Relating To Changes To Responsibilities Of The Department Of Health Concerning Patients, The County Of Kalawao, And The Kalaupapa Settlement.
The bill proposes to repeal several existing sections of Hawaii Revised Statutes that govern the county of Kalawao and its operations, suggesting that upon the passing of the last patient, Kalawao should cease to exist as a separate county and become part of Maui County. This transition of jurisdiction would require a legislative process, aimed at ensuring transparency and public input regarding future governance and care for the remaining residents and their cultural legacy. Critics have raised concerns about whether the unique needs of the remaining residents will continue to be met under a new jurisdiction.
House Bill 1113 addresses significant changes to the responsibilities of the Department of Health regarding the care and treatment of patients affected by Hansen's disease, particularly focusing on the Kalaupapa Settlement. This legislation recognizes the aging population of former patients residing in Kalaupapa and anticipates the future care needs after the last patient passes. The act seeks to establish a Kalaupapa State Historical Area aimed at preserving the historical, cultural, and environmental significance of the locality, which has played a crucial role in Hawaii's history.
Notably, there is potential contention surrounding the proposed transition of Kalawao into Maui County, as many stakeholders, including current residents and advocacy groups, may have differing opinions on the future governance structure. Some residents may fear losing the localized care services they have been accustomed to and worry that being absorbed into a larger administrative area could lead to a diminished focus on their specific healthcare needs. Furthermore, the dissolution of certain patient rights and employment opportunities specific to the county of Kalawao is also a point of concern, as these provisions have historically provided essential support to Hansen's disease patients.