STAND. COM. REP. NO. 175

Honolulu, Hawaii

, 2019

RE: H.B. No. 584

H.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Sir:

Your Committee on Health, to which was referred H.B. No. 584 entitled:

"A BILL FOR AN ACT RELATING TO ADOLESCENT MENTAL HEALTH SERVICES,"

begs leave to report as follows:

The purpose of this measure is to provide adolescents with appropriate mental health services by:

(1) Prohibiting health plans and providers from disclosing certain information to a policyholder or other covered person regarding a minor's mental health services when rendered without the minor's parent or legal guardian's consent; and

(2) Specifying that a minor and the minor's parent or legal guardian are not responsible for out-of-pocket payments for minor-initiated mental health treatment or counseling services.

The Department of Health, LGBT Caucus of the Democratic Party of Hawai‘i, Hawai‘i Psychological Association, Mental Health America of Hawai‘i, Hawaii Youth Services Network, O‘ahu County Committee on Legislative Priorities of the Democratic Party of Hawai‘i, and a concerned individual supported this measure. A concerned individual opposed this measure. Hawaii Medical Service Association provided comments.

Your Committee has amended this measure by changing the effective date to July 1, 2050, to encourage further discussion.

Your Committee notes the concerns raised by Hawaii Medical Service Association regarding possible additional and separate privacy obligations that could potentially undermine the effects of Hawaii's Health Care Privacy Harmonization Act, Chapter 323B, Hawaii Revised Statutes, that was enacted in 2012.

Your Committee further notes that there were concerns raised regarding whether a sunrise analysis for mandated coverage, pursuant to section 23-51, Hawaii Revised Statutes, is warranted. Should your Committee on Consumer Protection & Commerce deliberate on this measure, your Committee respectfully requests that the State Auditor provide comments on this issue.

As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 584, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 584, H.D. 1, and be referred to your Committee on Consumer Protection & Commerce.

Respectfully submitted on behalf of the members of the Committee on Health,

____________________________

JOHN M. MIZUNO, Chair