HB 1477: Department of Human Services; Needs Allowance; Long-Term Care Facilities; State Supplemental Payments
- Session Year: 2025-2026
- House: House
- Latest Version Date: 2025-04-25
Current Status:
In Progress
(2025-05-14: Act 045, on 05/14/2025 (Gov. Msg. No. 1145).)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Final Decking
Enacted
What does this bill do?
The bill raises the monthly state supplemental payment limits that go to people in certain long‑term care homes and to their providers, increasing the combined care rate and personal needs allowance from $784 to $829 for facility type I and from $892 to $937 for facility type II. It also clarifies that the $75 monthly needs allowance and the domiciliary care rates are part of the state supplemental payment for residents of licensed developmental disabilities domiciliary homes, community care foster family homes, and certified adult foster homes.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
Increases the domiciliary care rates for certain providers and clarifies that the needs allowance and domiciliary care rates are included in the state supplemental payment ceiling amounts. Effective 10/1/2025. (CD1)
Increase the domiciliary care rates for certain providers and clarifies that the needs allowance and the domiciliary care rates are included in the State supplemental payment ceiling amounts. (SD1)
Clarifies that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care. Effective 7/1/3000. (HD1)
Clarifies that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care. Appropriates funds.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1477 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 1 |
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STATE OF HAWAII |
S.D. 1 |
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C.D. 1 |
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A BILL FOR AN ACT
RELATING TO SOCIAL SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the United States Social Security Administration issues one monthly payment to eligible recipients receiving care, or their representative payee, that includes supplemental security income and the state supplemental payment. The legislature further finds that the state supplemental payment includes the personal needs allowance for the individual receiving care and a domiciliary care rate for the provider.
Accordingly, the purpose of this Act is to increase the domiciliary care rates for certain providers and clarify that the needs allowance and domiciliary care rates are included in the state supplemental payment ceiling amounts.
SECTION 2. Section 346-53, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The director, pursuant to chapter 91, shall determine the rate of payment for domiciliary care, including care provided in licensed developmental disabilities domiciliary homes, community care foster family homes, and certified adult foster homes, to be provided to recipients who are eligible for federal supplemental security income or public assistance, or both. The director shall provide for level of care payment and needs allowance as follows:
(1) For
adult residential care homes classified as facility type I, licensed
developmental disabilities domiciliary homes as defined under section 321-15.9,
community care foster family homes as defined under section 321-481, and
certified adult foster homes as defined under section 321-11.2, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$784;] $829; and
(2) For
adult residential care homes classified as facility type II, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$892.] $937.
If the operator does not provide the quality of care consistent with the needs of the individual to the satisfaction of the department, the department may remove the recipient to another facility.
The department shall handle abusive practices under this section in accordance with chapter 91.
Nothing in this subsection shall allow the director to remove a recipient from an adult residential care home or other similar institution if the recipient does not desire to be removed and the operator is agreeable to the recipient remaining, except where the recipient requires a higher level of care than provided or where the recipient no longer requires any domiciliary care."
SECTION 3. Section 346D-4.5, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The State's supplemental payment, as authorized by section 346-53(c)(1) and (2), for a needs allowance under subsection (a) shall be increased by an amount necessary to bring the allowance up to $75 per month. The payment under this section shall be afforded to an individual notwithstanding that the individual is incapacitated; provided that the moneys may be spent on behalf of the client, with a written accounting, by the operator of the residence or facility."
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect on October 1, 2025.
Report Title:
Department of Human Services; Needs Allowance; Long-Term Care Facilities; State Supplemental Payments
Description:
Increases the domiciliary care rates for certain providers and clarifies that the needs allowance and domiciliary care rates are included in the state supplemental payment ceiling amounts. Effective 10/1/2025. (CD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1477 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 1 |
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STATE OF HAWAII |
S.D. 1 |
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A BILL FOR AN ACT
RELATING TO SOCIAL SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the United States Social Security Administration issues one monthly payment to eligible recipients receiving care, or their representative payee, that includes supplemental security income and the State supplemental payment. The legislature further finds that the State supplemental payment includes the personal needs allowance for the individual receiving care and a domiciliary care rate for the provider.
