2018 CANDIDATE PROGRAM Doug Chin Current Seat Holder Colleen Hanabusa (D) Seat Status Solid Born in Seattle, Washington, Douglas 5. Chin is the curlen! Attorney General of Hawai'i. He earned his Bachelors in English lrom Stanford university, and hisJD. from the University oi Hawaii. Chin's proiessional career began in 1993, when he was hired by Biographioal sketch Mayor Peter Carlisle as a city prosecutor. He became First Deputy in 2006. From 2010 to 2013, Chin served as a managing director tor the city and county at Honolulu. He was then nominated as Attorney General in 2015 by Governor David lge. chin lives with his wife and two children in Honolulu. Recalpis: individual: Disbursements: FEC Filing as at PAC: Cash on Hand: 00/00/2013 Party: Debt: Candidate: Other: Pol|ing Endorsements Yup Campaign issues Role of Healthcare in the Campaign Haw 1" Conglessional District encompasses the enlire island nf Oahu, which Includes ihe city- countv Honolulu. District Profile . 2016 Presidential Vote: clinton 63%, Trump 30% :22: Pan's" we" '"deX 2015 Congressional Voie: Hanabusa 71.9%, Ostrov 21.7% Campaign Manager Social Media mm htips: lwlitemom Updated 1/5/18 Candidate profiles. including race are updated quarterly untllAugust 1 and thereafter. The latest projections are available on the HLC candidate Program website under "Open seats~ and "other Races to Watch~ respectively. All pasted information has been provided hy the NLC Regional Director and various sources including Nanana/Jaumal, The [colt Politim/ Report, the Federal Electron committee, the candldalz's website, etc, and not directly provided by the candidate. Far more information :antact HLC Regional Dir-eater Paul Pearson - Phone. 405488-0541-- Email paul@pearsanpublicaffairs.cam - 2018 CANDIDATE PROGRAM QUESTIONNAIRE Doug Chin (D I) This report is designed as a tool to aid the interview and meeting process. It is not meant to be filled out by the candidate or candidate?s staff, nor even shown to them. These questions are meant to guide the conversation. At the conclusion of the meeting, the HLC Regional Director completes the report based on the interview and other available information. Candidate: Incumbent: As of: Doug Chin Colleen Hanabusa (D) 02/07/2018 Executive Summag Overall Rating Educated on healthcare issues? YES XI NO Looking for help to learn healthcare issues? YES [1 NO Supportive of agenda overall? YES El NO Elected official or other government background? XI YES El NO If so, what? Former Hawaii AG, Current Hawaii Lt. Governor Has a healthcare background? YES NO If so, what? OVERALL HEALTHCARE PHILOSOPHY Former Hawaii Attorney General Doug Chin became the new Lt. Governor the day before this meeting. He is a moderate Democrat that has represented healthcare providers in Med-mal lawsuits. He supports the market concept advocated by HLC and does not think a single payer/Medicare-for-All approach would work in Hawaii. He likes the Safe Harbor legislation and said it would have helped him with his client?s defense. He expressed concern about the opioid epidemic and is working with the legislature on a proposal. He is very concerned about the lack of communication between systems in Hawaii and would like to get more input on HIT and interoperability. Privacy is a concern. He wanted to know how HIPPA would impact data sharing. Governor Chin is very open to working with HLC. POSITION AND KNOWLEDGE OF SPECIFIC POLICIES (based on the 2018 HLC Strategic Plan) 3 Below: If a candidate?s position on a specific item is known it will be noted with an 10. 11. =support; O=Opposes or left blank if not known Quality Healthcare Must Be Accessible and Affordable for All Americans The federal government should support the private sector to establish systemwide health information interoperability by 2019. Data-related policies should also continue to improve patient and health entity access to federally held health information. The government should prohibit data blocking. Various patient privacy laws and regulations should be harmonized, because the current patchwork of state laws and regulations on patient confidentiality are not well suited for a healthcare system that is increasingly interstate in nature. Congress needs to continue to strengthen security against cyber attacks without adding new layers of burdensome and duplicative bureaucracy to the existing regulatory structure Medicaid ?best price? policies discourage innovative pricing approaches and must be modernized. Stark physician self-referral and antikickback regulations need to be modernized if healthcare is to become truly integrated and patient-centered. The U.S. Food and Drug Administration approval