Bill Text: HI HB1281 | 2021 | Regular Session | Amended
Bill Title: Relating To Emergency Medical Services.
Spectrum: Partisan Bill (Democrat 5-0)
Status: (Passed) 2021-07-07 - Act 208, on 07/06/2021 (Gov. Msg. No. 1336). [HB1281 Detail]
Download: Hawaii-2021-HB1281-Amended.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1281 |
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THIRTY-FIRST LEGISLATURE, 2021 |
H.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO EMERGENCY MEDICAL SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
PART I
SECTION 1. Chapter 46, Hawaii Revised Statutes, is amended by adding a new part to be appropriately designated and to read as follows:
"Part .
COUNTY EMERGENCY
MEDICAL SERVICES SYSTEM
§46- Definitions. As used in this part, unless the context clearly requires otherwise:
"Advanced life support" means initiating all basic life support care as well as invasive patient care designed to stabilize and support a patient's condition due to sudden illness or injury. The care rendered, excluding basic life support, constitutes the practice of medicine.
"Basic life support" means initiating noninvasive emergency patient care designed to optimize the patient's chances of surviving the emergency situation. The care rendered consists of all first-aid procedures needed, but does not include invasive procedures that constitute the practice of medicine; provided that state-approved basic life support personnel may use fully automatic external defibrillators, initiate intravenous lines, and perform manual external defibrillation under the direction and personal supervision of a mobile intensive care technician and in accordance with rules adopted by the department.
"Community paramedicine program" means an enhanced and expanded service in the county emergency medical services system that allows state-licensed health care professionals and community health workers to assist with public health, primary care, and prevention services, including services through telehealth.
"County" means any county having a population of five hundred thousand or more.
"County system" means the county emergency medical services system.
"Emergency aeromedical services" means a secondary response system that provides immediate critical care and transport by rotary-wing aircraft of a patient to a facility that provides specialized medical care.
"Emergency medical services for children" means emergency medical services including preventive, pre-hospital, hospital, rehabilitative, and other post-hospital care for children.
"Emergency medical services personnel" means any mobile intensive care technician or emergency medical technician who is certified or licensed by the State.
§46- County emergency medical services system; establishment. Each county shall establish, administer, and maintain a county emergency medical services system to serve the emergency health needs of the people in the county. The county, in the implementation of this part, shall plan, coordinate, and provide assistance to all entities and agencies, public and private, involved in the county system. All emergency medical services or ambulance services conducted by or under the authority of the county shall be consistent with this part.
§46-
County,
functions; duties. In
addition to other functions and duties assigned under this part, the county shall:
(1) Establish emergency medical services in the county, including emergency
aeromedical services, which shall meet the requirements of this part;
(2) Review and approve the curricula and syllabi of training courses offered
to emergency medical services personnel who work in the county who provide basic,
intermediate, and advanced life support, consult and coordinate with the university
of Hawaii, or any other accredited community college, college, or university,
or any professional organization that provides emergency medical services
training, regarding the training for basic, intermediate, and advanced life
support personnel, as provided in section 321-229;
(3) Establish, administer, and maintain a communication system for the county
system;
(4) Implement public information and education programs to inform the public
of the county system and its use, and disseminate other emergency medical information,
including appropriate methods of medical self-help and first-aid, and the availability
of first-aid training programs in the county;
(5) Establish standards and provide training for dispatchers in the county system, and maintain a program of quality assurance for dispatch equipment and operations;
(6) Establish a program that will enable emergency service personnel within the
county to provide early defibrillation; and
(7) Establish within the county the emergency medical service system for children
in the county.
§46- Emergency medical services; fees. (a) The county may establish reasonable fees to be collected from individuals who are:
(1) Transported by emergency ground ambulance services to a health care facility within the county designated by the county for the care of the individual; or
(2) Provided health care by emergency medical services personnel within the county but not transported by ground ambulance to a health care facility.
(b) No
ambulance services, or any other emergency medical services available from or
under the authority of this chapter shall be denied to any person on the basis
of the ability of the person to pay or because of the lack of prepaid health
care coverage or proof of the ability or coverage.
(c) The county may adopt rules pursuant to chapter 91 necessary to effectuate the purposes of this section.
§46- Community paramedicine program; established. (a) The county shall establish and administer the community paramedicine program.
(b) The county shall:
(1) Develop guidelines for community paramedicine;
(2) Explore and develop partnerships with public and private health care entities, insurers, and community organizations; and
(3) Employ telehealth to enhance access and improve the patient experience.