Accordingly, the purpose of this Act is to increase the domiciliary care rates for certain providers and clarify that the needs allowance and the domiciliary care rates are included in the State supplemental payment ceiling amounts.
SECTION 2. Section 346-53, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The director, pursuant to chapter 91, shall determine the rate of payment for domiciliary care, including care provided in licensed developmental disabilities domiciliary homes, community care foster family homes, and certified adult foster homes, to be provided to recipients who are eligible for federal supplemental security income or public assistance, or both. The director shall provide for level of care payment and needs allowance as follows:
(1) For
adult residential care homes classified as facility type I, licensed
developmental disabilities domiciliary homes as defined under section 321-15.9,
community care foster family homes as defined under section 321-481, and
certified adult foster homes as defined under section 321-11.2, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$784;] $829; and
(2) For
adult residential care homes classified as facility type II, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$892.] $937.
If the operator does not provide the quality of care consistent with the needs of the individual to the satisfaction of the department, the department may remove the recipient to another facility.
The department shall handle abusive practices under this section in accordance with chapter 91.
Nothing in this subsection shall allow the director to remove a recipient from an adult residential care home or other similar institution if the recipient does not desire to be removed and the operator is agreeable to the recipient remaining, except where the recipient requires a higher level of care than provided or where the recipient no longer requires any domiciliary care."
SECTION 3. Section 346D-4.5, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The State's supplemental payment, as authorized by section 346-53(c)(1) and (2), for a needs allowance under subsection (a) shall be increased by an amount necessary to bring the allowance up to $75 per month. The payment under this section shall be afforded to an individual notwithstanding that the individual is incapacitated; provided that the moneys may be spent on behalf of the client, with a written accounting, by the operator of the residence or facility."
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect upon its approval.
Report Title:
Department of Human Services; Needs Allowance; Long-Term Care Facilities; State Supplemental Payments
Description:
Increase the domiciliary care rates for certain providers and clarifies that the needs allowance and the domiciliary care rates are included in the State supplemental payment ceiling amounts. (SD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1477 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO SOCIAL SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the monthly needs allowance afforded to individuals living in certain long-term care facilities and monthly state supplemental payment to specified care providers was recently increased by $25 and $132, respectively. However, the state supplemental payment is administered by the Social Security Administration, which issues one monthly payment to the recipient or representative payee that includes the state supplemental payment and supplemental security income. Therefore, due to the ceiling limit, the $25 needs allowance increase is being deducted from the $132 state supplemental payment increase, which was not the intent of the legislature when it passed Acts 18 and 20, Session Laws of Hawaii 2024.
Therefore, the purpose of this Act is to clarify that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care.
SECTION 2. Section 346-53, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The director, pursuant to chapter 91, shall determine the rate of payment for domiciliary care, including care provided in licensed developmental disabilities domiciliary homes, community care foster family homes, and certified adult foster homes, to be provided to recipients who are eligible for federal supplemental security income or public assistance, or both. The director shall provide for level of care payment and needs allowance as follows:
(1) For
adult residential care homes classified as facility type I, licensed
developmental disabilities domiciliary homes as defined under section 321-15.9,
community care foster family homes as defined under section 321-481, and
certified adult foster homes as defined under section 321-11.2, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$784;] $829; and
(2) For
adult residential care homes classified as facility type II, the state
supplemental payment, which includes the care rate and needs allowance,
shall not exceed [$892.] $937.
If the operator does not provide the quality of care consistent with the needs of the individual to the satisfaction of the department, the department may remove the recipient to another facility.
The department shall handle abusive practices under this section in accordance with chapter 91.
Nothing in this subsection shall allow the director to remove a recipient from an adult residential care home or other similar institution if the recipient does not desire to be removed and the operator is agreeable to the recipient remaining, except where the recipient requires a higher level of care than provided or where the recipient no longer requires any domiciliary care."
SECTION 3. Section 346D-4.5, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The State's supplemental payment, as authorized by section 346-53(c)(1) and (2), for a needs allowance under subsection (a) shall be increased by an amount necessary to bring the allowance up to $75 per month. The payment under this section shall be afforded to an individual notwithstanding that the individual is incapacitated; provided that the moneys may be spent on behalf of the client, with a written accounting, by the operator of the residence or facility."
