Bill Text: HI SB2918 | 2024 | Regular Session | Introduced
Bill Title: Relating To The State Health Planning And Development Agency.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced - Dead) 2024-01-29 - The committee on HHS deferred the measure. [SB2918 Detail]
Download: Hawaii-2024-SB2918-Introduced.html
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THE SENATE |
S.B. NO. |
2918 |
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THIRTY-SECOND LEGISLATURE, 2024 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to the state health PLANNING and development agency.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Section 323D-12, Hawaii Revised Statutes, is amended to read as follows:
"§323D-12 Health planning and development functions; state agency. (a) The state agency shall:
(1) Have as a principal function the
responsibility for promoting [accessibility for all the people of the State
to quality health care services at reasonable cost. The state agency shall conduct such studies
and investigations as may be necessary as to the causes of health care costs
including inflation. The state agency
may contract for services to implement this paragraph. The certificate of need
program mandated under part V shall serve this function. The state agency shall promote the sharing of
facilities or services by health care providers whenever possible to achieve
economies and shall restrict unusual or unusually costly services to individual
facilities or providers where appropriate;] universal access to high
quality, equitable, and affordable health care for all the people of the
State. For the purposes of this section,
"health care" means the improvement of health via the prevention,
diagnosis, treatment, and amelioration or cure of disease, illness, injury, and
other physical and mental impairments in people that is delivered in any
setting;
(2) [Serve as staff to and provide
technical assistance and advice to the statewide council and the subarea
councils in the preparation, review, and revision of the state health services
and facilities plan;] Provide leadership and coordination of activities
and resources throughout State agencies that affect health care access and
quality, including but not limited to health insurance coverage rates, health
insurance benefits, affordability, workforce, reimbursement, quality,
administrative simplification, and health information technology;
(3) [Conduct the health planning
activities of the State in coordination with the subarea councils, implement
the state health services and facilities plan, and determine the statewide
health needs of the State after consulting with the statewide council; and]
Issue a state health services and facilities plan, which shall include
workforce considerations, and update the plan every four years after consulting
with the statewide council;
(4) Administer the state certificate of
need program pursuant to part V[.], and serve as staff and provide technical
assistance and advice to the statewide council and subarea councils; and
(5) Develop, no later than 2027, and
annually thereafter, and in consultation with the governor, the department of
budget and finance, the employee-union trust fund, all public and private
health plans and entities in the State providing health insurance coverage, an
annual state global budget based on total costs of health care in order to
prevent costs from rising faster than general inflation and to assure the
affordability of health care services.
(b) The state agency may:
(1) Prepare [such] reports,
related to statistics as needed to monitor and improve health care access,
outcomes, equity, quality, costs and cost-effectiveness, and
recommendations on Hawaii's health care costs and public or private efforts to
reduce or control costs and improve health care quality as it deems
necessary. The report may include[,]
but not be limited to[,] a review of health insurance plans, the
availability of various kinds of health insurance and malpractice insurance to
consumers, and strategies for increasing competition in the health insurance
field[.] and across the health care delivery system;
[(2) Prepare and revise as necessary the
state health services and facilities plan.
(3) Prepare, review, and revise the
annual implementation plan.]
[(4)] (2) Assist the statewide council in the
performance of its functions[.];
[(5)] (3) Determine the need for new health
services proposed to be offered within the State[.];
[(6)] (4) Assess existing health care services
and facilities to determine whether there are redundant, excessive, or
inappropriate services or facilities and make public findings of any that are
found to be so. The state agency shall
weigh the costs of the health care services or facilities against the benefits
the services or facilities provide and there shall be a negative presumption
against marginal services[.];
[(7)] (5) Provide technical assistance to
persons, public or private, in obtaining and filling out the necessary forms
for the development of projects and programs[.];
[(8)] (6) Prepare reports, studies, and
recommendations on emerging health issues, such as medical ethics, health care
rationing, involuntary care, care for the indigent, and standards for research
and development of biotechnology [and], genetic engineering[.],
remote monitoring, and artificial intelligence; and
[(9)] (7) Conduct such other activities as are
necessary to meet the purposes of this chapter."
SECTION 2. 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 2024-2025 for administrative costs and the establishment of the following positions with the state health planning and development agency:
(1) One full-time
equivalent (1.0 FTE) administrative specialist IV position;
(2) One full-time equivalent (1.0 FTE) research statistician VI, to serve as the State health care informatician position;
(3) One full-time equivalent (1.0 FTE) research statistician V, to serve as administrative data specialist position;
(4) One full-time equivalent (1.0 FTE) program specialist VI, to serve as the State health planner position;
(5) One full-time equivalent (1.0 FTE) program specialist IV, to serve as the State health planning liaison for the county of Hawaii position;
(6) One full-time equivalent (1.0 FTE) program specialist IV, to serve as the State health planning liaison for the county of Kauai position;
(7) One full-time equivalent (1.0 FTE) program specialist IV, to serve as the State health planning liaison for the county of Maui position;
(8) One full-time equivalent (1.0 FTE) program specialist IV, to serve as the State health planning liaison for the city and county of Honolulu position; and
(9) One full-time equivalent (1.0 FTE) CHIP coordinator SR-26 position.
SECTION 3. In accordance with section 9 of article VII of the Hawaii State Constitution and sections 37-91 and 37-93, Hawaii Revised Statutes, the legislature has determined that the appropriations contained in Act 164, Regular Session of 2023, and this Act will cause the state general fund expenditure ceiling for fiscal year 2024-2025 to be exceeded by $ or per cent. This current declaration takes into account general fund appropriations authorized for fiscal year 2024-2025 in Act 164, Regular Session of 2023, and this Act only. The reasons for exceeding the general fund expenditure ceiling are that:
(1) The appropriation made in this Act is necessary to serve the public interest; and
(2) The appropriation made in this Act meets the needs addressed by this Act.
The sum appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 2024.
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INTRODUCED BY: |
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Report Title:
DOH; State Health Planning and Development Agency; Functions; Positions; Expenditure Ceiling; Appropriation
Description:
Appropriates the function of the State Health Planning and Developmental Agency with the Department of Health. Declares that the general fund expenditure ceiling is exceeded. Establishes positions.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
