Bill Text: HI HB2236 | 2020 | Regular Session | Amended
Bill Title: Relating To Emergency Medical Services.
Spectrum: Moderate Partisan Bill (Democrat 12-2)
Status: (Engrossed - Dead) 2020-03-16 - The hearing on this measure has been cancelled until further notice. [HB2236 Detail]
Download: Hawaii-2020-HB2236-Amended.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
2236 |
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THIRTIETH LEGISLATURE, 2020 |
H.D. 2 |
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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. This part shall be known and may be cited as "Keo's Law".
SECTION 2. The legislature finds that the department of health is responsible for administering and maintaining the state comprehensive emergency medical services system, or state emergency medical system. Administration of the system by a state agency ensures that all emergency services, including ground and air ambulance services conducted by or under the authorization of the department of health or any county, are consistent with part XVIII of chapter 321, Hawaii Revised Statutes.
As required by Act 60, Session Laws of Hawaii 2019, the department of health contracted with the United States National Highway Traffic Safety Administration under the guidance of a steering committee to conduct a study of the state emergency medical system. This review was conducted from October 14 to 18, 2019. The National Highway Traffic Safety Administration identified the State's emergency medical system as an essential public health service for both the State's residents and visitors. The legislature concurs with this finding.
To fulfill the duties of its emergency medical services and injury prevention system branch, it is imperative that the department of health strives to ensure that the state emergency medical system is efficiently maintained and effectively provides emergency services.
Therefore, the purpose of this part is to:
(1) Require the department of health to work with the National Registry of Emergency Medical Technicians, or other qualified entities, to conduct a comprehensive statewide workforce study reviewing the entire state emergency medical system to identify strengths and issues and provide recommendations to increase the emergency medical technician and paramedic workforce;
(2) Require the department of health to conduct a comprehensive cost analysis of the entire state emergency medical system to identify strengths and any issues with the system and provide recommendations to improve the economic function of the system, including but not limited to centralized purchasing and other cost-saving measures; and
(3) Require the auditor to conduct a comprehensive management audit of the emergency medical services department of the city and county of Honolulu.
SECTION 3. (a) No later than September 30, 2020, the department of health shall coordinate with the National Registry of Emergency Medical Technicians, or other qualified entities, to initiate a study of the state emergency medical system workforce.
(b) The study shall identify strengths and any issues with the system and provide recommendations to increase the emergency medical technician and paramedic workforce.
(c) The department of health 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 2021.
(d) The department of health shall invite a representative of the National Registry of Emergency Medical Technician, or other qualified entities who assisted with the study, to brief the legislature once the written report is finalized.
SECTION 4. (a) No later than September 30, 2020, the department of health shall conduct a comprehensive cost analysis of the entire state emergency medical system.
(b) The cost analysis shall identify strengths and any issues with the system and provide recommendations to improve the economic function of the system, including but not limited to centralized purchasing and other cost-saving measures.
(c) The department of health 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 2021.
(d) The department of health shall invite a representative from the cost analysis team who assisted with the study to brief the legislature once the written report is finalized.
SECTION 5. (a) The auditor shall conduct a comprehensive management audit of the emergency medical services department of the city and county of Honolulu. The audit shall include but shall not be limited to the actions, initiatives, and performance relating to the emergency medical services department's duty to:
(1) Provide quality pre-hospital emergency medical care and services to residents and visitors of Oahu;
(2) Prevent injuries and promote safer, healthier lifestyles; and
(3) Educate the public about emergency medical services.
(b) The audit shall recommend improvements to update, redefine, or realign the emergency medical services department's mission and organization based on the efficiency and evolving needs of emergency medical services. The audit shall also consider whether the emergency medical services department should be afforded greater autonomy or seek out public-private partnerships to increase efficiency and performance.
(c) In conducting the
audit, the auditor shall solicit comprehensive feedback, including confidential
feedback as necessary from the State's emergency medical services stakeholder
community.
(d) The auditor shall submit a report to the legislature of its findings and recommendations, including any proposed legislation, no later than twenty days prior to the convening of the regular session of 2021.
SECTION 6. 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 2020-2021 for the comprehensive workforce study of the state emergency medical system workforce pursuant to section 3 of this Act.
The sum appropriated shall be expended by the department of health for the purposes of this part.
SECTION 7. 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 2020-2021 for the comprehensive cost analysis of the entire state emergency medical system pursuant to section 4 of this Act.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART II
SECTION 8. The purpose of this part is to appropriate funds for the expenses of the state emergency medical system.
SECTION 9. 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 2020-2021 for program ID HTH 730 to meet the collective bargaining requirements and recurring personnel costs for service providers contracted to provided pre-hospital emergency medical services necessary to maintain the current level of pre-hospital emergency medical system services.
The sum appropriated shall be expended by the department of health for the purposes of this part.
SECTION 10. 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 2020-2021 for program ID HTH 730 to meet other current expenses.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART III
SECTION 11. This Act shall take effect on July 1, 2050.
Report Title:
Emergency Medical Services; Cost Analysis; Workforce Development; Collective Bargaining; Audit; Appropriation
Description:
Requires and appropriates funds for the department of health to conduct comprehensive workforce and cost analysis reviews with federal partners to improve efficiency, quality, and cost-effectiveness. Requires the auditor to conduct a comprehensive management audit of the emergency medical services department of the city and county of Honolulu. Appropriates funds for collective bargaining increases and other current expenses. Effective 7/1/2050. (HD2)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
