Bill Text: HI SB1522 | 2020 | Regular Session | Amended
Bill Title: Relating To School-based Health Services.
Spectrum: Partisan Bill (Democrat 13-0)
Status: (Engrossed - Dead) 2019-12-01 - Carried over to 2020 Regular Session. [SB1522 Detail]
Download: Hawaii-2020-SB1522-Amended.html
THE SENATE |
S.B. NO. |
1522 |
THIRTIETH LEGISLATURE, 2019 |
S.D. 1 |
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STATE OF HAWAII |
H.D. 1 |
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A BILL FOR AN ACT
RELATING TO SCHOOL-BASED HEALTH SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that
the Hawaii keiki: healthy and ready to learn program (Hawaii keiki program) is
designed to improve access to, and the quality of, school-based health services
available to Hawaii's public school students by coordinating and expanding
existing efforts of community partners and resources. This partnership program with the University
of Hawaii at Manoa school of nursing and dental hygiene supports the department
of education in achieving student, school, and system success by providing
school health nursing and primary care services to public schools in five
complex areas.
In
2015, the legislature appropriated general funds to improve access to, and
increase the quality of, health services available to Hawaii's public school
students. This appropriation led to the
expansion of the Hawaii keiki program, with five advanced practice registered
nurses and five registered nurses serving seven complex areas across three
islands. During this time, the Hawaii
keiki program also established five school-based health centers.
The
legislature further finds that the department of education is working with
other state agencies, partnering organizations, and families to improve
attendance, behavior, and course marks by partnering to coordinate wraparound
services that address non-school factors that impede student success. Furthermore, through the Hawaii keiki program
collaboration, the departments of health and human services have identified the
extent of services provided within each department targeted at public school
children and the need to coordinate internal departmental activity and cross-departmental
efforts to develop sustainable school-based health services.
The legislature
additionally finds that chronic absenteeism, poor health, and delayed or
limited access to health care and preventive services continue to hinder
academic success and meeting the needs of the whole child. The legislature acknowledges that the Hawaii
keiki program is an effective means by which to continue collaboration between
health, human services, and education policymakers and providers to achieve
sustainable, comprehensive school-based health services in the State to improve
the academic and health outcomes of Hawaii's public school students. Working with each complex area superintendent
and school principals, the Hawaii keiki program builds and enhances
school-based health services that reflect the specific needs of the individual
complex area according to student demographics, staffing, available support
services, and access to health care within the community, including:
(1) Providing comprehensive screening for physical and behavioral health conditions;
(2) Providing referrals to primary and behavioral health care and patient-centered medical home services;
(3) Preventing and controlling communicable diseases and other health problems;
(4) Providing emergency care for illness or injury; and
(5) Collaborating with community partners, including federally qualified health centers, the Hawaii chapter of the American Academy of Pediatrics, Hui for Excellence in Education Coalition, and other key stakeholders to develop and implement a comprehensive plan to implement school-based health.
The legislature also finds that the expected cost to continue and expand the Hawaii keiki program to include students from pre-kindergarten through high school in the fifteen department of education complex areas statewide; expand the program to allow the Hawaii state public charter school commission to launch the program in two public charter schools serving disadvantaged keiki; provide access to preventive oral health services and establish a pilot oral health screening and preventative services program on a neighbor island; enhance data collection, sharing, analysis, and reporting; and engage in interdepartmental school health coordination, is $4,000,000 annually, in addition to a one-time allocation of $500,000 for an evidence-based vision screening tool. These funds will additionally establish school health services coordinator roles in the department of health and the MedQUEST division of the department of human services.
The purpose of this
Act is to:
(1) Statutorily establish the Hawaii keiki: healthy and ready to learn program and
special fund; and
(2) Appropriate funds to expand and sustain the program; establish school health service coordinators in the departments of health and human services to increase coordination and facilitate departmental and interdepartmental activities related to comprehensive school-based health services; and for an evidence-based vision screening and eye assessment tool appropriate for children in kindergarten through grade twelve as part of the Hawaii keiki: healthy and ready to learn program.