(c) The county shall submit a report on the status of the community paramedicine program, including an accounting of expenses and source of funds, to the legislature no later than twenty days prior to the convening of each regular session.
(d) The county shall adopt rules pursuant to chapter 91 to effectuate the purposes of this section.
§46- Fall prevention and early
detection coordinator. A
fall prevention and early detection coordinator shall coordinate the provision
of public and private fall prevention and early detection services for the
elderly within the county.
§46- Emergency medical services; levels of service;
contracts. The county shall determine
the levels of emergency medical services that shall be implemented throughout the
county. The county may contract to
provide emergency medical services, including emergency aeromedical services,
or any necessary component of the county emergency services system. Any private agency contracting to provide emergency
medical ambulance services under this section shall be required by the county to
implement those services in a manner and at a level consistent with the levels
determined under this section.
§46- Grants.
The county system may seek and accept any funds or property and other
desirable support and assistance from any source whatsoever, whether gift, grant,
services, or any combination thereof, subject to applicable laws.
§46- Immunity and limitation on liability for emergency aeromedical services. The county shall not be liable for any claim of injury or death based on a failure to establish or continue emergency aeromedical services in any part of the county.
§46- Emergency medical services; use of latex gloves. The county may enact a county ordinance to prohibit the use of latex gloves by personnel providing ambulance services or emergency medical services pursuant to this part.
§46- Rules. The county may adopt rules necessary for the implementation of this part, subject to chapter 91."
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to part XVIII to be appropriately designated and to read as follows:
"§321- Retention of relevant documentation. Notwithstanding any provision of this part or any other state or county law to the contrary, the department shall retain data repository, charts, patient information, data submission, and epidemiology information for all emergency medical services within the State, including emergency medical services provided within a county outside of the service area pursuant to part of chapter 46."
SECTION 3. Section 321-221, Hawaii Revised Statutes, is amended to read as follows:
"§321-221 Findings and purpose. The legislature finds that the establishment
of a state comprehensive emergency medical services system [to include but
not be limited to], including emergency medical services for
children, is a matter of compelling state interest and necessary to
protect and preserve [the] public health [of the people of the
State]. A system designed to reduce
medical emergency deaths, injuries, and permanent long-term disability through
the implementation of a fully integrated, cohesive network of components, the
legislature further finds, will best serve [the] public health needs
[of the people]. Accordingly, the
purpose of this part is to establish and maintain a state comprehensive
emergency medical services system [throughout the] in communities that
can be most effectively served by the State, and to fix the responsibility
for the administration of this state system, which shall provide for the
arrangement of personnel, facilities, and equipment for the effective and
coordinated delivery of health care services under emergency conditions,
whether occurring as the result of a patient's condition [or of], from
natural disasters, or from other causes. The system shall provide for personnel,
personnel training, communications, emergency transportation, facilities,
coordination with emergency medical and critical care services, coordination
and use of available public safety agencies, promotion of consumer participation,
accessibility to care, mandatory standard medical recordkeeping, consumer information
and education, independent review and evaluation, disaster linkage, mutual aid
agreements, and other components necessary to meet the purposes of this part."
SECTION 4. Section 321-222, Hawaii Revised Statutes, is amended by adding a new definition to be appropriately inserted and to read as follows:
""Service area" means the State, excluding any county having a population of five hundred thousand or more."
SECTION 5. Section 321-223, Hawaii Revised Statutes, is amended to read as follows:
"[[]§321-223[]] State comprehensive emergency medical services system, establishment. The department of health shall establish,
administer, and maintain the state comprehensive emergency medical services
system to serve the emergency health needs of the people [of] in
the [State.] service area.
The department [of health], in the implementation of this
part, shall plan, coordinate, and provide assistance to all entities and
agencies, public and private, involved in the state system. All emergency medical services or ambulance
services conducted by or under the authority of the department [of health]
or any county within the service area shall be consistent with this part."
