Hawaii 2023 Regular Session

Hawaii House Bill HB788 Compare Versions

Only one version of the bill is available at this time.

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1	1	HOUSE OF REPRESENTATIVES H.B. NO. 788 THIRTY-SECOND LEGISLATURE, 2023 STATE OF HAWAII A BILL FOR AN ACT relating to human services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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3	3	HOUSE OF REPRESENTATIVES H.B. NO. 788
4	4	THIRTY-SECOND LEGISLATURE, 2023
5	5	STATE OF HAWAII
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7	7	HOUSE OF REPRESENTATIVES
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13	13	THIRTY-SECOND LEGISLATURE, 2023
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17	17	STATE OF HAWAII
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31	31	A BILL FOR AN ACT
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37	37	relating to human services.
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43	43	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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47	47	SECTION 1. The legislature finds that homelessness continues to be one of Hawaii's most challenging social problems. The 2022 Hawaii statewide homeless point-in-time count identified 5,973 persons in the State experiencing homelessness. Although this represents a decrease of 7.5 per cent since 2020 and is the lowest statewide count since 2010, the costs of caring for homeless persons are rising. The legislature recognizes that, in the absence of regular medical and dental care, many homeless persons are forced to seek emergency services. Each year, homeless persons in the State make tens of thousands of emergency hospital visits. Hospital stays for homeless persons cost state hospitals hundreds of millions of dollars per year, and many of the hospitals' costs for homeless care go uncompensated. Ambulance services alone for homeless patients can cost up to $1,000 per transport. The legislature notes that many states are now using mobile clinics to address the health care needs of their homeless communities. Large cities like Dallas, Texas; Denver, Colorado; San Jose, California; and New Orleans, Louisiana, use mobile clinics to provide medical care and social services. They offer routine care, dental care, preventative care, disease testing, referral services, and other forms of care to persons who might not otherwise have access. Mobile clinics also allow providers to tailor their services to specific communities and to offer flexible care for persons who are isolated, vulnerable, and displaced. The legislature also finds that mobile clinics are more cost-effective than other health services. Estimates show that communities using mobile clinics experience an average of six hundred fewer emergency room visits each year. The routine and preventative care the clinics offer can also reduce the amount of care a person may need over their lifetime. According to Mobile Health Map, for every $1 spent on mobile health, a state will save $12. Accordingly, the purpose of this Act is to appropriate moneys to purchase, staff, and operate two mobile clinics to serve homeless persons in the State's ohana zones. SECTION 2. (a) The department of human services shall purchase, staff, and operate two mobile clinics to serve homeless persons residing in ohana zones. The mobile clinic services shall be procured pursuant to chapter 103F, Hawaii Revised Statutes. (b) The staff of each mobile clinic may include: (1) One primary care provider; (2) One nurse; (3) One pharmacist; (4) One psychiatrist; (5) One social worker; (6) One outreach worker; (7) Students pursuing degrees in medicine or nursing; and (8) Other staff as needed. (c) The mobile clinics may provide services including: (1) Non-emergency medical services for chronic, acute, and episodic conditions; (2) Testing for sexually transmitted diseases, human immunodeficiency virus, and hepatitis; (3) Family planning; (4) Child and family services; (5) Behavioral health and substance abuse services; (6) Mental health services; (7) Dental care; (8) Referral services; (9) Shower and laundry services; (10) Clean clothing; (11) Health insurance enrollment; (12) Pharmacy services; (13) Street medicine; provided that for the purpose of this paragraph, "street medicine" means the practice of directly delivering health care and related services to persons found on the streets, in parks, along river banks, on beaches, and in abandoned buildings; and (14) Other assistive services. (d) Subject to the availability of funds, the director of human services may designate other political subdivisions or private organizations to participate in the mobile clinics established pursuant to this Act; provided that moneys provided to any other political subdivision or private organization may be by a grant or grant-in-aid as required pursuant to chapter 42F, Hawaii Revised Statutes. (e) For purposes of this Act, "ohana zone" means a place: (1) That has a program to address the basic needs of persons experiencing homelessness; and (2) Where wrap-around services, social and health care services, transportation, and other services may be offered with the goals of alleviating poverty and transitioning individuals experiencing homelessness into affordable housing. SECTION 3. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2023-2024 and the same sum or so much thereof as may be necessary for fiscal year 2024-2025 to purchase, staff, and operate two mobile clinics to serve homeless persons residing in ohana zones; provided that no funds appropriated pursuant to this Act shall be made available unless matched on a dollar-for-dollar basis by other sources of funding; provided further that the department of human services shall identify and secure other sources of funding, including federal funding, to provide the matching funds. The sums appropriated shall be expended by the department of human services for the purposes of this Act. SECTION 4. This Act shall take effect on July 1, 2023. INTRODUCED BY: _____________________________
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49	49	SECTION 1. The legislature finds that homelessness continues to be one of Hawaii's most challenging social problems. The 2022 Hawaii statewide homeless point-in-time count identified 5,973 persons in the State experiencing homelessness. Although this represents a decrease of 7.5 per cent since 2020 and is the lowest statewide count since 2010, the costs of caring for homeless persons are rising.
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51	51	The legislature recognizes that, in the absence of regular medical and dental care, many homeless persons are forced to seek emergency services. Each year, homeless persons in the State make tens of thousands of emergency hospital visits. Hospital stays for homeless persons cost state hospitals hundreds of millions of dollars per year, and many of the hospitals' costs for homeless care go uncompensated. Ambulance services alone for homeless patients can cost up to $1,000 per transport.