SECTION 2. Chapter 302A, Hawaii Revised Statutes, is amended by adding two new sections to part II to be appropriately designated and to read as follows:
"§302A-A Hawaii keiki: healthy
and ready to learn program. (a) There is established within the department
the Hawaii keiki: healthy and ready to learn program to provide school-based
health services. The department shall
convene the program in collaboration with the department of health, department
of human services, University of Hawaii at Manoa school of nursing and dental
hygiene, community service providers, and other health care and education
stakeholders to increase access to and reimbursement for school-based wellness
and health services.
(1) The department
shall also partner with the public health nursing branch of the department of
health pursuant to a memorandum of understanding between the department,
department of health, and the Hawaii keiki: healthy and ready to learn program,
and each federally qualified health center and rural health clinic
geographically situated within each participating complex of schools; and
(2) The Hawaii
keiki: healthy and ready to learn program shall be precluded from providing services at any school where a school-based clinic
established pursuant to a memorandum of understanding or contract between a
federally qualified health center or rural health clinic and the department
exists or may exist in the future; provided that precluded services shall
include any service that duplicates any service that is either provided or
offered at a school-based clinic.
(b) The program shall be funded through
appropriations to the Hawaii keiki: healthy and ready to learn program special
fund established under section 302A-B.
The department or the program may also seek:
(1) Private funding
sources, including federal grants and private, nonprofit, and not-for-profit
organizations to support the continuation and expansion of school-based health
services in the department; and
(2) Federal
reimbursement for school-based health services.
(c) The program shall work to address the adverse
effects of the following situations experienced by students, including but not
limited to:
(1) Poverty;
(2) Unstable housing
conditions, including homelessness;
(3) Poor parental
health; and
(4) Racial or
ethnic minority status,
and shall
be evaluated based on its success in addressing such adverse effects.
§302A-B Hawaii keiki: healthy and ready to learn program
special fund. (a) There is established within the state
treasury the Hawaii keiki: healthy and ready to learn program special fund into
which shall be deposited:
(1) Appropriations
made by the legislature to the fund;
(2) Federal or
state grant funds;
(3) Grant funds
from private and nonprofit organizations;
(4) Federal
reimbursements;
(5) Any interest
that accrues upon the balance in the fund; and
(6) Any other
moneys designated for the fund.
(b) Moneys in the special fund shall be used to
support the operations of the Hawaii keiki: healthy and ready to learn program.
(c) The special fund shall not be subject to the requirements of section 36-27."
SECTION 3. Section 36-27, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Except
as provided in this section, and notwithstanding any other law to the contrary,
from time to time, the director of finance, for the purpose of defraying the
prorated estimate of central service expenses of government in relation to all
special funds, except the:
(1) Special
out-of-school time instructional program fund under section 302A-1310;
(2) School
cafeteria special funds of the department of education;
(3) Special
funds of the University of Hawaii;
(4) State
educational facilities improvement special fund;
(5) Convention
center enterprise special fund under section 201B-8;
(6) Special
funds established by section 206E-6;
(7) Aloha
Tower fund created by section 206J-17;
(8) Funds
of the employees' retirement system created by section 88-109;
(9) Hawaii
hurricane relief fund established under chapter 431P;
(10) Hawaii
health systems corporation special funds and the subaccounts of its regional
system boards;
(11) Tourism
special fund established under section 201B‑11;
(12) Universal
service fund established under section 269‑42;
(13) Emergency
and budget reserve fund under section 328L‑3;
(14) Public
schools special fees and charges fund under section 302A-1130;
(15) Sport
fish special fund under section 187A-9.5;
[[](16)[]] Neurotrauma special fund under section 321H-4;
[[](17)[]] Glass advance disposal fee established by section 342G-82;
[[](18)[]] Center for nursing special fund under section 304A‑2163;
[[](19)[]] Passenger facility charge special fund established by section
261-5.5;
[[](20)[]] Solicitation of funds for charitable purposes special fund
established by section 467B-15;
[[](21)[]] Land conservation fund established by section 173A-5;
[[](22)[]] Court interpreting services revolving fund under section 607-1.5;
[[](23)[]] Trauma system special fund under section 321-22.5;