SECTION 6. Section 321-224, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) In addition to other functions and
duties assigned under this part, the
department shall:
(1) Regulate ambulances and ambulance services[;] statewide;
(2) Establish emergency medical services throughout the [State,] service
area, including emergency aeromedical services, which shall meet the
requirements of this part, subject to section 321-228;
(3) Review and approve the curricula and syllabi of training courses offered
to emergency medical services personnel who work in the service area and
who provide basic, intermediate, and advanced life support, consult and coordinate
with the University of Hawaii, or any other accredited community college, college,
or university, or any professional organization that provides emergency medical
services training, regarding the training for basic, intermediate, and advanced
life support personnel, as provided in section 321-229;
(4) Collect and evaluate data for the continued evaluation of [the state
system,] emergency services within the State, including services provided
within a county outside of the service area, subject to section 321‑230;
(5) Coordinate, on a statewide basis, emergency medical resources and
the allocation of [the state system's] emergency services and
facilities in the event of mass casualties, natural disasters, national emergencies,
and other emergencies, ensuring linkage to local, state, and national disaster
plans, and participation in exercises to test these plans;
(6) Establish, administer, and maintain a communication system for the [state
system;] service area and maintain communication with any emergency services
management system provided within a county outside of the service area;
(7) Assist each county in the development of a "911" emergency telephone
system[;], regardless of whether the county is located within the service
area;
(8) Secure technical assistance and other assistance and consultation
necessary for the implementation of this part, subject to section 321-230;
(9) Implement public information and education programs to inform the public
of the state system and its use, and disseminate other emergency medical
information, including appropriate methods of medical self-help and first-aid,
and the availability of first-aid training programs in the [State;] service
area;
(10) Establish
standards and provide training for dispatchers in the [state system,] service
area, and maintain a program of quality assurance for dispatch equipment
and operations;
(11) Establish a program that will enable emergency service personnel working
in the service area to provide early defibrillation;
(12) Establish within the department the emergency medical service system for
children[;] in the service area;
(13) Consult with the advisory committee on matters relating to the implementation of this part; and
(14) Establish and maintain statewide standards for emergency medical services course instructor qualifications and statewide requirements for emergency medical services training facilities."
SECTION 7. Section 321-224.2, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) The department shall establish reasonable fees to be collected from individuals who are:
(1) Transported by emergency ground ambulance services to a health care facility within the service area designated by the department for the care of the individual; or
(2) Provided health care by emergency medical services personnel within the service area but not transported by ground ambulance to a health care facility."
SECTION 8. Section 321-224.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) The department [of health] shall establish
and administer the community paramedicine program[.] within the service
area."
SECTION 9. Section 321-225, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:
"(b) The advisory committee shall be composed of [twenty]
seventeen members: three
nonvoting ex-officio members, who shall be the director of transportation, the
adjutant general, and the administrator of the state health planning and
development agency, or the designated representatives thereof, and [seventeen]
fourteen members representing all counties [of the State] within
the service area who shall be appointed by the governor subject to section
26-34 as follows:
(1) Five members who
shall be physicians experienced in the conduct and delivery of emergency medical
services; provided that at least two shall be engaged in the practice of emergency
medicine and be board‑eligible or board-certified by the American Board
of Emergency Medicine[, and]; provided further that at least one
physician shall be engaged in the practice of pediatrics and be board-eligible or board‑certified by the American
Board of Pediatrics;
(2) [Four] Three
members, one from each county within the service area, who shall be consumers
of health care and who shall have no connection with or relationship to the
health care system of the State [and who shall be representative of all
counties];
(3) [Four] Three
members [of], one from each county within the service area, who are in
allied health professions related to emergency medical services; and
(4) [Four] Three
members, one from each county[,] within the service area, who shall
be mobile intensive care technicians or emergency medical technicians engaged
in the practice of pre-hospital emergency medical service.
The members of the advisory committee shall serve without compensation, but shall be reimbursed for necessary expenses incurred in the performance of their duties, including travel expenses. The chairperson of the advisory committee shall be elected by the members from among their numbers. A majority of the members of the advisory committee shall constitute a quorum for the conduct of business of the advisory committee. A majority vote of the members present at a meeting at which a quorum is established shall be necessary to validate any action of the committee."
SECTION 10. Section 321-225.5, Hawaii Revised Statutes, is amended to read as follows:
"[[]§321-225.5[]] Fall prevention and early detection
coordinator. There
is established within the emergency medical services and injury prevention
system branch a fall prevention and early detection coordinator to coordinate
the provision of public and private fall prevention and early detection services
for the elderly[.] within the service area."