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 3000.
Report Title:
Department of Human Services; Needs Allowance; Long-term Care Facilities; State Supplemental Payments
Description:
Clarifies that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care. Effective 7/1/3000. (HD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1477 |
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THIRTY-THIRD LEGISLATURE, 2025 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to social services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the monthly needs allowance afforded to individuals living in certain long-term care facilities and monthly state supplemental payment to specified care providers was recently increased by $25 and $132, respectively. However, the state supplemental payment is administered by the Social Security Administration, which issues one monthly payment to the recipient or representative payee that includes the state supplemental payment and supplemental security income. Therefore, due to the ceiling limit, the $25 needs allowance increase is being deducted from the $132 state supplemental payment increase, which was not the intent of the legislature.
Therefore, the purpose of this Act is to:
(1) Clarify that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care; and
(2) Appropriate funds.
SECTION 2. Section 346-53, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The director, pursuant to chapter 91, shall determine the rate of payment for domiciliary care, including care provided in licensed developmental disabilities domiciliary homes, community care foster family homes, and certified adult foster homes, to be provided to recipients who are eligible for federal supplemental security income or public assistance, or both. The director shall provide for level of care payment and needs allowance as follows:
(1) [For]
Beginning October 1, 2025, for adult residential care homes classified
as facility type I, licensed developmental disabilities domiciliary homes as
defined under section 321-15.9, community care foster family homes as defined
under section 321-481, and certified adult foster homes as defined under
section 321-11.2, the state supplemental payment, which includes the care
rate and needs allowance, shall not exceed [$784;] $829; and
(2) [For]
Beginning October 1, 2025, for adult residential care homes classified
as facility type II, the state supplemental payment, which includes the care
rate and needs allowance, shall not exceed [$892.] $937.
If the operator does not provide the quality of care consistent with the needs of the individual to the satisfaction of the department, the department may remove the recipient to another facility.
The department shall handle abusive practices under this section in accordance with chapter 91.
Nothing in this subsection shall allow the director to remove a recipient from an adult residential care home or other similar institution if the recipient does not desire to be removed and the operator is agreeable to the recipient remaining, except where the recipient requires a higher level of care than provided or where the recipient no longer requires any domiciliary care."
SECTION 3. Section 346D-4.5, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c) The State's supplemental payment, as authorized by section 346-53(c)(1) and (2), for a needs allowance under subsection (a) shall be increased by an amount necessary to bring the allowance up to $75 per month. The payment under this section shall be afforded to an individual notwithstanding that the individual is incapacitated; provided that the moneys may be spent on behalf of the client, with a written accounting, by the operator of the residence or facility."
SECTION 4. 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 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for the department of human services' community-based residential support program (HMS605) to effectuate the purposes of this Act.
The sums appropriated shall be expended by the department of human services for the purposes of this Act.
SECTION 5. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 6. This Act shall take effect on July 1, 2025.
