Bill Text: HI SB2228 | 2014 | Regular Session | Amended
Bill Title: Kupuna Caucus; Long-term Care; Education and Awareness; Appropriation; Fall Prevention and Early Detection Coordinator; Alzheimer's Disease and Related Dementia Services; Prevention of Elder Abuse and Fraud; Elder Justice Coordinator; Long-Term Supports and Services System and Resource Development Coordinator; Executive Office on Aging ($)
Spectrum: Partisan Bill (Democrat 8-0)
Status: (Engrossed - Dead) 2014-03-06 - Referred to HLT, FIN, referral sheet 28 [SB2228 Detail]
Download: Hawaii-2014-SB2228-Amended.html
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THE SENATE |
S.B. NO. |
2228 |
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TWENTY-SEVENTH LEGISLATURE, 2014 |
S.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO AGING.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
PART I
SECTION 1. The legislature finds that falls and fall-related injuries among the elderly impact individuals, families, the community, and the State's health care system. Fall prevention is a major concern for the safety and well-being of the State's elderly residents, the fastest-growing segment of Hawaii's population.
Among the elderly in Hawaii, falls are the leading cause of fatal injuries (an average of forty-four per cent) and injury-related hospitalizations (an average of eighty-three per cent). On average, every five hours in Hawaii an elderly person is injured so severely in a fall that hospitalization is necessary. Falls among Hawaii's elderly also result in a yearly average of eighty-two deaths and nearly one thousand eight hundred hospitalizations.
The legislature further finds that hospital costs associated with fall-related injuries average over $65,000,000 a year. This total does not include the additional significant costs associated with skilled nursing care and rehabilitation. Among Hawaii seniors hospitalized for a fall, forty-three per cent are discharged to skilled nursing facilities for additional care, and twelve per cent are moved to rehabilitation facilities.
The legislature additionally finds that access to fall prevention services and programs would significantly reduce these costs. In addition, the early detection of fall occurrences would reduce both costs and suffering by expediting treatment, minimizing serious long-term consequences, reducing the extent of the injury, and in some instances, avoiding death.
Falls among the elderly are a significant public health issue. Yet, currently, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among the elderly. The legislature therefore finds that the department of health's emergency medical services and injury prevention system branch should be permitted to establish and maintain a program dedicated to fall prevention and early detection for the elderly. This program shall serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The purpose of this part is to establish a fall prevention and early detection coordinator within the emergency medical services and injury prevention system branch to coordinate the provision of public and private fall prevention and early detection services for the elderly.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§321- 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."
SECTION 3. There is appropriated out of the trauma system special fund the sum of $ or so much thereof as may be necessary for fiscal year 2014-2015 to establish and fill one full-time equivalent fall prevention and early detection coordinator position.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART II
SECTION 4. Section 349-3.2, Hawaii Revised Statutes, is amended to read as follows:
"[[]§349-3.2[]] Alzheimer's disease and related
dementia services coordinator. There is established within the executive office on aging an
Alzheimer's disease and related dementia services coordinator to coordinate the
provision of public and private Alzheimer's disease and related dementia
services. [The coordinator shall be appointed by the director in accordance
with chapters 76 and 89.]"
SECTION 5. 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 2014-2015 for the Alzheimer's disease and related dementia services coordinator position.
The sum appropriated shall be expended by the department of health for the purposes of this section.
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 2014-2015 for the kupuna care program; provided that the sum appropriated shall be in addition to the base budget of the executive office on aging.
The sum appropriated shall be expended by the department of health for the purposes of this section.
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 2014-2015 for the aging and disability resource center.
The sum appropriated shall be expended by the department of health for the purposes of this section.
SECTION 8. 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 2014-2015 to provide funding for grants, pursuant to chapter 42F, Hawaii Revised Statutes, for senior centers and to be distributed as follows:
(1) Catholic Charities Hawaii for the Lanakila multi-purpose senior center $ ;
(2) Kapahulu Center $ ;
(3) Moiliili Community Center for the Moiliili senior center $ ; and
(4) Waikiki Community Center $ .