SECTION 11. Section 321-226, Hawaii Revised Statutes, is amended to read as follows:
"§321-226 Emergency medical services
and systems, standards. The
department [of health] shall establish statewide standards for
emergency medical services and for emergency medical service systems consistent
with [the state system] this part and applicable federal guidelines
for [such] those services, including a requirement that ambulance
service providers licensed by the State establish and maintain an alcohol and
substance abuse policy for employees that the department [of health]
deems is equivalent to, or exceeds the provisions of, the safety and health
standards established by the federal Department of Transportation for holders
of commercial driver's licenses. In the
event the standards are determined or regulated by any other law, or by
applicable federal guidelines, standards required to be set by this section
shall be at least equivalent to or exceed the other state and federal
standards."
SECTION 12. Section 321-227, Hawaii Revised Statutes, is amended to read as follows:
"§321-227
Regulation of ambulances. The
department of health shall adopt, amend, and repeal rules under chapter 91 for
the regulation of ambulances within the State, including but not limited to the
certification of vehicles, equipment, supplies, and communications systems[.];
provided that any county operating a county emergency medical services system pursuant
to part of chapter 46 shall be responsible for the purchase,
maintenance, and servicing of all vehicles, equipment, supplies, and communication
systems. Any person who provides
emergency medical service as an employee of any emergency ambulance service
shall be subject to chapter 453."
SECTION 13. Section 321-228, Hawaii Revised Statutes, is amended to read as follows:
"§321-228 Emergency medical services;
counties. The department shall
determine, in consultation with the advisory committee under section 321-225,
the levels of emergency medical services that shall be implemented in each
county[.] within the service area. The department may contract to provide
emergency medical services, including emergency aeromedical services, or any
necessary component of [a county] the emergency services system of
a county within the service area in conformance with the state system. [In the event] If any county within
the service area shall apply to the department to operate emergency medical
ambulance services within the respective county, the department may contract
with the county for the provision of those services. The department shall operate emergency medical
ambulance services or contract with a private agency in those counties [which]
within the service area that do not apply to it under this section. Any county or private agency contracting to
provide emergency medical ambulance services under this section shall be
required by the department to implement those services in a manner and at a
level consistent with the levels determined under this section."
SECTION 14. Section 321-229, Hawaii Revised Statutes, is amended by amending subsections (a) and (b) to read as follows:
"(a) The University of Hawaii shall provide training
courses in basic, intermediate, and advanced life support for emergency medical
services personnel. The curricula and
syllabi of these courses shall be approved in advance by the department [of
health.] and by any county operating a county emergency medical services
system pursuant to part of chapter 46. The curricula and syllabi of courses for
ambulance personnel shall be consistent with the scope and level of the
practice of emergency medical services associated with emergency ambulance
personnel certification defined by the Hawaii medical board under part II of chapter
453.
(b)
The University of Hawaii, or other accredited community college,
college, or university, or any professional organization that is approved by
the department [of health] to provide emergency medical services
training, shall consult with the department [of health] and any county
operating a county emergency medical services system pursuant to part
of chapter 46 to determine the number and type of emergency medical
services courses necessary to support the staffing requirements for emergency
medical services. The basic life support
and advanced life support training programs shall be relevant to and consistent
with the training course required for certification under chapter 453."
SECTION 15. Section 321-230, Hawaii Revised Statutes, is amended by amending subsections (a) and (b) to read as follows:
"(a) The department may contract for technical assistance
and consultation, including [but not limited to] categorization, data collection,
and evaluation appropriate to the needs of emergency services within the
[state system.] State. The
collection and analysis of statewide emergency medical services data, including
pediatrics, trauma, cardiac, medical, and behavioral medical emergencies, shall
be for the purpose of improving the quality of services provided.
The department may implement and
maintain a trauma registry for the collection of information concerning the treatment
of critical trauma patients at state designated trauma centers, and carry out a
system for the management of that information.
The system may provide for the recording of information concerning treatment
received before and after a trauma patient's admission to a hospital or medical
center. All state designated trauma
centers shall submit to the department [of health] periodic reports of each
patient treated for trauma in the state system in [such] the
manner as the department shall specify.
For the purposes of this subsection, "categorization" means systematic identification of the readiness and capabilities of hospitals and their staffs to adequately, expeditiously, and efficiently receive and treat emergency patients.
(b)
The department shall establish, administer, and maintain an aeromedical
emergency medical services system designed to collect and analyze data to
measure the efficiency and effectiveness of each phase of [an] the
emergency aeromedical program[.] established by the department and any
emergency aeromedical program that may be established by any county operating a
county emergency medical services system pursuant to part of chapter
46.
