Hawaii 2025 Regular Session

Hawaii Senate Bill SR57

Introduced
3/7/25  

Caption

Requesting The Department Of Human Services And Department Of Health To Establish A Program To Incentivize Community Care Foster Family Homes In The State To Accept Individuals Who Are Eligible For Assistance Pursuant To The State's Medicaid I/dd Waiver Program.

Impact

The establishment of such a program is significant as it addresses the needs of individuals who require nursing facility-level care, providing an alternative to institutionalized settings such as skilled nursing or intermediate care facilities. The intent behind the resolution is to enhance the quality of life for these individuals by facilitating more personalized care in community settings, which is generally seen as a more desirable option for families. The resolution's focus on the Medicaid I/DD waiver program highlights an effort to improve accessibility to vital services that support community living and mitigate the challenges faced by families caring for loved ones with disabilities.

Summary

Senate Resolution 57 (SR57), introduced in the 2025 legislative session of Hawaii, requests the Department of Human Services and the Department of Health to establish a program aimed at incentivizing Community Care Foster Family Homes (CCFFHs) to accept individuals eligible for the Medicaid intellectual and developmental disabilities (I/DD) waiver program. This resolution emerges from a recognition of the insufficient number of CCFFHs in Hawaii that are willing to cater to this specific population, thereby impacting the availability of home and community-based services for individuals with intellectual or developmental disabilities.

Contention

While the resolution is largely oriented toward improving care and support options, potential points of contention could arise around the funding and implementation of the proposed incentive program. Stakeholders may debate the adequacy of resources allocated for this purpose and the criteria for incentivizing CCFFHs to participate. There could be concerns regarding the quality of care in incentivized settings and whether the program effectively reaches its targeted demographic, particularly in ensuring that individuals with varying needs are adequately catered to within these community-based options. Overall, SR57 embodies a proactive step towards expanding support for some of Hawaii's most vulnerable residents, though the execution of such initiatives will necessitate careful planning and assessment.

Companion Bills

HI SCR74

Same As Requesting The Department Of Human Services And Department Of Health To Establish A Program To Incentivize Community Care Foster Family Homes In The State To Accept Individuals Who Are Eligible For Assistance Pursuant To The State's Medicaid I/dd Waiver Program.

Previously Filed As

HI HCR94

Requesting The Department Of Human Services To Conduct A Study On The Feasibility Of Increasing The Medicaid Reimbursement Payment Rate For Hawaii's Community Care Foster Family Homes And Expanded Adult Residential Care Homes For Medicaid Clients In 2032 And Every Ten Years Thereafter.

HI HR78

Requesting The Department Of Human Services To Conduct A Study On The Feasibility Of Increasing The Medicaid Reimbursement Payment Rate For Hawaii's Community Care Foster Family Homes And Expanded Adult Residential Care Homes For Medicaid Clients Every Ten Years.

HI SCR119

Requesting The Department Of Health And Department Of Human Services To: Jointly Review Any Research Applied Behavior Analysis For Adults; Develop And Adopt Rules, Policies, And Plan Amendments Necessary To Ensure That The State Medicaid Program Covers Medically Necessary Services, Including Applied Behavior Analysis Services, For Individuals Aged Twenty-one And Older With Neurodevelopmental Disorders, Including Autism Spectrum Disorder; And Apply For Any Necessary Approvals From The Federal Centers For Medicare And Medicaid Services To Amend The State Medicaid Plan To Provide Reimbursements For Medically Necessary Services, Including Applied Behavior Analysis Services, To Medicaid-eligible Persons Over The Age Of Twenty-one Diagnosed With Autism Spectrum Disorder.

HI SR152

Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.

HI SR186

Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.

HI HCR32

Requesting The Department Of Health To Convene An Oral Health Task Force To Review Information On The Status Of Oral Health In The State And Make Recommendations To Improve Oral Health Infrastructure In Hawaii.

HI HR33

Requesting The Department Of Health To Convene An Oral Health Task Force To Review Information On The Status Of Oral Health In The State And Make Recommendations To Improve Oral Health Infrastructure In Hawaii.

HI SR4

Requesting The Department Of Human Services Med-quest Division To Expand The Types Of Qualified Providers Allowed To Provide Lactation Consultant Services For The Medicaid Population In The State.

HI SCR132

Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.

HI HCR203

Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.

Similar Bills

NJ S3495

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NJ A4049

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.

MS HB1565

Medicaid; seek federal waiver to provide for presumptive eligibility for persons who need mental health or substance use disorder services.

MS HB426

Medicaid; extend coverage for eligible women for 12 months postpartum.

MS HB1363

Medicaid; extend coverage for eligible women for 12 months postpartum.

MS HB1364

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MS HB1465

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NJ S1961

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.