HCR207

WHEREAS, according to the federal Centers for Disease Control and Prevention, lung cancer is the leading cause of cancer deaths for men and women in the United States; and

WHEREAS, according to a recent report from the American Lung Association, lung cancer is the leading cause of cancer death for men and women in Hawaii; and

WHEREAS, the American Lung Association's report also ranks Hawaii last in the nation for the early diagnosis of lung cancer; and

WHEREAS, Act 162, Session Laws of Hawaii 2022 (Act 162), established the Early Lung Cancer Screening Task Force within the Department of Health to research the steps and resources necessary to increase early lung cancer screening in Hawaii; and

WHEREAS, the Department of Health submitted a January 2023 progress report to the Legislature indicating that the initial meeting of the Early Lung Cancer Screening Task Force has been delayed due to changes in leadership in various state and county departments; and

WHEREAS, the Early Lung Cancer Screening Task Force is scheduled to sunset on July 31, 2023; and

WHEREAS, additional time is needed to ensure that the activities required by Act 162 are carried out to address and reduce the impact lung cancer has on Hawaii's diverse population; now, therefore,

BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2023, the Senate concurring, that the Department of Health is requested to convene an Early Lung Cancer Screening Working Group to continue the efforts of the Early Lung Cancer Screening Task Force established pursuant to Act 162, Session Laws of Hawaii 2022, in researching the steps and resources necessary to increase early lung cancer screening in Hawaii; and

BE IT FURTHER RESOLVED that the following individuals are requested to serve as members of the Early Lung Cancer Screening Working Group:

(1) A representative from the Office of the Governor, to be appointed by the Governor;

(2) A representative from the Senate, to be appointed by the President of the Senate;

(3) A representative from the House of Representatives, to be appointed by the Speaker of the House of Representatives;

(4) A representative from the Department of Health to be appointed by the Governor;

(5) A representative from the Department of Human Services to be appointed by the Governor;

(6) A representative from the University of Hawaii John A. Burns School of Medicine to be appointed by the Governor;

(7) A representative from the University of Hawaii Cancer Center to be appointed by the Governor; and

(8) A representative from each county to be appointed by the respective Mayor of each county; and

BE IT FURTHER RESOLVED that the abovementioned members of the Early Lung Cancer Screening Working Group are requested to select a chairperson from amongst themselves; and

BE IT FURTHER RESOLVED that the chairperson of the Early Lung Cancer Screening Working Group is requested to invite the following individuals to become members of the Working Group:

(1) A representative from the United States Department of Veterans Affairs;

(2) A representative from each health insurer operating in the State, including TRICARE;

(3) A representative from each health care system operating in the State, including but not limited to The Queen's Health Systems, Hawaii Pacific Health, Kaiser Permanente Hawaii, federally qualified health centers, Native Hawaiian health centers, and Tripler Army Medical Center;

(4) A representative from the American Lung Association;

(5) A representative from an organization that offers services to cancer patients and their families;

(6) A representative from the Hawaii Primary Care Association;

(7) At least one representative from an organization representing health care providers with relevant expertise on lung cancer screening; and

(8) Any other members, including representatives from state agencies, stakeholders, or advocates, as recommended by a majority of the Working Group; and

BE IT FURTHER RESOLVED that the Early Lung Cancer Screening Working Group is requested to:

(1) Review all available research, studies, and models for increasing early lung cancer screening rates in the State;

(2) Conduct or initiate new studies as the Working Group deems necessary; and

(3) Create a public awareness campaign to inform Hawaii residents about early lung cancer screening; and

BE IT FURTHER RESOLVED that the Early Lung Cancer Screening Working Group is requested to submit an interim report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the Regular Session of 2024; and

BE IT FURTHER RESOLVED that the Early Lung Cancer Screening Working Group is requested to submit a final report of its findings and recommendations, including any proposed legislation, to the Legislature no later than July 31, 2024; and

BE IT FURTHER RESOLVED that the Early Lung Cancer Screening Working Group is requested to include in its report:

(1) An analysis of the costs associated with early lung cancer screening;

(2) A list of qualified facilities in the State that perform lung cancer screenings;

(3) Protocols for health care providers and health care systems to identify populations at high risk for lung cancer;

(4) An explanation of how health care providers are made aware of available insurance coverage for early lung cancer screenings;

(5) Copies of guidelines used by health insurance providers to determine coverage for early lung cancer screening;

(6) A discussion of cultural and social barriers associated with lung cancer screenings;

(7) Policy recommendations for increasing early lung cancer screenings; and

(8) A work plan that identifies the steps needed in the next five years to increase lung cancer screenings in the State; and

BE IT FURTHER RESOLVED that the Early Lung Cancer Screening Working Group be dissolved on July 31, 2024; and

BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Secretary of Veterans Affairs, Governor, Director of Health, Director of Human Services, Dean of the John A. Burns School of Medicine at the University of Hawaii at Manoa, Director of the University of Hawaii Cancer Center, mayors of the City and County of Honolulu and the counties of Hawaii, Maui, and Kauai, Hospital Commander of Tripler Army Medical Center, President and Chief Executive Officer of The Queen's Health Systems, President and Chief Executive Officer of Hawaii Pacific Health, President of Kaiser Foundation Health Plan and Hospitals of Hawaii, President of Hawaii Medical Service Association, Executive Director for the American Lung Association in Hawaii, and Chief Executive Officer of the Hawaii Primary Care Association.

	OFFERED BY:	_____________________________

Report Title:

Department of Health; Early Lung Cancer Screening; Working Group

HOUSE OF REPRESENTATIVES	H.C.R. NO.	207
THIRTY-SECOND LEGISLATURE, 2023
STATE OF HAWAII