[[](24)[]] Hawaii cancer research special fund;
[[](25)[]] Community health centers special fund;
[[](26)[]] Emergency medical services special fund;
[[](27)[]] Rental motor vehicle customer facility charge special fund
established under section 261-5.6;
[[](28)[]] Shared services technology special fund under section 27-43;
[[](29)[]] Automated victim information and notification system special fund
established under section 353-136;
[[](30)[]] Deposit beverage container deposit special fund under section
342G-104;
[[](31)[]] Hospital sustainability program special fund under [[]section
346G-4[]];
[[](32)[]] Nursing
facility sustainability program special fund under [[]section
346F-4[]];
[[](33)[]] Hawaii
3R's school improvement fund under section 302A-1502.4;
[[](34)[]] After-school
plus program revolving fund under section 302A-1149.5; [and
[](35)[]] Civil monetary penalty special fund under section 321‑30.2[,];
and
(36) Hawaii
keiki: healthy and ready to learn program special fund under section 302A-B,
shall deduct five per cent of all receipts of all other special funds, which deduction shall be transferred to the general fund of the State and become general realizations of the State. All officers of the State and other persons having power to allocate or disburse any special funds shall cooperate with the director in effecting these transfers. To determine the proper revenue base upon which the central service assessment is to be calculated, the director shall adopt rules pursuant to chapter 91 for the purpose of suspending or limiting the application of the central service assessment of any fund. No later than twenty days prior to the convening of each regular session of the legislature, the director shall report all central service assessments made during the preceding fiscal year."
SECTION 4. Section 302A-853, Hawaii Revised Statutes, is amended to read as follows:
"§302A-853 Administration of medication. School health aides may assist students by administering oral and topical medication, and in emergency situations, other premeasured medication; provided that:
(1) If the student receiving the medication is a minor, a parent or guardian requests and authorizes the administration of medication;
(2) The medication has
been prescribed by a licensed physician[,] as defined in section 334-1, a
licensed advanced practice registered nurse subject to the scope of section
457-2.7, or by a practitioner with prescriptive authority;
(3) The administration
of the medication is with the approval of the department of health[;] or
the Hawaii keiki: healthy and ready to learn program under section 302A-A;
and
(4) The administration of the medication is necessary for the health of the student and for the student's attendance at school."
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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for a school health services coordinator within the department of health.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for a school health services coordinator within the department of human services.
The sums appropriated shall be expended by the department of human services for the purposes of this Act.
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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 for an evidence-based vision screening and eye assessment tool appropriate for children in kindergarten through grade twelve as part of the Hawaii keiki: healthy and ready to learn program.
The sums appropriated shall be expended by the department of education for the purposes of this Act.
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 2019-2020 and the same sum or so much thereof as may be necessary for fiscal year 2020-2021 to be deposited into the Hawaii keiki: healthy and ready to learn program special fund.
SECTION 9. There is appropriated out of the Hawaii keiki: healthy and ready to learn program special fund 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 to implement, expand, and sustain the Hawaii keiki: healthy and ready to learn program; provided that no funds shall be released unless the program has demonstrated success in addressing the adverse effects of section 302A-A(c), Hawaii Revised Statutes.
The sums appropriated shall be expended by the department of education for the purposes of this Act.
SECTION 10. In codifying the new sections added by section 2 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 11. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 12. This Act shall take effect on July 1, 2052.
Report Title:
DOE; Hawaii Keiki: Healthy and Ready to Learn Program; Special Fund; Appropriation
Description:
Formally establishes the Hawaii Keiki: Healthy and Ready to Learn Program and Special Fund within the Department of Education. Appropriates funds for positions and a vision screening and eye assessment tool, and to implement, expand, and sustain the program. (SB1522 HD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.