LEGISLATURE, 2018 . . A BILL FOR AN ACT RELATING TO HEALTH. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII: SECTION 1. This Act is recommended by the governor for immediate passage in accordance with article VII, section 9, of the Constitution of the State of Hawaii. .SECTION 2. The legislature finds that 168,000 Hawaii residents suffer from Chronic kidney disease. Due to the demographics and diet of Hawaii's population, one in seven persons in Hawaii suifers from chronic kidney disease, compared to the national average of one in nine persons. About four thousand Hawaii patients with chronic kidney disease require dialysis three times per week due to kidney failure. This lifesaving treatment filters waste, excess fluids, and toxins .from the-blood. Every year, seven hundred more individuals in Hawaii require dialysis treatment than in the previous year; .The legislature further finds that the State's two dialysis operators, Liberty Dialysis and U.S. Renal Care, have opened and plan to open additional dialysis centers to address the increased demand for dialysis services. However, the new HB LRB Page 2 HB. NO. dialysis centers cannot be reimbursed for treating medicare and medicaid patients, who make up eighty?five per cent of Hawaii's dialysis population, without certification from the department of health; The certification process currently takes nearly three years to complete due, in part, to a shortage of funds and the lack of department personnel. This has created an artificial shortage in the number of available dialysis centers. In reaponse to the increased demand for dialysis, many certified dialysis centers are operating beyond their capacity by scheduling patients after normal hours. .In some cases, patients must drive over twenty miles to be treated at a dialysis center because such a distant center is the only one with available appointments. The purpose of this Act is to increase the number of certified dialysis centers in Hawaii by making an emergency appropriation for the department of health to contract for assistance in the review, certification, and recertification of dialysis centers. SECTION 3. There is appropriated out of the general revenues Of the State of Hawaii the sum of $150,000 or so much thereof as may be necessary for fiscal year 2017?2018 to HB LRB 18?01 mm ll mum Page3 contract for services to assist and recertification of dialysis The sum appropriated shall heelth for the purposes of this SECTION 4? This Act shall H.B. NO. in the review, certification, centers. be expended by the department of Act. take effect upon its approval. INTRODUCED BY: HB LRB 18?0189.doc Report Title: DialysiS Centers; Certification; Department of Health; Emergency Appropriation - Description: Makes an emergency appropriation to DOH to contract for services to review, certify, and recertify dialysis centers. Appropriates funds. The summary description of legislation appearing on this page is for informational purposes only and is not/egislation or evidence of legislative intent. . HB LRB 18?0189.doc HOUSE OF REPRESENTATIVES LEGISLATURE, 2018 . . A BILL FOR AN ACT RELATING TO HEALTH. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII: SECTION 1. The legislature finds that 168,000 Hawaii residents suffer from chronic kidney disease. Due to the demographics and diet of Hawaii?s pOpulation, One in seven persons in Hawaii suffers from chronic kidney disease, compared to the national average of one in nine persons. About four thousand Hawaii patients with chronic kidney disease require dialysis three times per week due to kidney failure. This lifesaving treatment filters waste, excess fluids, and toxins from the blood. Every year, seven hundred more individuals in Hawaii require dialysis treatment than in the previous year. The legislature further finds that the state?s two dialysis operators, Liberty Dialysis and U.S. Renal Care, have opened and plan to open additional dialysis centers to address the increased demand for dialysis services. However, the new dialysis centers cannot be reimbursed for treating medicare and medicaid patients, who make up eightwaive per cent of Hawaii's dialysis pepulation, without certification from the department HB LRB 18w0188.doc? ill! Pagez H.B. N0. of health. The certification process currently takes nearly three years to complete due, in part, to a shortage of funds and the lack of department personnel. This has created an artificial Shortage in the number of available dialysis centers. ln_response to the increased demand for dialysis, many certified dialysis centers are operating beyond their capacity by scheduling patients after normal hours. In some cases, patients must drive over twenty miles to be treated at a_dialysis center because such aidistant center is the only one with available appointments. The purpose of this Act is to appropriate funds to assist the department of health in reviewing, certifying, and recertifying dialysis centers in Hawaii and other health care facilities under the purview of the department of health. SECTION 2. The department of health shall establish two full~time equivalent (2.0 FTE) permanent surveyor positions and one full~time equivalent (1.0 FTE) permanent supervisor position to review, certify, and recertify dialysis centers and other health care facilities Under the purview of the department of health. HB LRB Hill Page 3 HB. NO. 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 2018?2019 to assist in the review, certification, and recertification of dialysis centers and other health care facilities under the purview of the department of health, including the hiring of necessary staff. The Sum appropriated shall be expended by the department of health for the purposes of this Act. SECTION 4. There is appropriated out of the general revenues of the State of HaWaii, from meneys in the treasury received from federal funds, the sum of or so much thereof as may be necessary for tiscal year 2018~2019 to assist in the review, certification, and recertification of dialysis centers and other health care facilities under the purview of the department of health, including the hiring of necessary Staff. The sum appropriated shall be expended by the department of health for the purposes of this Act. HB LRB 18?0188id00 H.B. NO. 1 SECTION 5. This Act shall take effect on July 1, 2018. INTRODUCED BY: RB 18 0188. doc 2/ Lon [Tend/L H.B NO. :95,L17Hbr7 Report Title: Dialysis Centers; Certification; Health Care Facilities; Department of Health; Appropriation DeScription: Establishes positions and appropriates funds to assist in the review, certification, and recertifieation of dialysis centers and other health care facilities under the purview of DOH. The summary descripfion of iegislation appearing on this page is for informational purposes only and is not iegislation or evidence of legislative intent. HB LRB 18?0188 doc