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| 1 | - | THE SENATE S.R. NO. 80 THIRTY-SECOND LEGISLATURE, 2024 | |
| 1 | + | THE SENATE S.R. NO. 80 THIRTY-SECOND LEGISLATURE, 2024 STATE OF HAWAII SENATE RESOLUTION REQUESTING THE ESTABLISHMENT OF A TELEHEALTH WORKING GROUP TO EXAMINE THE IMPACT OF WIDESPREAD TELEHEALTH ADOPTION DURING THE COVID-19 PANDEMIC AND IDENTIFY PUBLIC POLICY INITIATIVES AT THE FEDERAL AND STATE LEVEL TO OPTIMIZE TELEHEALTH UTILIZATION AS THE STATE TRANSITIONS OUT OF THE COVID-19 PANDEMIC. | |
| 2 | 2 | ||
| 3 | 3 | THE SENATE S.R. NO. 80 | |
| 4 | - | THIRTY-SECOND LEGISLATURE, 2024 | |
| 4 | + | THIRTY-SECOND LEGISLATURE, 2024 | |
| 5 | 5 | STATE OF HAWAII | |
| 6 | 6 | ||
| 7 | 7 | THE SENATE | |
| 8 | 8 | ||
| 9 | 9 | S.R. NO. | |
| 10 | 10 | ||
| 11 | 11 | 80 | |
| 12 | 12 | ||
| 13 | 13 | THIRTY-SECOND LEGISLATURE, 2024 | |
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| 15 | - | ||
| 15 | + | ||
| 16 | 16 | ||
| 17 | 17 | STATE OF HAWAII | |
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| 21 | 21 | ||
| 22 | 22 | ||
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| 28 | 28 | ||
| 29 | 29 | SENATE RESOLUTION | |
| 30 | 30 | ||
| 31 | 31 | ||
| 32 | 32 | ||
| 33 | 33 | ||
| 34 | 34 | ||
| 35 | 35 | REQUESTING THE ESTABLISHMENT OF A TELEHEALTH WORKING GROUP TO EXAMINE THE IMPACT OF WIDESPREAD TELEHEALTH ADOPTION DURING THE COVID-19 PANDEMIC AND IDENTIFY PUBLIC POLICY INITIATIVES AT THE FEDERAL AND STATE LEVEL TO OPTIMIZE TELEHEALTH UTILIZATION AS THE STATE TRANSITIONS OUT OF THE COVID-19 PANDEMIC. | |
| 36 | 36 | ||
| 37 | 37 | ||
| 38 | 38 | ||
| 39 | 39 | ||
| 40 | 40 | ||
| 41 | - | WHEREAS, the State experienced an increase in the use of telehealth during the coronavirus disease 19 (COVID-19) pandemic by a factor of sixty-five and has remained at that level, which is well above the pre-COVID-19 pandemic usage; and WHEREAS, telehealth adoption was most significant with direct-to-consumer video visits on personal devices and audio-only telephone visits, often without important elements of the physical exam or vital signs being obtained during the visit; and WHEREAS, although there is some data to support the safety, efficacy, timeliness, access, and cost effectiveness of telehealth, the impact of widespread telehealth adoption in the State is largely unknown; and WHEREAS, although telehealth (video and audio) visits may improve short-term access to and timeliness of health care, there may be adverse long-term consequences if patients are not seen in person for physical examination, lab work, vital signs, and other in-clinic testing; and WHEREAS, a full evaluation of the impact of widespread telehealth adoption in the State on safety, utilization, total cost of care, and patient and provider satisfaction to determine how best to integrate telehealth into in-person practice as the State transitions out of the COVID-19 pandemic would provide the State with greater insight into existing telehealth challenges and benefits; and WHEREAS, state agencies, health care systems, insurance payers, and private organizations in the State individually have incomplete access to health care utilization, safety, and cost data, so no single organization can fully and accurately study the impact of telehealth in the State; now, therefore, BE IT RESOLVED by the Senate of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that a Telehealth Working Group is requested to be established to examine the impact of widespread telehealth adoption during the COVID-19 pandemic and identify public policy initiatives at the federal and state level to optimize telehealth utilization as the State transitions out of the COVID-19 pandemic; and BE IT FURTHER RESOLVED that the Telehealth Working Group is requested to consist of the following members: (1) The chairperson of the House of Representatives standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; (2) The chairperson of the Senate standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; (3) The Director of Health, or the Director's designee; (4) The Insurance Commissioner, or the Insurance Commissioner's designee; (5) The Administrator of the Med-QUEST Division of the Department of Human Services, or the Administrator's designee; (6) A representative from the Professional and Vocational Licensing (PVL) Division of the Department of Commerce and Consumer Affairs, to be appointed by the Licensing Administrator of the PVL Division, or the Licensing Administrator's designee; (7) A