process for drugs and devices needs to continue to be streamlined. FDA should not expand their purview to other areas, such as laboratory developed tests, which could delay patient access to lifesaving treatments. Barriers that prevent companies in different healthcare sectors from sharing efficacy and economic information about particular products prior to FDA approval must be removed. The government must support innovative approaches to assist high-need populations integrated care models, independence at home projects and focus on social determinants of heahh) Providing ?safe harbors" from litigation to healthcare providers who can show they have utilized accepted standards of care in treating their patients will reduce the practice of defensive medicine, lower costs and improve patient outcomes. 17. 18. 19. 20. 21. 22. Versionl Healthcare Policy Must Create an Environment in which Innovation is Encouraged to Thrive 12. 13 14. 15. 16. We Must Ensure Medicare and Medicaid are Available for Future Generations Health plans participating in the Health Insurance Marketplace should be afforded greater flexibility in making affordable, high quality coverage accessible to consumers, including using traditional risk adjustment models. Excessive taxes and payment cuts on various healthcare sectors health insurance tax, medical I and provider cuts) negatively impact patient access to care and health innovation. Additional governmental support for graduate medical education and residency training positions is needed to address patient demand. The federal government should encourage expanded use of telemediclne and remote patient monitoring to improve access to coordinated care. The value of healthcare interventions and services should be considered across the healthcare continuum and must include the patient perspective. The best way to achieve the lowest prices for Medicare beneficiaries in the Medicare Part program is through the current process of private sector negotiation. The Medicare Advantage Program utilizes consumer choice and market competition to strengthen program value and sustainability and should be supported. The Independent Payment Advisory Board (IPAB) is likely to impose arbitrary, across-the-board reductions for Medicare providers, which would reduce access to quality care for Medicare beneficiaries. The federal government should ensure payment and delivery structures encourage care coordination and alignment between acute care, post-acute care, and community health and address chronic disease. CMS, through the Center for Medicare and Medicaid Innovation, should test new payment and delivery concepts that can improve care while containing cost growth. The Medicaid program should be structured in a way that encourages construction of innovative state Medicaid programs that emphasize improved health outcomes and better efficiency. 2018 CANDIDATE PROGRAM Donna I ill Vl'll Current seat Holder Colleen Hanabusa seat Status Solid Biographical Sketch A native Hawaiian, Donna Mercado Kim has a resume in state and local politics. Senator Kim is a graduate fvom Washington State University, where she received her Bachelors degree. From 1931 to 1934, Kim served in the Hawaii State House of Representatives, then went on to serve on the Honolulu City Council. She was then elected to the Hawaii State Senate District 14 in 2000, and during her time in the legislature, She spent more than 10 years serving as either Vice president or President oithe Senate. Recently, Senator Kim was installed as a member of the Board ot Directors of the National Foundation of Women's Legislators. Receipts: individual: Disbursements: FEC Filing as of PAC: Cash on Hand: 00/00/2018 Patty: Debt: Candidate: Other: Polling Endorsements 1. Healthcare 4. Women's rights Top Campaign Issues 1. social Security 3. Education Role of Healihcare Donna itim believes that healthcare is a human right and promises to tight to protect healthcare and senior citizen programs. Kim believes that the Affordable Care Act can be adjusted to better manage in the campaign costs and etiectiveness, while still meetingthe original goals. itim vows to work to expand Medicare and Social Security tor senior citizens. Hawaii's 1" Congressional District encompasses the entire island of Oahu, which includes the city- county Honolulu. District Profile k' in 2015 Presidential Vote: Clinton 63%, Trump 30% 3:75 Pan's" "er de" 2016 Congressional Vote: Hanahusa 71.9%, astrov 11.7% Campaign Manager Brigitte Voshlno Coma" Information Social Media DonnaMercadoKimZOlfil http:/ buns: Updated 1/5/2013 Candidate profiles, including race projections, are updated quarterly until August 1 and thereafter. The latest ch race ply/Ethan: are available on the HLC candidate Program website under "Open Sears" and "Other Race: to watch" respectively. All posted information has oeeri provided by the HLC Regional Director and various sources including Nationallovrnal, The Coolt Political Repan, the Federal Election Committee, the candidate's website, etc. and not directly provided by the candidate. For more information contact HLC Regional Director Paul Pearson 7 Phone. 