The sum appropriated shall be expended by the department of health for the purposes of this section.
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 2014-2015 for the healthy aging partnership program of the department of health's executive office on aging.
The sum appropriated shall be expended by the department of health for the purposes of this section.
PART III
SECTION 10. The legislature finds that elderly Americans with multiple chronic health conditions and disabilities are living longer now than in the past. Furthermore, the aging of the population in Hawaii guarantees that there will be a greater need for long-term care in the future. Between 2007 and 2030, the number of persons age eighty-five and older, which is the population segment with the greatest need for long-term care, will increase by almost two-thirds.
The legislature further finds that many people in Hawaii have limited or incorrect knowledge of long-term care issues. For example, although long-term care is not covered by medicare or regular private health insurance, a 2011 survey of Hawaii members of the Association of American Retired Persons found that twenty-nine per cent of respondents said they expected medicare to pay for their long-term care if needed.
The legislature additionally finds that, unless people have basic information about long-term care, including the types and providers of long-term care services, the statistical risk of needing long-term care, and the cost of long-term care, they are unlikely to create plans for their long-term care or purchase long-term care insurance.
The legislature also finds that a long-term care education and awareness campaign will educate people about their risks of needing long-term care and motivate people to begin planning for their potential long-term care needs.
The purpose of this part is to appropriate funds to the department of health to administer a public education and awareness campaign on long-term care and obtain an independent evaluation of the campaign.
SECTION 11. (a) The executive office on aging shall conduct a long-term care education and awareness campaign.
(b) The campaign goals shall include:
(1) Informing the public on the likelihood of needing long-term care at some point in life;
(2) Educating the public on the risks of not planning for long-term care and on how to maximize the duration of a person's independent living;
(3) Building awareness that long-term care is not covered by medicare or regular private health insurance;
(4) Educating the public about the cost of long-term care, including the limits of medicaid eligibility and benefits;
(5) Informing the public on the value and availability of current financing and delivery options to obtain long-term care; and
(6) Providing the public with resources to navigate the complexities of planning for long-term care and the agencies that provide these services.
(c) The executive office on aging may develop a public-private partnership to fund and administer the campaign and may invite broad participation from multiple interested stakeholders in the State.
(d) The director of the executive office on aging shall have the campaign independently evaluated for its effectiveness.
(e) The director of the executive office on aging shall submit the independent evaluation, including findings and recommendations, if any, to the legislature no later than twenty days prior to the convening of the regular session of 2017.
SECTION 12. 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 2014-2015 for the executive office on aging to conduct an education and awareness campaign on long-term care and to obtain an independent evaluation of the campaign.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART IV
SECTION 13. Chapter 349, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§349‑ Elder justice coordinator; establishment; duties. (a) There is established within the executive office on aging an elder justice coordinator to plan and implement statewide initiatives to protect seniors from abuse and fraud.
(b) The elder justice coordinator shall:
(1) Promote collaborative efforts in the development of elder justice programs at the state and local levels;
(2) Improve the recognition, detection, and awareness of elder abuse, neglect, and exploitation by the public and health care professionals and enhance response and outreach to elderly victims;
(3) Facilitate the development, implementation, and continuous improvement of a coordinated, multidisciplinary elder justice system in Hawaii;
(4) Establish a clearinghouse to collect and disseminate information concerning best practices and resources for training and technical assistance to carry out evidence-based programs to prevent and address elder abuse, neglect, and exploitation;
(5) Improve the ability of first responders to screen for diminished capacity, vulnerability to financial abuse, and victimization; and
(6) Establish a multifaceted public awareness campaign, including public service announcements and social media, to raise awareness of elder abuse and existing prevention efforts."
