STAND. COM. REP. NO. 3208

Honolulu, Hawaii

RE: H.B. No. 2216

H.D. 2

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Second State Legislature

Regular Session of 2024

State of Hawaii

Sir:

Your Committee on Health and Human Services, to which was referred H.B. No. 2216, H.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO CARE HOMES,"

begs leave to report as follows:

The purpose and intent of this measure is to increase the cap on state supplemental payments for type I adult residential care homes, licensed developmental disabilities domiciliary homes, community care foster family homes, certified adult foster homes, and type II adult residential care homes.

Your Committee received testimony in support of this measure from the State Council on Developmental Disabilities; Department of Human Services; Disability and Communication Access Board; AARP Hawai‘i; Adult Foster Homecare Association of Hawaii; United Community Healthcare of Hawaii; Community Home Care Association of Hawaii; Alliance of Professional Primary Care Administrators; Alliance of Residential Care Administrators; The Primary Care Providers of Hawaii, Inc.; International Longshore & Warehouse Union Local 1000; Community Care Foster Family Home; and thirty-seven individuals.

Your Committee finds that many residents of the State with developmental disabilities rely on care homes for essential support and services to meet their daily living needs. Your Committee further finds that the current cap on state supplemental payments often falls short of covering the actual costs incurred by care providers, leading to financial strain and potential disruptions in care delivery. This measure increases the state supplemental payment ceiling for certain long-term care facilities and enhances the quality of life and support services for individuals with developmental disabilities across the State.

Your Committee has amended this measure by:

(1) Inserting $784 for the state supplemental payment ceiling for type I adult residential care homes, licensed developmental disability domiciliary homes, community care foster family homes, and certified adult foster homes;

(2) Inserting $892 for the state supplemental payment ceiling for type II adult residential care homes; and

(3) Inserting an effective date of October 1, 2024.

Your Committee notes the testimony of the Department of Human Services that if their program budget is not reduced in H.B. No. 1800, H.D. 1, Regular Session of Hawaii 2024, the Department's current program budget appropriation will be sufficient to cover this measure's state supplemental payment increases, and that the Department will not need a general fund appropriation to accommodate the state supplemental payment increases proposed in this measure, as amended.

As affirmed by the record of votes of the members of your Committee on Health and Human Services that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 2216, H.D. 2, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 2216, H.D. 2, S.D. 1, and be referred to your Committee on Ways and Means.

Respectfully submitted on behalf of the members of the Committee on Health and Human Services,

________________________________

JOY A. SAN BUENAVENTURA, Chair