40543870541>> Email. paul@pearsonpualicaffairr,cam - 2018 CANDIDATE PROGRAM QUESTIONNAIRE Donna Mercado Kim Carl 5 ll . This report is designed as a tool to aid the interview and meeting process. It is not meant to be filled out by the candidate or candidate?s staff, nor even shown to them. These questions are meant to guide the conversation. At the conclusion of the meeting, the HLC Regional Director completes the report based on the interview and other available information. Candidate: Incumbent: As of: Donna Mercado Kim Colleen Hanabusa (D) 012/05/2018 Executive Summag Overall Rating Educated on healthcare issues? YES NO Looking for HLC's help to learn healthcare issues? YES El NO Supportive of agenda overall? IE YES [3 NO Elected official or other government background? YES El NO If so, what? State Assembly, City Council, Current State Senate President Has a healthcare background? El YES NO If so, what? OVERALL HEALTHCARE PHILOSOPHY Senator Donna Mercado Kim has served in elected office since 1982. She was formerly a model and fashion designer. Her views are very aligned with those of the Healthcare Leadership Council. She is very pro-market, opposes any attempt at single payer, does not support price controls on pharmaceuticals and agrees that Medicaid and Medicare need to be managed by the private market. Her preference is for the Hawaii model, but realizes that it may not be appropriate for more populous areas of the U5. Workforce shortage is a concern for her and the inability for Hawaii to retain providers. The homeless and the Medicaid population in Hawaii is huge. She supports Medicaid expansion and likes state flexibility in administering it. HIT and data-sharing is dysfunctional in Hawaii, so she would like to explore models that can be implemented in Hawaii. POSITION AND KNOWLEDGE OF SPECIFIC POLICIES (based on the 2018 HLC Strategic Plan) 3 Below: If a candidate?s position on a speci?c item is known it will be noted with an 10. 11. =support; O=Opposes or left blank if not known Quality Healthcare Must Be Accessible and Affordable for All Americans The federal government should support the private sector to establish systemwide health information interoperability by 2019. Data-related policies should also continue to improve patient and health entity access to federally held health information. The government should prohibit data blocking. Various patient privacy laws and regulations should be harmonized, because the current patchwork of state laws and regulations on patient confidentiality are not well suited for a healthcare system that is increasingly interstate in nature. Congress needs to continue to strengthen security against cyber attacks without adding new layers of burdensome and duplicative bureaucracy to the existing regulatory structure Medicaid ?best price? policies discourage innovative pricing approaches and must be modernized. Stark physician self-referral and antikickback regulations need to be modernized if healthcare is to become truly integrated and patient-centered. The U.S. Food and Drug Administration approval process for drugs and devices needs to continue to be streamlined. FDA should not expand their purview to other areas, such as laboratory developed tests, which could delay patient access to lifesaving treatments. Barriers that prevent companies in different healthcare sectors from sharing efficacy and economic information about particular products prior to FDA approval must be removed. The government must support innovative approaches to assist high-need populations integrated care models, independence at home projects and focus on social determinants of heakhJ Providing ?safe harbors? from litigation to healthcare providers who can show they have utilized accepted standards of care in treating their patients will reduce the practice of defensive medicine, lower costs and improve patient outcomes. 17. 18. 19. 20. 21. 22. Versionl Healthcare Policy Must Create an Environment in which Innovation is Encouraged to Thrive 12. 13 14. 15. 