The aeromedical emergency medical services system shall serve the emergency health needs of the people of the State by identifying:
(1) The [system's]
strengths and weaknesses[;] of aeromedical emergency medical services
with the State;
(2) The allocation of resources; and
(3) The development of rotary-wing emergency aeromedical services standards;
provided that emergency helicopter use, including triage protocols, shall be based on national aeromedical triage and transport guidelines established by the Association of Air Medical Services, the American College of Surgeons and the National Association of Emergency Medical Service Physicians. The department, in the implementation of this subsection, shall plan, coordinate, and provide assistance to all entities and agencies, public and private, involved in the system."
SECTION 16. Section 321-232, Hawaii Revised Statutes, is amended as follows:
1. By amending subsection (a) to read:
"(a) The department [of health] shall
establish reasonable fees for services rendered to the public within the service
area by the department [of health], any county[,] within the
service area, or private agency under this part; provided that all [such]
revenues [which shall be] collected by the department [of health]
and the respective counties pursuant to this section shall be deposited
into the state general fund, except [such] amounts necessary to provide
for collection services for bad debt accounts.
Fees required to be set by this section shall be established in
accordance with chapter 91."
2. By amending subsection (c) to read:
"(c) In the event of nonpayment of any fees required
to be assessed by this section, the department [of health] shall
determine whether the recipient of [such] services is financially able
to pay [such] the fees and make every reasonable effort to
collect [such] the fees.
In the event the department finds the person is without sufficient resources
to pay for the services, no further action to collect the fees shall be taken. If the services are paid by a county or any other
entity, and collection of [such] the fee is delegated by contractual
agreement to the county or other agency [which] that provides the
services, the county or other agency shall forward records relating to unpaid
fees for action by the department [of health] under this
subsection. No county or other entity shall
make a final determination of the ability of a person to pay under this
subsection. Any determination of ability
to pay for purposes of this subsection shall be in accordance with rules [which]
that the department [of health] shall adopt, subject to chapter 91,
governing [such] the determinations."
SECTION 17. Section 321-236, Hawaii Revised Statutes, is amended to read as follows:
"[[]§321-236[]] Emergency
medical services; use of latex gloves prohibited. The use of latex gloves by personnel providing
ambulance services or emergency medical services within the service area
pursuant to this part shall be prohibited."
PART II
SECTION 18. (a) The transition of all rights, powers, functions, and duties of the department of health under part XVIII of chapter 321, Hawaii Revised Statutes, that are exercised within the island of Oahu are hereby transferred to the city and county of Honolulu and such transition shall commence with the transfer of all training and billing for emergency services on July 1, 2021. The transition of all rights, powers, functions, and duties of the department of health under part XVIII of chapter 321, Hawaii Revised Statutes, to the city and county of Honolulu shall be completed no later than June 30, 2025.
(b) Funding for the transition of all rights, powers, functions, and duties of the department of health under part XVIII of chapter 321, Hawaii Revised Statutes, to the city and county of Honolulu shall be allocated as follows:
(1) For the first year of the transition, the city and county of Honolulu shall receive one hundred per cent of all funds allocated for fiscal year 2021-2022 for the operation of an emergency medical service system in the city and county of Honolulu;
(2) For the second year of the transition, the city and county of Honolulu shall receive fifty per cent of all funds allocated for fiscal year 2022-2023 for the operation of an emergency medical services system in the city and county of Honolulu;
(3) For the third year of the transition, the city and county of Honolulu shall receive ten per cent of all funds allocated for fiscal year 2023-2024 for the operation of an emergency medical services system in the city and county of Honolulu; and
(4) For the fourth year of the transition and every year thereafter, the city and county of Honolulu shall receive no funds for the operation of an emergency medical services system in the city and county of Honolulu.
SECTION 19. Notwithstanding any other provision of this Act or other law to the contrary, any member of the state emergency medical services advisory committee who resides in the city and county of Honolulu pursuant to section 321-225(b)(2), (3), or (4), Hawaii Revised Statutes, in the form in which it read on the day before the effective date of this Act, may remain a member of the committee for the duration of the term for which the member was originally appointed; provided that if a member remaining on the committee pursuant to this section dies, resigns, or is otherwise removed from the committee, the member shall not be replaced.
