Bill Text: HI HB38 | 2019 | Regular Session | Introduced
Bill Title: Relating To Health.
Spectrum: Moderate Partisan Bill (Democrat 7-1)
Status: (Introduced - Dead) 2019-02-15 - Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Aquino, DeCoite, Nakamura, Quinlan, Thielen excused (5). [HB38 Detail]
Download: Hawaii-2019-HB38-Introduced.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
38 |
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THIRTIETH LEGISLATURE, 2019 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
Relating to health.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
PART I
SECTION 1. The legislature finds that studies indicate that a relatively small percentage of patients consume a disproportionate amount of health care resources. According to the federal Centers for Disease Control and Prevention, approximately seventy-one per cent of total health care spending in the United States is directed toward the approximately twenty-five per cent of Americans with multiple chronic conditions.
The purpose of this Act is to appropriate funds for the treatment of people with multiple chronic conditions, including mental health disorders, substance use disorders, and homelessness.
PART II
SECTION 2. The legislature finds that effective treatment of patients with multiple chronic conditions requires heightened coordination of complex medical and psychosocial care, development of accompanying quality metrics, increased involvement of the public health system, strengthened public-private partnerships, and an increase in qualified staff.
Therefore, the purpose of this part is to require the department of health to establish a comprehensive and coordinated continuum of treatment services for sufferers of substance use disorders who have other chronic conditions.
SECTION 3. (a) 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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for the treatment of patients with multiple chronic conditions, including substance use disorders, and the creation of a modern, comprehensive, and coordinated continuum of treatment services that includes defined goals and benefits; provided that no funds appropriated pursuant to this section shall be made available unless one or more private for-profit or nonprofit entities, separately or in conjunction, provides matching funds on a dollar-for-dollar basis to the amount appropriated by the State.
(b) Subject to the availability of funds, the director of health may designate additional political subdivisions, or request additional private entities, to participate in the program established pursuant to this Act; provided that the matching funds requirement established in subsection (a) shall also apply to the additional designated political subdivisions and participating private entities.
(c) The sums appropriated shall be expended by the department of health for the purposes of this Act.
PART III
SECTION 4. The legislature finds that a centralized referral and treatment process is a key component of substance use treatment. The referral and treatment process includes helping a patient access specialized treatment, select facilities, and navigate barriers such as cost and transportation, and following up with a patient as needed.
The purpose of this part is to appropriate funds for the department of health to establish a pilot project for a comprehensive and coordinated centralized referral system in the State, beginning in the city and county of Honolulu, then expanding to address the needs of other counties.
SECTION 5. (a) 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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for the department of health to establish a pilot project for a permanent centralized referral center in the city and county of Honolulu, then expand and develop the program to address the needs of other counties; provided that no funds appropriated pursuant to this section shall be made available unless one or more private for-profit or nonprofit entities, separately or in conjunction, provides matching funds on a dollar-for-dollar basis to the amount appropriated by the State.
(b) Subject to the availability of funds, the director of health may designate additional political subdivisions, and request additional private entities, to participate in the program established pursuant to this Act; provided that the matching funds requirement established in subsection (a) shall also apply to the additional designated political subdivisions and participating private entities.
(c) The sums appropriated shall be expended by the department of health for the purposes of this Act.
PART IV
SECTION 6. The legislature finds that people with mental health disorders or substance use disorders can be particularly vulnerable to becoming homeless or precariously housed. Among the nation's chronically homeless, approximately two-thirds have a substance use disorder or other chronic condition.
Properly trained case managers with expertise in addressing substance use disorders and other chronic conditions can more effectively address the multifaceted needs of chronically homeless clients who have difficulty accessing housing. The case management programs recently created pursuant to Act 93, Session Laws of Hawaii 2012, lack vital funding and resources.
Therefore, the purpose of this part is to provide funding for case management programs to help those with substance use disorders.
SECTION 7. (a) 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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for the funding of case management programs to help those with substance use disorders throughout the State; provided that no funds appropriated pursuant to this section shall be made available unless one or more private for-profit or nonprofit entities, separately or in conjunction, provides matching funds on a dollar-for-dollar basis to the amount appropriated by the State.
(b) Subject to the availability of funds, the director of health may designate additional political subdivisions, and request additional private entities, to participate in the program established pursuant to this Act; provided that the matching funds requirement established in subsection (a) shall also apply to the additional designated political subdivisions and participating private entities.
(c) The sums appropriated shall be expended by the department of health for the purposes of this Act.
PART V
SECTION 8. The legislature finds that peer mentors and coaches assist their peers with setting recovery goals, finding sober housing, making new friends, and improving job skills. Peer mentors and coaches provide valuable experience to the peers they serve, as they have experienced similar recovery paths.
The legislature further finds that peer mentoring and coaching reduces health care costs, facilitates recovery, and promotes a sense of community. Peer mentors and coaches model recovery behaviors and connect their peers with valuable services and resources. Many peer mentors and coaches serve as volunteers and thus tend to have shorter tenures than paid staff. Stipends and other compensation are sometimes provided to peer mentors and coaches in order to facilitate a consistent and sustained relationship.
The purpose of this part is to appropriate funds to service providers to hire supervisors to supervise and train volunteer peer mentors and coaches, and to develop incentive and stipend programs for volunteer peer mentors and coaches.
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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for the funding of service providers to hire supervisors to supervise and train volunteer peer mentors and coaches to help those with substance use disorders, and to develop incentive or stipend programs for volunteer peer mentors and coaches; provided that no funds appropriated pursuant to this section shall be made available unless one or more private for-profit or nonprofit entities, separately or in conjunction, provides matching funds on a dollar-for-dollar basis to the amount appropriated by the State.
(b) Subject to the availability of funds, the director of health may designate additional political subdivisions, or request additional private entities, to participate in the program established pursuant to this Act; provided that the matching funds requirement established in subsection (a) shall also apply to the additional designated political subdivisions and participating private entities.
(c) The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 10. This Act shall take effect on July 1, 2019.
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INTRODUCED BY: |
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Report Title:
DOH; Substance Use; Chronic Conditions; Homelessness; Peer Mentors; Case Managers; Referral; Matching Funds; Appropriations
Description:
Appropriates funds to the Department of Health to help persons suffering from multiple chronic conditions, including for programs and other efforts that provide coordinated treatment, centralized referral, case managers, and peer mentors. Requires matching funds from private entities.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