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53	53	The legislature notes that many states are now using mobile clinics to address the health care needs of their homeless communities. Large cities like Dallas, Texas; Denver, Colorado; San Jose, California; and New Orleans, Louisiana, use mobile clinics to provide medical care and social services. They offer routine care, dental care, preventative care, disease testing, referral services, and other forms of care to persons who might not otherwise have access. Mobile clinics also allow providers to tailor their services to specific communities and to offer flexible care for persons who are isolated, vulnerable, and displaced.
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55	55	The legislature also finds that mobile clinics are more cost-effective than other health services. Estimates show that communities using mobile clinics experience an average of six hundred fewer emergency room visits each year. The routine and preventative care the clinics offer can also reduce the amount of care a person may need over their lifetime. According to Mobile Health Map, for every $1 spent on mobile health, a state will save $12.
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57	57	Accordingly, the purpose of this Act is to appropriate moneys to purchase, staff, and operate two mobile clinics to serve homeless persons in the State's ohana zones.
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59	59	SECTION 2. (a) The department of human services shall purchase, staff, and operate two mobile clinics to serve homeless persons residing in ohana zones. The mobile clinic services shall be procured pursuant to chapter 103F, Hawaii Revised Statutes.
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61	61	(b) The staff of each mobile clinic may include:
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63	63	(1) One primary care provider;
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65	65	(2) One nurse;
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67	67	(3) One pharmacist;
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69	69	(4) One psychiatrist;
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71	71	(5) One social worker;
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73	73	(6) One outreach worker;
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75	75	(7) Students pursuing degrees in medicine or nursing; and
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77	77	(8) Other staff as needed.
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79	79	(c) The mobile clinics may provide services including:
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81	81	(1) Non-emergency medical services for chronic, acute, and episodic conditions;
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83	83	(2) Testing for sexually transmitted diseases, human immunodeficiency virus, and hepatitis;
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85	85	(3) Family planning;
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87	87	(4) Child and family services;
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89	89	(5) Behavioral health and substance abuse services;
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91	91	(6) Mental health services;
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93	93	(7) Dental care;
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95	95	(8) Referral services;
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97	97	(9) Shower and laundry services;
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99	99	(10) Clean clothing;
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101	101	(11) Health insurance enrollment;
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103	103	(12) Pharmacy services;
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105	105	(13) Street medicine; provided that for the purpose of this paragraph, "street medicine" means the practice of directly delivering health care and related services to persons found on the streets, in parks, along river banks, on beaches, and in abandoned buildings; and
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107	107	(14) Other assistive services.
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109	109	(d) Subject to the availability of funds, the director of human services may designate other political subdivisions or private organizations to participate in the mobile clinics established pursuant to this Act; provided that moneys provided to any other political subdivision or private organization may be by a grant or grant-in-aid as required pursuant to chapter 42F, Hawaii Revised Statutes.
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111	111	(e) For purposes of this Act, "ohana zone" means a place:
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113	113	(1) That has a program to address the basic needs of persons experiencing homelessness; and
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115	115	(2) Where wrap-around services, social and health care services, transportation, and other services may be offered with the goals of alleviating poverty and transitioning individuals experiencing homelessness into affordable housing.
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117	117	SECTION 3. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2023-2024 and the same sum or so much thereof as may be necessary for fiscal year 2024-2025 to purchase, staff, and operate two mobile clinics to serve homeless persons residing in ohana zones; provided that no funds appropriated pursuant to this Act shall be made available unless matched on a dollar-for-dollar basis by other sources of funding; provided further that the department of human services shall identify and secure other sources of funding, including federal funding, to provide the matching funds.
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119	119	The sums appropriated shall be expended by the department of human services for the purposes of this Act.
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121	121	SECTION 4. This Act shall take effect on July 1, 2023.
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125	125	INTRODUCED BY: _____________________________
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127	127	INTRODUCED BY:
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129	129	_____________________________
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135	135	Report Title: DHS; Mobile Clinics; Homelessness; Ohana Zones; Appropriation Description: Appropriates moneys for the Department of Human Services to purchase, staff, and operate 2 mobile clinics to serve homeless persons residing in ohana zones. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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141	141	Report Title:
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143	143	DHS; Mobile Clinics; Homelessness; Ohana Zones; Appropriation
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147	147	Description:
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149	149	Appropriates moneys for the Department of Human Services to purchase, staff, and operate 2 mobile clinics to serve homeless persons residing in ohana zones.
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157	157	The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.