HOUSE OF REPRESENTATIVES

H.B. NO.

834

TWENTY-NINTH LEGISLATURE, 2017

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

relating to a diabetes action plan.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 

     SECTION 1.  The legislature finds that coordination between agencies to utilize limited funds and resources within the State is crucial to effectively address the diabetes epidemic.  A 2016 report by the Harvard Law School's Center for Health Law and Policy Innovation cited diabetes action plans as one of ten "best practices" for states in the fight against diabetes.  Diabetes action plan legislation has been enacted in at least seventeen states: Arkansas, Florida, Illinois, Kentucky, Louisiana, Michigan, Mississippi, Missouri, New Jersey, North Carolina, North Dakota, Oklahoma, Oregon, Tennessee, Texas, Washington, and Wyoming.  Hawaii has embarked on a number of worthy diabetes initiatives but lacks a formalized diabetes action plan.

     The purpose of this Act is to require the department of health, in collaboration with the department of human services and department of human resources development, to develop a single, unified action plan to reduce the incidence of diabetes in the State and report to the legislature biennially on plan revisions, recommendations for legislative action, and updated information on areas of need, costs, and resources required for continued implementation of the plan.

     SECTION 2.  Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows:

     "§321-     Diabetes action plan; biennial report.  (a)  The department of health, in collaboration with the department of human services and department of human resources development, shall identify short- and long-term goals and benchmarks and develop a single, unified action plan to reduce the incidence of diabetes in the State, improve diabetes care, and reduce complications associated with diabetes.

     (b)  The department of health, in collaboration with the department of human services and department of human resources development, shall submit a biennial report to the legislature no later than twenty days prior to the convening of each regular session in odd numbered years on the following:

     (1)  The health, societal, and financial impact that diabetes of all types has on the State, counties, and the departments of health, human services, and human resources development, including:

         (A)  The number of persons with diabetes who receive services from, or who fall within the purview of, the departments of health, human services, and human resources development;

         (B)  The number of participants in diabetes education, prevention, and treatment programs administered by the departments of health, human services, and human resources development;

         (C)  The costs associated with diabetes education, prevention, and treatment programs administered by the departments of health, human services including medicaid, and human resources development; and

         (D)  The costs to the departments of health, human services, and human resources development associated with diabetes education, prevention, and treatment, as compared to the costs associated with education, prevention, and treatment of other chronic diseases;

     (2)  An assessment of the effectiveness of diabetes education and treatment activities, including the amount and source of any funding appropriated by the legislature for these activities;

     (3)  A description of the level of coordination between the departments of health, human services, and human resources development on activities to manage, treat, and prevent diabetes and associated complications;

     (4)  A list of action steps for the legislature's consideration, along with any proposed legislation, aimed at reducing the impact of diabetes, pre-diabetes, and related diabetes complications in Hawaii, including any recommended appropriations; provided that the report shall identify expected outcomes of the action steps and proposed legislation in the following biennium; and

     (5)  Updated information on areas of need, costs, resources required for continued implementation of the diabetes action plan, and any anticipated revisions to the plan."

     SECTION 3.  The requirements of section 2 of this Act shall be limited to the compilation of diabetes information, data, initiatives, and programs within each department prior to the effective date of this Act, unless there is unencumbered funding for diabetes prevention in each department that may be used for new research, data collection, reporting, or other requirements of section 2 of this Act.  If the departments of health, human services, or human resources development have any unencumbered moneys that may be used for the purposes of this Act, then those departments are authorized to expend the unencumbered moneys for the purposes of this Act.

     SECTION 4.  New statutory material is underscored.

     SECTION 5.  This Act shall take effect on July 1, 2017.

 

INTRODUCED BY:

_____________________________

 

 

 

 

Report Title:

Department of Health; Diabetes; Unified Action Plan

 

Description:

Requires DOH, in collaboration with DHS and DHRD, to develop a single, unified action plan to reduce the incidence of diabetes in the State and report to the legislature biennially on plan revisions, recommendations for legislative action, and updated information on areas of need, costs, and resources required for continued implementation of the plan.

 

 

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