representative of the Pacific Basin Telehealth Resource Center of the University of Hawaii at Manoa, to be appointed by the President of the University of Hawaii; (8) A representative from the following organizations, who are requested to be invited by the co-chairpersons: (A) Hawaii Medical Association; (B) Hawaii Psychiatric Medical Association; and (C) Healthcare Association of Hawaii; and (9) The following members, who are requested to be invited by the co-chairpersons: (A) Two representatives from health care systems operating in the State; (B) Two representatives from health insurers, mutual benefit societies, or health maintenance organizations operating in the State; (C) One representative from health plans in the State; and (D) Any additional members deemed necessary by the co-chairpersons; and BE IT FURTHER RESOLVED that the Telehealth 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 certified copies of this Resolution be transmitted to the Speaker of the House of Representatives, President of the Senate, Director of Health, Director of Commerce and Consumer Affairs, Director of Human Services, President of the University of Hawaii, Insurance Commissioner, Administrator of the Med-QUEST Division of the Department of Human Services, President of the Hawaii Medical Association, President of the Hawaii Psychiatric Medical Association, and President and Chief Executive Officer of the Healthcare Association of Hawaii. Report Title: Telehealth Working Group; Telehealth Adoption; Public Policy Initiatives | |
| 42 | 41 | ||
| 43 | - | WHEREAS, the State experienced an increase in the use of telehealth during the coronavirus disease 19 (COVID-19) pandemic by a factor of sixty-five and has remained at that level, which is well above the pre-COVID-19 pandemic usage; and | |
| 42 | + | ||
| 43 | + | WHEREAS, the State experienced an increase in the use of telehealth during the COVID-19 pandemic by a factor of sixty-five and has remained at that level, which is well above the pre-COVID-19 pandemic usage; and WHEREAS, telehealth adoption was most significant with direct-to-consumer video visits on personal devices and audio-only telephone visits, often without important elements of the physical exam or vital signs being obtained during the visit; and WHEREAS, although there is some data to support the safety, efficacy, timeliness, access, and cost effectiveness of telehealth, the impact of widespread telehealth adoption in the State is largely unknown; and WHEREAS, although telehealth (video and audio) visits may improve short term access to and timeliness of health care, there may be adverse long-term consequences if patients are not seen in person for physical examination, lab work, vital signs, and other in-clinic testing; and WHEREAS, a full evaluation of the impact of widespread telehealth adoption in the State on safety, utilization, total cost of care, and patient and provider satisfaction to determine how best to integrate telehealth into in-person practice as the State transitions out of the COVID-19 pandemic would provide the State with greater insight into existing telehealth challenges and benefits; and WHEREAS, state agencies, health care systems, insurance payers, and private organizations in the State individually have incomplete access to health care utilization, safety, and cost data, so no single organization can fully and accurately study the impact of telehealth in the State; now, therefore, BE IT RESOLVED by the Senate of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that a Telehealth Working Group is requested to be established to examine the impact of widespread telehealth adoption during the COVID-19 pandemic and identify public policy initiatives at the federal and state level to optimize telehealth utilization as the State transitions out of the COVID-19 pandemic; and BE IT FURTHER RESOLVED that the Telehealth Working Group is requested to consist of the following members: (1) The chairperson of the House of Representatives standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; (2) The chairperson of the Senate standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; (3) The Director of Health, or the Director's designee; (4) The Insurance Commissioner, or the Insurance Commissioner's designee; (5) The Administrator of the Med-QUEST Division of the Department of Human Services, or the Administrator's designee; (6) A representative from the Professional and Vocational Licensing Division of the Department of Commerce