Hawaii 2024 Regular Session

Hawaii Senate Bill SR7 Compare Versions

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

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1	1	THE SENATE S.R. NO. 7 THIRTY-SECOND LEGISLATURE, 2024 STATE OF HAWAII SENATE RESOLUTION REQUESTING the department of health's State Health Planning and Development Agency to convene A HEALTH DATA SHARING WORKING GROUP TO ACCELERATE AND EXPAND THE SHARING OF REAL TIME HEALTH INFORMATION AMONG HEALTH CARE ENTITIES AND GOVERNMENT AGENCIES IN the state.
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3	3	THE SENATE S.R. NO. 7
4	4	THIRTY-SECOND LEGISLATURE, 2024
5	5	STATE OF HAWAII
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7	7	THE SENATE
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9	9	S.R. NO.
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13	13	THIRTY-SECOND LEGISLATURE, 2024
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17	17	STATE OF HAWAII
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29	29	SENATE RESOLUTION
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35	35	REQUESTING the department of health's State Health Planning and Development Agency to convene A HEALTH DATA SHARING WORKING GROUP TO ACCELERATE AND EXPAND THE SHARING OF REAL TIME HEALTH INFORMATION AMONG HEALTH CARE ENTITIES AND GOVERNMENT AGENCIES IN the state.
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41	41	WHEREAS, the Legislature finds that the ability to securely and efficiently share patient health information electronically has become vitally important to improve health outcomes, reduce health care costs, and connect health care providers to enhance care coordination; and WHEREAS, the Legislature further finds that there has been limited progress in linking the State's health care entities and that there is a great opportunity to address health equity and positively impact social determinants of health through the sharing of real time health data; and WHEREAS, the Legislature recognizes the available opportunities for federal funding on health care, such as the States Advancing All-Payer Health Equity Approaches and Development Model grant, and sees the need to convene health care industry stakeholders to identify and evaluate federal funding programs to strengthen the health care system of the State; and WHEREAS, the State can shape policies to ensure a prioritization of privacy and individual ownership of data, while aligning with national standards and a common set of policies, to improve the health outcomes of its residents; and WHEREAS, the coronavirus disease 2019 pandemic and 2023 wildfires in Maui underscore the need for a flexible delivery of health care that meets the needs of the State's most vulnerable and often isolated residents by leveraging the power of interconnected technology for timely and accurate data sharing to support emergency response efforts and public health interventions; and WHEREAS, the Legislature also finds value in accelerating and expanding the types of health information shared among health care entities and government agencies in the State to improve health outcomes in local communities; now, therefore, BE IT RESOLVED by the Senate of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the State Health Planning and Development Agency of the Department of Health is requested to convene a health data sharing working group to accelerate and expand the sharing of real-time health information among health care entities and government agencies in the State; and BE IT FURTHER RESOLVED that the working group consist of the following members: (1) Administrator of the State Health Planning and Development Agency, who is requested to serve as the chairperson of the working group; (2) A representative from the House of Representatives, to be appointed by the Speaker of the House of Representatives; (3) A representative from the Senate, to be appointed by the President of the Senate; (4) The Director of Health, or the Director's designee; (5) The Chief Information Officer or the Chief Information Officer's designee; (6) The Administrator of the Med-QUEST division of the Department of Human Services or the Administrator's designee; (7) The Insurance Commissioner or the Commissioner's designee; and (8) The Administrator of the Hawaii Employer-Union Health Benefits Trust Fund or the Administrator's designee; and BE IT FURTHER RESOLVED that the Administrator of the State Health Planning and Development Agency is requested to invite one representative from each of the following organizations to participate as a member of the working group: (1) Hawaii Health Information Exchange; (2) Hawaii Association of Health Plans; (3) Hawaii Medical Association; and (4) Healthcare Association of Hawaii; and BE IT FURTHER RESOLVED that the majority of the working group members may invite other individuals with relevant knowledge and expertise, including representatives from state agencies, stakeholders, and experts, to be members of the working group; and BE IT FURTHER RESOLVED that the working group is requested to: (1) Explore the development of a health data sharing standardization package that includes a universal data sharing agreement and common set of policies and procedures that will: (A) Leverage and advance national standards for information sharing and data content; and (B) Govern and require the sharing of health information among health care entities and government agencies in the State; (2) Identify health information data that should be shared for specific purposes between health care entities and government agencies; (3) Identify and propose solutions to gaps in the life cycle of health information, including gaps in any of the following: (A) Health information creation, including the use of national standards in clinical