SECTION 14. 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 2014-2015 for the executive office on aging to establish an elder justice coordinator position.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART V
SECTION 15. Chapter 349, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§349‑ Long-term supports and services system and resource development coordinator; establishment; duties. (a) There is established within the executive office on aging a long-term supports and services system and resource development coordinator.
(b) The long-term supports and services system and resource development coordinator shall:
(1) Collaborate with each aging and disability resource center or area agency on aging to facilitate their social entrepreneurship by developing and implementing a business plan for each respective county's aging and disability resource center or area agency on aging. The goal of each business plan shall be to:
(A) Improve the aging and disability resource center or area agency on aging's operational efficiency and diversify their funding to decrease the organization's reliance on allocations and grants; and
(B) Encourage business market competition that will subsequently strengthen services for Hawaii's older adults and their families into the future;
(2) Research the fiscal, policy, and operational changes necessary to integrate new ways of doing business within the aging and disability resource center and area agency on aging systems, and assist in developing new business partnerships;
(3) Promote increased operational efficiency of the aging and disability resource centers and area agencies on aging by facilitating a corporate culture change that aligns with their respective organization's business plan;
(4) Research and explore additional funding sources for aging and disability resource centers and area agencies on aging;
(5) Develop and refine mechanisms for collaboration among aging and disability resource centers and area agencies on aging regarding information sharing, new business partners' policies, practices, interactions, and outcomes of each line of business developed within the aging network;
(6) Facilitate the development of a full array of services that can be offered by each aging and disability resource center and area agency on aging to potential business partners that will result in independent sustainable funding for the aging and disability resource center and area agency on aging;
(7) Support the development of pricing long-term supports and services to be offered by each aging and disability resource center and area agency on aging to potential business partners;
(8) Develop and expand each aging and disability resource center and area agency on aging's capacity to bill for services and receive payments from a variety of funding sources;
(9) Facilitate the development of marketing materials to advertise the array of services available through each aging and disability resource center and area agency on aging in Hawaii;
(10) Initiate and facilitate contact with new business partnerships and market services;
(11) Act as a liaison among business partners, the aging and disability resource centers and area agencies on aging, and the executive office on aging;
(12) Collaborate with executive office on aging vendors and contractors;
(13) Collect and analyze data from the aging and disability resource centers and area agencies on aging regarding outcomes of each line of business; and
(14) Enable each aging and disability resource center and area agency on aging to collect outcome information that supports the value of aging and disability resource center and area agency on aging services."
SECTION 16. 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 2014-2015 for the executive office on aging to establish a position for a long-term supports and services system and resource development coordinator to increase the sustainability of Hawaii's aging network.
The sum appropriated shall be expended by the department of health for the purposes of this part.
PART VI
SECTION 17. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 18. This Act shall take effect on July 1, 2050.
Report Title:
Kupuna Caucus; Long-term Care; Education and Awareness; Appropriation; Fall Prevention and Early Detection Coordinator; Alzheimer's Disease and Related Dementia Services; Prevention of Elder Abuse and Fraud; Elder Justice Coordinator; Long-Term Supports and Services System and Resource Development Coordinator; Executive Office on Aging
Description:
Establishes a fall prevention and early detection coordinator within DOH's Emergency Medical Services and Injury Prevention System Branch and appropriates funds. Removes hiring requirement by Director of Health in accordance to chapters 76 and 89, Hawaii Revised Statutes, for the position of Alzheimer's disease and related dementia services coordinator. Appropriates funds for the Alzheimer's disease and related dementia services coordinator. Appropriates funds for various kupuna, aging, disability, and senior center programs. Requires the executive office on aging to conduct an education and awareness campaign on long-term care and have the campaign independently evaluated and appropriates funds. Establishes an elder justice coordinator position within the executive office on aging and appropriates funds. Establishes a long-term supports and services system and resource development coordinator within the executive office on aging and appropriates funds. Effective 07/01/2050. (SD2)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