SECTION 20. All employees who occupy civil service positions and whose functions are transferred to the city and county of Honolulu by this Act shall retain their civil service status, whether permanent or temporary. Employees shall be transferred without loss of salary, seniority (except as prescribed by applicable collective bargaining agreements), retention points, prior service credit, any vacation and sick leave credits previously earned, and other rights, benefits, and privileges, in accordance with state personnel laws and this Act; provided that the employees possess the minimum qualifications and public employment requirements for the class or position to which transferred or appointed, as applicable; provided further that subsequent changes in status may be made pursuant to applicable civil service and compensation laws.
Any employee who, prior to this Act, is exempt from civil service and is transferred as a consequence of this Act may retain the employee's exempt status, but shall not be appointed to a civil service position as a consequence of this Act. An exempt employee who is transferred by this Act shall not suffer any loss of prior service credit, vacation or sick leave credits previously earned, or other employee benefits or privileges as a consequence of this Act; provided that the employees possess legal and public employment requirements for the position to which transferred or appointed, as applicable; provided further that subsequent changes in status may be made pursuant to applicable employment and compensation laws. The city and county of Honolulu may prescribe the duties and qualifications of these employees and fix their salaries without regard to chapter 76, Hawaii Revised Statutes.
SECTION 21. All rules, policies, procedures, guidelines, and other material adopted or developed by the department of health to implement provisions of the Hawaii Revised Statutes that are reenacted or made applicable to the city and county of Honolulu by this Act shall remain in full force and effect until amended or repealed by the city and county of Honolulu pursuant to chapter 91, Hawaii Revised Statutes. In the interim, every reference to the department of health or director of health in those rules, policies, procedures, guidelines, and other material is amended to refer to the city and county of Honolulu.
SECTION 22. All deeds, leases, contracts, loans, agreements, permits, or other documents executed or entered into by or on behalf of the department of health, pursuant to the provisions of the Hawaii Revised Statutes, that are reenacted or made applicable to the city and county of Honolulu by this Act shall remain in full force and effect. Effective July 1, 2021, every reference to the department of health or the director of health in those deeds, leases, contracts, loans, agreements, permits, or other documents shall be construed as a reference to the city and county of Honolulu.
SECTION 23. All appropriations, records, equipment, machines, files, supplies, contracts, books, papers, documents, maps, and other personal property heretofore made, used, acquired, or held by the department of health relating to the functions transferred to the city and county of Honolulu shall be transferred with the functions to which they relate; provided that the department of health shall retain data repository, charts, patient information, data submission, and epidemiology information for all emergency medical services within the State.
PART III
SECTION 24. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2021-2022 and half of that sum or so much thereof as may be necessary for fiscal year 2022-2023 for emergency medical services in the city and county of Honolulu.
The sum appropriated shall be expended by the city and county of Honolulu for the purposes of this Act.
SECTION 25. Notwithstanding section 321-234(b), Hawaii Revised Statutes, or any other law to the contrary, there is appropriated out of the emergency services special fund established pursuant to section 321-234, Hawaii Revised Statutes, the sum of $ or so much thereof as may be necessary for fiscal year 2021-2022 and the same sum or so much thereof as may be necessary for fiscal year 2022-2023 for the purpose of transferring half of the moneys in the special fund in each respective fiscal year to general fund.
The sums appropriated shall be expended by the city and county of Honolulu for the purposes of this Act.
PART IV
SECTION 26. Section 321-234, Hawaii Revised Statutes, is amended to read as follows:
"(b) The moneys in the special fund shall be used
by the department for operating a state comprehensive emergency medical
services system including enhanced and expanded services, except in the city
and county of Honolulu, and shall not be used to supplant funding for emergency
medical services authorized prior to [[]July 1, 2004[]]."
PART V
SECTION 27. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 28. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 29. This Act shall take effect on July 1, 2021.
Report Title:
Emergency Medical Services; Transfer of Duties; DOH; City and County of Honolulu; Appropriation
Description:
Establishes a four-year transfer of certain duties, functions, and powers relating to emergency medical services for the city and county of Honolulu from the department of health to the city and county of Honolulu. Begins transition with the training and billing for emergency services on 7/1/2021. Appropriates general funds to the city and county of Honolulu for emergency medical services for fiscal years 2021-2022 and 2022-2023. Appropriates half of the moneys in the emergency medical services special fund to the general for fiscal years 2021-2022 and 2022-2023. Phases out state funding for emergency medical services in the city and county of Honolulu by 6/30/2025. (HD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