and Consumer Affairs, to be appointed by the Director of Commerce and Consumer Affairs; (7) A representative of the Pacific Basin Telehealth Resource Center of the University of Hawaii at Manoa, to be appointed by the President of the University of Hawaii; (8) A representative from the following organizations: (A) Hawaii Medical Association; (B) Hawaii Psychiatric Medical Association; and (C) Healthcare Association of Hawaii; and (9) The following members, who are requested to be invited by the co-chairpersons; (A) Two representatives from health care systems operating in the State; (B) Two representatives from health insurers, mutual benefit societies, or health maintenance organizations operating in the State; and (C) Any additional members deemed necessary by the co-chairpersons; and BE IT FURTHER RESOLVED that the Telehealth 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 certified copies of this Resolution be transmitted to the Director of Health, Director of Commerce and Consumer Affairs, Director of Human Services, President of the University of Hawaii, Insurance Commissioner, Administrator of the Med-QUEST Division of the Department of Human Services, President of the Hawaii Medical Association, President of the Hawaii Psychiatric Medical Association, and President and Chief Executive Officer of the Healthcare Association of Hawaii. OFFERED BY: _____________________________ Report Title: Telehealth Working Group; Telehealth Adoption; Public Policy Initiatives | |
| 44 | + | ||
| 45 | + | WHEREAS, the State experienced an increase in the use of telehealth during the COVID-19 pandemic by a factor of sixty-five and has remained at that level, which is well above the pre-COVID-19 pandemic usage; and | |
| 44 | 46 | ||
| 45 | 47 | ||
| 46 | 48 | ||
| 47 | 49 | WHEREAS, telehealth adoption was most significant with direct-to-consumer video visits on personal devices and audio-only telephone visits, often without important elements of the physical exam or vital signs being obtained during the visit; and | |
| 48 | 50 | ||
| 49 | 51 | ||
| 50 | 52 | ||
| 51 | 53 | WHEREAS, although there is some data to support the safety, efficacy, timeliness, access, and cost effectiveness of telehealth, the impact of widespread telehealth adoption in the State is largely unknown; and | |
| 52 | 54 | ||
| 53 | 55 | ||
| 54 | 56 | ||
| 55 | - | WHEREAS, although telehealth (video and audio) visits may improve short | |
| 57 | + | WHEREAS, although telehealth (video and audio) visits may improve short term access to and timeliness of health care, there may be adverse long-term consequences if patients are not seen in person for physical examination, lab work, vital signs, and other in-clinic testing; and | |
| 56 | 58 | ||
| 57 | 59 | ||
| 58 | 60 | ||
| 59 | 61 | WHEREAS, a full evaluation of the impact of widespread telehealth adoption in the State on safety, utilization, total cost of care, and patient and provider satisfaction to determine how best to integrate telehealth into in-person practice as the State transitions out of the COVID-19 pandemic would provide the State with greater insight into existing telehealth challenges and benefits; and | |
| 60 | 62 | ||
| 61 | 63 | ||
| 62 | 64 | ||
| 63 | 65 | WHEREAS, state agencies, health care systems, insurance payers, and private organizations in the State individually have incomplete access to health care utilization, safety, and cost data, so no single organization can fully and accurately study the impact of telehealth in the State; now, therefore, | |
| 64 | 66 | ||
| 65 | 67 | ||
| 66 | 68 | ||
| 67 | 69 | BE IT RESOLVED by the Senate of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that a Telehealth Working Group is requested to be established to examine the impact of widespread telehealth adoption during the COVID-19 pandemic and identify public policy initiatives at the federal and state level to optimize telehealth utilization as the State transitions out of the COVID-19 pandemic; and | |
| 68 | 70 | ||
| 69 | 71 | ||
| 70 | 72 | ||
| 71 | 73 | BE IT FURTHER RESOLVED that the Telehealth Working Group is requested to consist of the following members: | |
| 72 | 74 | ||
| 73 | 75 | ||
| 74 | 76 | ||
| 75 | 77 | (1) The chairperson of the House of Representatives standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; | |
| 76 | 78 | ||
| 77 | 79 | ||
| 78 | 80 | ||
| 79 | 81 | (2) The chairperson of the Senate standing committee with primary jurisdiction over health, or the chairperson's designee, who is requested to serve as co-chairperson of the Working Group for the purposes of convening the Working Group; | |
