, decreasing, or increasing the scope or type of health care services to be rendered."

SECTION 2. Section 323F-22, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:

"(b) In addition to the submittal of the audit required under subsection (a), the corporation shall submit a report to the legislature at least twenty days prior to the convening of each regular session that shall include but not be limited to:

(1) The projected revenues for each health care facility;

(2) A list of all proposed capital improvement projects planned for implementation during the following fiscal year; and

(3) All reports submitted by regional public health facility management advisory committees pursuant to section 323F-10(c)[.] including their recommendations for modifying, decreasing, or increasing the scope or type of health care services to be rendered by the public health facilities within its respective jurisdiction and the costs or savings associated with the modifying, decreasing, or increasing the scope or type of health care services to be rendered."

SECTION 3. Section 323F-31, Hawaii Revised Statutes, is amended to read as follows:

"[[]§323F-31[]] Maintenance of services. (a) The corporation shall notify the legislature of any planned [substantial reduction or elimination of direct patient care services.] closing of a facility. Each regional public health facility management advisory committee shall:

(1) Evaluate the health care services being provided by the public health facilities within its jurisdiction and the service capacity of those facilities;

(2) Consider the cost of providing public health services and the availability of alternatives to the current way of providing health care services;

(3) Hold community meetings to discuss community public health service needs, to assess existing health care services and facilities, and to develop ways of providing health care services to meet community needs in the most cost-effective manner;

(4) Develop for each public health facility within its jurisdiction recommendations for the types of health care services to be rendered at each facility with access to alternative health care services and facilities that will result in minimal reduction or elimination of patient care services; and

(5) Submit its recommendations to the chief executive officer.

(b) No substantial reduction or elimination of direct patient care services at any facility shall be undertaken by the corporation [without the approval of the legislature.] board unless recommended by the regional public health facility management advisory committee for the facility as provided in subsection (a) and if the recommendation of the regional public health facility management advisory committee is approved by the director of health and is not disapproved by the legislature. No closing of any facility shall be undertaken by the corporation board without the approval of the legislature.

[(c) The legislature shall maintain review and oversight authority over the provision of direct patient care services provided at each facility and may intervene to counter or restrict any substantial reduction or elimination of patient care services.]"

SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.

SECTION 5. This Act shall take effect on July 1, 2005.