documentation, health plan records, and social services data; (B) Translation, mapping, controlled vocabularies, coding, and data classification; and (C) Storage, maintenance, and management of health information; (4) Identify ways to incorporate the following into shared health information: (A) Data related to social determinants of health; (B) Data related to underserved or underrepresented populations; and (C) Relevant data on behavioral health and substance use disorder conditions; (5) Address the privacy, security, and equity risks of expanding care coordination, health information exchange, access, and telehealth in a dynamic technological, and entrepreneurial environment, where data and network security are under constant threat of attack; (6) Develop policies and procedures that are consistent with national standards and federally adopted standards in the exchange of health information; (7) Ensure that health information sharing broadly implements national frameworks and agreements that are consistent with federal rules and programs; (8) Develop definitions of complete clinical, administrative, and claims data that are consistent with federal policies and national standards; (9) Assess governance structures to help guide policy decisions and general oversight; and (10) Identify federal, state, private, or philanthropic sources of funding that could support data access and exchange; and BE IT FURTHER RESOLVED that the working group is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025; and BE IT FURTHER RESOLVED that the working group be dissolved on June 30, 2025; and BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Speaker of the House of Representatives; President of the Senate; Director of Health; Chief Information Officer; Administrator of the State Health Planning and Development Agency of the Department of Health; Administrator of the Med-QUEST division of the Department of Human Services; Insurance Commissioner; and Administrator of the Hawaii Employer-Union Health Benefit's Trust Fund. OFFERED BY: _____________________________ Report Title: DOH; State Health Planning and Development Agency; Health Data Sharing Working Group; Report
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43	43	WHEREAS, the Legislature finds that the ability to securely and efficiently share patient health information electronically has become vitally important to improve health outcomes, reduce health care costs, and connect health care providers to enhance care coordination; and
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47	47	WHEREAS, the Legislature further finds that there has been limited progress in linking the State's health care entities and that there is a great opportunity to address health equity and positively impact social determinants of health through the sharing of real time health data; and
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51	51	WHEREAS, the Legislature recognizes the available opportunities for federal funding on health care, such as the States Advancing All-Payer Health Equity Approaches and Development Model grant, and sees the need to convene health care industry stakeholders to identify and evaluate federal funding programs to strengthen the health care system of the State; and
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55	55	WHEREAS, the State can shape policies to ensure a prioritization of privacy and individual ownership of data, while aligning with national standards and a common set of policies, to improve the health outcomes of its residents; and
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59	59	WHEREAS, the coronavirus disease 2019 pandemic and 2023 wildfires in Maui underscore the need for a flexible delivery of health care that meets the needs of the State's most vulnerable and often isolated residents by leveraging the power of interconnected technology for timely and accurate data sharing to support emergency response efforts and public health interventions; and
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63	63	WHEREAS, the Legislature also finds value in accelerating and expanding the types of health information shared among health care entities and government agencies in the State to improve health outcomes in local communities; now, therefore,
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67	67	BE IT RESOLVED by the Senate of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the State Health Planning and Development Agency of the Department of Health is requested to convene a health data sharing working group to accelerate and expand the sharing of real-time health information among health care entities and government agencies in the State; and
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71	71	BE IT FURTHER RESOLVED that the working group consist of the following members:
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75	75	(1) Administrator of the State Health Planning and Development Agency, who is requested to serve as the chairperson of the working group;
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79	79	(2) A representative from the House of Representatives, to be appointed by the Speaker of the House of Representatives;
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83	83	(3) A representative from the Senate, to be appointed by the President of the Senate;
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87	87	(4) The Director of Health, or the Director's designee;
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91	91	(5) The Chief Information Officer or the Chief Information Officer's designee;
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95	95	(6) The Administrator of the Med-QUEST division of the Department of Human Services or the Administrator's designee;