16. We Must Ensure Medicare and Medicaid are Available for Future Generations Health plans participating in the Health Insurance Marketplace should be afforded greater flexibility in making affordable, high quality coverage accessible to consumers, including using traditional risk adjustment models. Excessive taxes and payment cuts on various healthcare sectors health insurance tax, medical I and provider cuts) negatively impact patient access to care and health innovation. Additional governmental support for graduate medical education and residency training positions is needed to address patient demand. The federal government should encourage expanded use of telemedicine and remote patient monitoring to improve access to coordinated care. The value of healthcare interventions and services should be considered across the healthcare continuum and must include the patient perspective. The best way to achieve the lowest prices for Medicare beneficiaries in the Medicare Part program is through the current process of private sector negotiation. The Medicare Advantage Program utilizes consumer choice and market competition to strengthen program value and sustainability and should be supported. The Independent Payment Advisory Board (IPAB) is likely to impose arbitrary, across-the-board reductions for Medicare providers, which would reduce access to quality care for Medicare beneficiaries. The federal government should ensure payment and delivery structures encourage care coordination and alignment between acute care, post-acute care, and community health and address chronic disease. CMS, through the Center for Medicare and Medicaid Innovation, should test new payment and delivery concepts that can improve care while containing cost growth. The Medicaid program should be structured in a way that encourages construction of innovative state Medicaid programs that emphasize improved health outcomes and better efficiency. - 2018 CANDIDATE PROGRAM Ill \1 I 1.1" IN Ill) Ernest Martin (D-HI-01) Current Seat Holder Colleen Hanabusa (D) Sea! Status Solid Ernest Martin was born and raised in Hawaii, and graduated tram the University at Hawaii in 1933 with a Bachelors ofArts in Sociology. He later went onto obtain a Masters of Arts in Sociology in 1935, and a Juris Doctorate degree from the William 5. Richardson School at Law at the University at Hawail at Manoa in Biographical Sketch 1995, Starting as a local groundskeeper in Honolulu, Ernie worked his way up to the position at Acting Director of community Services where he worked to help various non-profit organlzalinns acquire iu nding through iederal grants. With over 20 years of experienoe working within the City system, Ernie is currently serving as the Chairman of the Committee on Budget tor the Honolulu City Council. Receipts: Individual: Disbursements: as of PAC: Cash on Hand: 00/00/2015 Party: Debt: Candidate: Other: polling Endorsements Top campaign issues Role of Healthcare WA in the Campaign Hawaii's 1" Congressional District encompasses the entire island of Oahu, which includes the city>> county Honolulu. D'strict Profile k' rt 1015 Presidential Vote: Clinton 63%, Trump 30% 32:7 5 P3 9' '"dex 2015 Congressional Vote: Hanahusa 71.9%, Ostrav 12.7% Campaign Manager Selfrmanaged campaign momma: Social Media NONE Updated 1/8/18 candidate profiles, including race pro/ectrons, are updated quarterly until August 1 and thereafter. The latest HLC race projections are available an the HLC Candidate Program wehSlIE under "Open Sears" ond "Other Races to Watch" respectively. All posted information has been provided by the HLC Regional Director and various mumss including National/ovrnol, The Cook political Report, the Federal Electron committee, the candidate's website, etc and not directly provided by the candidate. For more in/ormatian contact HLC Regional Director Paul Pearson -- Phone: 405-48870541-- Email: - 2018 CANDIDATE PROGRAM QUESTIONNAIRE Em est Mam? (D [-11.0 1) This report is designed as a tool to aid the interview and meeting process. It is not meant to be filled out by the candidate or candidate?s staff, nor even shown to them. These questions are meant to guide the conversation. At the conclusion of the meeting, the HLC Regional Director completes the report based on the interview and other available information. Candidate: Incumbent: As of: Ernest Martin Colleen Hanabusa (D) 02/07/2018 Executive Summary Overall Rating Educated on healthcare issues? El YES XI NO Looking for help to learn healthcare issues? YES [3 NO Supportive of agenda overall? XI YES [3 NO Elected official or other government background? IX YES NO If so, what? Former Current Honolulu Citv Council Has a healthcare background? YES NO If so, what? OVERALL HEALTHCARE PHILOSOPHY Councilman Martin supports a majority of positions. He does not want single payer and agrees that the market is the proper place for innovation and affordable delivery of healthcare. Like most elected officials in Hawaii, he wants more transparency in the healthcare system. He is comfortable with the Hawaii model and thinks it works well. His number one concern is data accessibility. He would strongly support interoperability because Hawaii does not have adequate communication among providers and the big 4 health plans. Supported the ACA but realizes it has not succeeded and would like to make changes. POSITION AND KNOWLEDGE OF SPECIFIC POLICIES (based on the 2018 HLC Strategic Plan) 3 Below: If a candidate?s position on a specific item is known it will be noted with an 10. 