| 80 | 82 | ||
| 81 | 83 | ||
| 82 | 84 | ||
| 83 | 85 | (3) The Director of Health, or the Director's designee; | |
| 84 | 86 | ||
| 85 | 87 | ||
| 86 | 88 | ||
| 87 | 89 | (4) The Insurance Commissioner, or the Insurance Commissioner's designee; | |
| 88 | 90 | ||
| 89 | 91 | ||
| 90 | 92 | ||
| 91 | 93 | (5) The Administrator of the Med-QUEST Division of the Department of Human Services, or the Administrator's designee; | |
| 92 | 94 | ||
| 93 | 95 | ||
| 94 | 96 | ||
| 95 | - | (6) A representative from the Professional and Vocational Licensing | |
| 97 | + | (6) A representative from the Professional and Vocational Licensing Division of the Department of Commerce and Consumer Affairs, to be appointed by the Director of Commerce and Consumer Affairs; | |
| 96 | 98 | ||
| 97 | 99 | ||
| 98 | 100 | ||
| 99 | 101 | (7) A representative of the Pacific Basin Telehealth Resource Center of the University of Hawaii at Manoa, to be appointed by the President of the University of Hawaii; | |
| 100 | 102 | ||
| 101 | 103 | ||
| 102 | 104 | ||
| 103 | - | (8) A representative from the following organizations | |
| 105 | + | (8) A representative from the following organizations: | |
| 104 | 106 | ||
| 105 | 107 | ||
| 106 | 108 | ||
| 107 | 109 | (A) Hawaii Medical Association; | |
| 108 | 110 | ||
| 109 | 111 | ||
| 110 | 112 | ||
| 111 | 113 | (B) Hawaii Psychiatric Medical Association; and | |
| 112 | 114 | ||
| 113 | 115 | ||
| 114 | 116 | ||
| 115 | 117 | (C) Healthcare Association of Hawaii; and | |
| 116 | 118 | ||
| 117 | 119 | ||
| 118 | 120 | ||
| 119 | - | (9) The following members, who are requested to be invited by the co-chairpersons | |
| 121 | + | (9) The following members, who are requested to be invited by the co-chairpersons; | |
| 120 | 122 | ||
| 121 | 123 | ||
| 122 | 124 | ||
| 123 | 125 | (A) Two representatives from health care systems operating in the State; | |
| 124 | 126 | ||
| 125 | 127 | ||
| 126 | 128 | ||
| 127 | - | (B) Two representatives from health insurers, mutual benefit societies, or health maintenance organizations operating in the State; | |
| 129 | + | (B) Two representatives from health insurers, mutual benefit societies, or health maintenance organizations operating in the State; and | |
| 128 | 130 | ||
| 129 | 131 | ||
| 130 | 132 | ||
| 131 | - | (C) One representative from health plans in the State; and | |
| 132 | - | ||
| 133 | - | ||
| 134 | - | ||
| 135 | - | (D) Any additional members deemed necessary by the co-chairpersons; and | |
| 133 | + | (C) Any additional members deemed necessary by the co-chairpersons; and | |
| 136 | 134 | ||
| 137 | 135 | ||
| 138 | 136 | ||
| 139 | 137 | BE IT FURTHER RESOLVED that the Telehealth 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 | |
| 140 | 138 | ||
| 141 | 139 | ||
| 142 | 140 | ||
| 143 | - | 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, Director of Commerce and Consumer Affairs, Director of Human Services, President of the University of Hawaii, Insurance Commissioner, Administrator of the Med-QUEST Division of the Department of Human Services, President of the Hawaii Medical Association, President of the Hawaii Psychiatric Medical Association, and President and Chief Executive Officer of the Healthcare Association of Hawaii. | |
| 141 | + | BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Director of Health, Director of Commerce and Consumer Affairs, Director of Human Services, President of the University of Hawaii, Insurance Commissioner, Administrator of the Med-QUEST Division of the Department of Human Services, President of the Hawaii Medical Association, President of the Hawaii Psychiatric Medical Association, and President and Chief Executive Officer of the Healthcare Association of Hawaii. | |
| 142 | + | ||
| 143 | + | ||
| 144 | + | ||
| 145 | + | ||
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| 148 | + | ||
| 149 | + | OFFERED BY: _____________________________ | |
| 150 | + | ||
| 151 | + | ||
| 152 | + | ||
| 153 | + | OFFERED BY: | |
| 154 | + | ||
| 155 | + | _____________________________ | |
| 156 | + | ||
| 157 | + | ||
| 158 | + | ||
| 159 | + | ||
| 160 | + | ||
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| 165 | + | ||
| 166 | + | ||
| 167 | + | ||
| 144 | 168 | ||
| 145 | 169 | Report Title: | |
| 146 | 170 | ||
| 147 | 171 | Telehealth Working Group; Telehealth Adoption; Public Policy Initiatives |