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99	99	(7) The Insurance Commissioner or the Commissioner's designee; and
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103	103	(8) The Administrator of the Hawaii Employer-Union Health Benefits Trust Fund or the Administrator's designee; and
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107	107	BE IT FURTHER RESOLVED that the Administrator of the State Health Planning and Development Agency is requested to invite one representative from each of the following organizations to participate as a member of the working group:
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111	111	(1) Hawaii Health Information Exchange;
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115	115	(2) Hawaii Association of Health Plans;
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119	119	(3) Hawaii Medical Association; and
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123	123	(4) Healthcare Association of Hawaii; and
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127	127	BE IT FURTHER RESOLVED that the majority of the working group members may invite other individuals with relevant knowledge and expertise, including representatives from state agencies, stakeholders, and experts, to be members of the working group; and
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131	131	BE IT FURTHER RESOLVED that the working group is requested to:
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135	135	(1) Explore the development of a health data sharing standardization package that includes a universal data sharing agreement and common set of policies and procedures that will:
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139	139	(A) Leverage and advance national standards for information sharing and data content; and
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143	143	(B) Govern and require the sharing of health information among health care entities and government agencies in the State;
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147	147	(2) Identify health information data that should be shared for specific purposes between health care entities and government agencies;
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151	151	(3) Identify and propose solutions to gaps in the life cycle of health information, including gaps in any of the following:
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155	155	(A) Health information creation, including the use of national standards in clinical documentation, health plan records, and social services data;
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159	159	(B) Translation, mapping, controlled vocabularies, coding, and data classification; and
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163	163	(C) Storage, maintenance, and management of health information;
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167	167	(4) Identify ways to incorporate the following into shared health information:
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171	171	(A) Data related to social determinants of health;
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175	175	(B) Data related to underserved or underrepresented populations; and
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179	179	(C) Relevant data on behavioral health and substance use disorder conditions;
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183	183	(5) Address the privacy, security, and equity risks of expanding care coordination, health information exchange, access, and telehealth in a dynamic technological, and entrepreneurial environment, where data and network security are under constant threat of attack;
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187	187	(6) Develop policies and procedures that are consistent with national standards and federally adopted standards in the exchange of health information;
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191	191	(7) Ensure that health information sharing broadly implements national frameworks and agreements that are consistent with federal rules and programs;
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195	195	(8) Develop definitions of complete clinical, administrative, and claims data that are consistent with federal policies and national standards;
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199	199	(9) Assess governance structures to help guide policy decisions and general oversight; and
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203	203	(10) Identify federal, state, private, or philanthropic sources of funding that could support data access and exchange; and
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207	207	BE IT FURTHER RESOLVED that the working group is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025; and
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211	211	BE IT FURTHER RESOLVED that the working group be dissolved on June 30, 2025; and
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215	215	BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Speaker of the House of Representatives; President of the Senate; Director of Health; Chief Information Officer; Administrator of the State Health Planning and Development Agency of the Department of Health; Administrator of the Med-QUEST division of the Department of Human Services; Insurance Commissioner; and Administrator of the Hawaii Employer-Union Health Benefit's Trust Fund.
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223	223	OFFERED BY: _____________________________
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227	227	OFFERED BY:
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257	257	Report Title:
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259	259	DOH; State Health Planning and Development Agency; Health Data Sharing Working Group; Report