11. =support; O=Opposes or left blank if not known Quality Healthcare Must Be Accessible and Affordable for All Americans The federal government should support the private sector to establish systemwide health information interoperability by 2019. Data-related policies should also continue to improve patient and health entity access to federally held health information. The government should prohibit data blocking. Various patient privacy laws and regulations should be harmonized, because the current patchwork of state laws and regulations on patient confidentiality are not well suited for a healthcare system that is increasingly interstate in nature. Congress needs to continue to strengthen security against cyber attacks without adding new layers of burdensome and duplicative bureaucracy to the existing regulatory structure Medicaid ?best price? policies discourage innovative pricing approaches and must be modernized. Stark physician self-referral and antikickback regulations need to be modernized if healthcare is to become truly integrated and patient-centered. The U.S. Food and Drug Administration approval process for drugs and devices needs to continue to be streamlined. FDA should not expand their purview to other areas, such as laboratory developed tests, which could delay patient access to lifesaving treatments. Barriers that prevent companies in different healthcare sectors from sharing efficacy and economic information about particular products prior to FDA approval must be removed. The government must support innovative approaches to assist high?need populations integrated care models, independence at home projects and focus on social determinants of heakh) Providing "safe harbors? from litigation to healthcare providers who can show they have utilized accepted standards of care in treating their patients will reduce the practice of defensive medicine, lower costs and improve patient outcomes. Healthcare Policy Must Create an Environment in which Innovation is Encouraged to Thrive 12. 13 14. 15. 16. Health plans participating in the Health Insurance Marketplace should be afforded greater flexibility in making affordable, high quality coverage accessible to consumers, including using traditional risk adjustment models. Excessive taxes and payment cuts on various healthcare sectors health insurance tax, medical and provider cuts) negatively impact patient access to care and health innovation. Additional governmental support for graduate medical education and residency training positions is needed to address patient demand. The federal government should encourage expanded use of telemediclne and remote patient monitoring to improve access to coordinated care. The value of healthcare interventions and services should be considered across the healthcare continuum and must include the patient perspective. We Must Ensure Medicare and Medicaid are Available for Future Generations 17. 18. 19. 20. 21. 22. Versionl The best way to achieve the lowest prices for Medicare beneficiaries in the Medicare Part program is through the current process of private sector negotiation. The Medicare Advantage Program utilizes consumer choice and market competition to strengthen program value and sustainability and should be supported. The Independent Payment Advisory Board (IPAB) is likely to impose arbitrary, across-the-board reductions for Medicare providers, which would reduce access to quality care for Medicare beneficiaries. The federal government should ensure payment and delivery structures encourage care coordination and alignment between acute care, post-acute care, and community health and address chronic disease. CMS, through the Center for Medicare and Medicaid Innovation, should test new payment and delivery concepts that can improve care while containing cost growth. The Medicaid program should be structured in a way that encourages construction of innovative state Medicaid programs that emphasize improved health outcomes and better efficiency.