| 47 | | - | SECTION 1. The purpose of this Act is to establish a more coordinated and cost-effective statewide health planning and resource development program. SECTION 2. Section 323D-12, Hawaii Revised Statutes, is amended to read as follows: "§323D-12 Health planning and development functions; state agency[.]; department of health. (a) The state agency or department of health 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 or department of health shall conduct such studies and investigations as may be necessary as to the causes of health care costs including inflation. The state agency or department of health may contract for services to implement this paragraph. The certificate of need program mandated under part V shall serve this function. The state agency or department of health 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; (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; (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 (4) Administer the state certificate of need program pursuant to part V. (b) The state agency may: (1) Prepare such reports and recommendations on Hawaii's health care costs and public or private efforts to reduce or control costs and 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. (2) Prepare and revise as necessary the state health services and facilities plan. (3) Prepare, review, and revise the annual implementation plan. (4) Assist the statewide council in the performance of its functions. (5) Determine the need for new health services proposed to be offered within the State. (6) 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 or department of health 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) Provide technical assistance to persons, public or private, in obtaining and filling out the necessary forms for the development of projects and programs. (8) 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. (9) Conduct such other activities as are necessary to meet the purposes of this chapter." SECTION 3. Section 323D-12.6, Hawaii Revised Statutes, is amended to read as follows: "[[]§323D-12.6[]] State health planning and development special fund; created; deposits; expenditures; fees. (a) There is established within the state treasury, to be administered by [the state health planning and development agency] , the state health planning and development special fund into which shall be deposited all moneys collected under this chapter [323D]. (b) Moneys in the special fund shall be expended by the [state health planning and development agency] to assist in offsetting program expenses of the agency. (c) All unencumbered and unexpended moneys in excess of $2,000,000 remaining on balance in the special fund at the close of June 30 of each year shall lapse to the credit of the general fund. [(c)] (d) The [agency] shall adopt rules in accordance with chapter 91 to establish reasonable fees for the purposes of this chapter." 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, 2050; provided that on June 30, 2026, section 2 of this Act shall be repealed and section 323D-12, Hawaii Revised Statutes, shall be reenacted in the form in which it read on the day before the effective date of this Act. |
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| 47 | + | SECTION 1. The purpose of this Act is to establish a more coordinated and cost-effective statewide health planning and resource development program. SECTION 2. 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 or department of health 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 or department of health shall conduct such studies and investigations as may be necessary as to the causes of health care costs including inflation. The state agency or department of health may contract for services to implement this paragraph. The certificate of need program mandated under part V shall serve this function. The state agency or department of health 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; (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; (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 (4) Administer the state certificate of need program pursuant to part V. (b) The state agency may: (1) Prepare such reports and recommendations on Hawaii's health care costs and public or private efforts to reduce or control costs and 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. (2) Prepare and revise as necessary the state health services and facilities plan. (3) Prepare, review, and revise the annual implementation plan. (4) Assist the statewide council in the performance of its functions. (5) Determine the need for new health services proposed to be offered within the State. (6) 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 or department of health 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) Provide technical assistance to persons, public or private, in obtaining and filling out the necessary forms for the development of projects and programs. (8) 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. (9) Conduct such other activities as are necessary to meet the purposes of this chapter." SECTION 3. Section 323D-12.6, Hawaii Revised Statutes, is amended to read as follows: "[[]§323D-12.6[]] State health planning and development special fund; created; deposits; expenditures; fees. (a) There is established within the state treasury, to be administered by [the state health planning and development agency] , the state health planning and development special fund into which shall be deposited all moneys collected under this chapter [323D]. (b) Moneys in the special fund shall be expended by the state health planning and development agency to assist in offsetting program expenses of the agency. (c) All unencumbered and unexpended moneys in excess of $2,000,000 remaining on balance in the special fund at the close of June 30 of each year shall lapse to the credit of the general fund. [(c)] (d) The agency shall adopt rules in accordance with chapter 91 to establish reasonable fees for the purposes of this chapter." 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, 2050; provided that on June 30, 2026, section 2 of this Act shall be repealed and section 323D-12, Hawaii Revised Statutes, shall be reenacted in the form in which it read on the day before the effective date of this Act. |
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| 54 | 54 | | |
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| 55 | 55 | | (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 or department of health shall conduct such studies and investigations as may be necessary as to the causes of health care costs including inflation. The state agency or department of health may contract for services to implement this paragraph. The certificate of need program mandated under part V shall serve this function. The state agency or department of health 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; |
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| 56 | 56 | | |
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| 57 | 57 | | (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; |
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| 58 | 58 | | |
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| 59 | 59 | | (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 |
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| 60 | 60 | | |
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| 61 | 61 | | (4) Administer the state certificate of need program pursuant to part V. |
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| 62 | 62 | | |
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| 63 | 63 | | (b) The state agency may: |
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| 64 | 64 | | |
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| 65 | 65 | | (1) Prepare such reports and recommendations on Hawaii's health care costs and public or private efforts to reduce or control costs and 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. |
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| 66 | 66 | | |
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| 67 | 67 | | (2) Prepare and revise as necessary the state health services and facilities plan. |
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| 68 | 68 | | |
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| 69 | 69 | | (3) Prepare, review, and revise the annual implementation plan. |
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| 70 | 70 | | |
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| 71 | 71 | | (4) Assist the statewide council in the performance of its functions. |
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| 72 | 72 | | |
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| 73 | 73 | | (5) Determine the need for new health services proposed to be offered within the State. |
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| 74 | 74 | | |
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| 75 | 75 | | (6) 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 or department of health 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. |
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| 76 | 76 | | |
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| 77 | 77 | | (7) Provide technical assistance to persons, public or private, in obtaining and filling out the necessary forms for the development of projects and programs. |
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| 78 | 78 | | |
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| 79 | 79 | | (8) 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. |
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| 80 | 80 | | |
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| 81 | 81 | | (9) Conduct such other activities as are necessary to meet the purposes of this chapter." |
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| 82 | 82 | | |
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| 83 | 83 | | SECTION 3. Section 323D-12.6, Hawaii Revised Statutes, is amended to read as follows: |
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| 84 | 84 | | |
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| 85 | 85 | | "[[]§323D-12.6[]] State health planning and development special fund; created; deposits; expenditures; fees. (a) There is established within the state treasury, to be administered by [the state health planning and development agency] , the state health planning and development special fund into which shall be deposited all moneys collected under this chapter [323D]. |
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| 86 | 86 | | |
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