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INTRODUCED BY: |
_____________________________ |
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Report Title:
Department of Human Services; Needs Allowance; Long-term Care Facilities; State Supplemental Payments; Appropriation
Description:
Clarifies that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care. Appropriates funds.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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Date
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Status
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| May 14, 2025 | Act 045, on 05/14/2025 (Gov. Msg. No. 1145). |
| May 14, 2025 | Act 045, 05/14/2025 (Gov. Msg. No. 1145). |
| May 1, 2025 | Transmitted to Governor. |
| May 2, 2025 | Received notice of passage on Final Reading in House (Hse. Com. No. 821). |
| May 1, 2025 | Received notice of Final Reading (Sen. Com. No. 888). |
| Apr 30, 2025 | Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2). |
| Apr 30, 2025 | Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. |
| Apr 25, 2025 | 48 Hrs. Notice (as amended CD 1) 04-30-25 |
| Apr 25, 2025 | Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 184). |
| Apr 25, 2025 | Forty-eight (48) hours notice Wednesday, 04-30-25. |
| Apr 25, 2025 | Reported from Conference Committee (Conf Com. Rep. No. 184) as amended in (CD 1). |
| Apr 25, 2025 | The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Marten, Morikawa, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. |
| Apr 25, 2025 | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) Aquino, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Hashimoto. |
| Apr 25, 2025 | Conference Committee Meeting will reconvene on Friday 04-25-25 5:00PM in conference room 329. |
| Apr 24, 2025 | Bill scheduled for Conference Committee Meeting on Friday, 04-25-25 1:52PM in conference room 329. |
| Apr 24, 2025 | Received notice of Senate conferees (Sen. Com. No. 875). |
| Apr 24, 2025 | Senate Conferees Appointed: Aquino Chair; Moriwaki Co-Chair; Hashimoto, Fevella. |
| Apr 22, 2025 | Received notice of appointment of House conferees (Hse. Com. No. 783). |
| Apr 21, 2025 | House Conferees Appointed: Marten, Morikawa Co-Chairs; Garcia. |
| Apr 11, 2025 | Received notice of disagreement (Hse. Com. No. 704). |
| Apr 10, 2025 | House disagrees with Senate amendment (s). |
| Apr 8, 2025 | Returned from Senate (Sen. Com. No. 771) in amended form (SD 1). |
| Apr 8, 2025 | Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. |
| Apr 4, 2025 | One Day Notice 04-08-25. |
| Apr 4, 2025 | Reported from WAM (Stand. Com. Rep. No. 1796) with recommendation of passage on Third Reading. |
| Apr 2, 2025 | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. |
| Mar 27, 2025 | The committee(s) on WAM will hold a public decision making on 04-02-25 10:01AM; Conference Room 211 & Videoconference. |
| Mar 19, 2025 | Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. |
| Mar 19, 2025 | Reported from HHS (Stand. Com. Rep. No. 1149) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. |
| Mar 10, 2025 | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Keohokalole, Fevella. |
| Mar 6, 2025 | The committee(s) on HHS has scheduled a public hearing on 03-10-25 1:00PM; Conference Room 225 & Videoconference. |
| Mar 4, 2025 | Referred to HHS, WAM. |
| Mar 4, 2025 | Passed First Reading. |
| Mar 4, 2025 | Received from House (Hse. Com. No. 177). |
| Feb 28, 2025 | Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick, Templo, Ward excused (4). Transmitted to Senate. |
| Feb 28, 2025 | Reported from FIN (Stand. Com. Rep. No. 974), recommending passage on Third Reading. |
| Feb 24, 2025 | The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 14 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo, Alcos, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Hussey, Ward. |
| Feb 21, 2025 | Bill scheduled to be heard by FIN on Monday, 02-24-25 12:00PM in House conference room 308 VIA VIDEOCONFERENCE. |
| Feb 10, 2025 | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Belatti, Cochran, Kila, Ward excused (4). |
| Feb 10, 2025 | Reported from HSH (Stand. Com. Rep. No. 266) as amended in HD 1, recommending passage on Second Reading and referral to FIN. |
| Feb 4, 2025 | The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Garcia. |
| Jan 31, 2025 | Bill scheduled to be heard by HSH on Tuesday, 02-04-25 9:30AM in House conference room 329 VIA VIDEOCONFERENCE. |
| Jan 27, 2025 | Referred to HSH, FIN, referral sheet 4 |
| Jan 23, 2025 | Introduced and Pass First Reading. |
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Date
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Description
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Location
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Votes
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| Apr 30, 2025 | Final Reading | House Floor |
Passed |
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| Apr 30, 2025 | Final Reading | Senate Floor |
Passed |
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| Apr 8, 2025 | Third Reading | Senate Floor |
Passed |
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| Apr 2, 2025 | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED | Senate Standing Committee on Ways and Means |
Passed |
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| Mar 10, 2025 | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Health and Human Services |
Passed |
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| Feb 28, 2025 | Third Reading | House Floor |
Passed |
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| Feb 24, 2025 | The committee on FIN recommend that the measure be PASSED, UNAMENDED | House Standing Committee on Finance |
Passed |
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| Feb 4, 2025 | The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Human Services & Homelessness |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
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Position
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Date
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|---|---|---|
| Department of Human Services | *** Support | Apr 2, 2025 |
| Easterseals Hawaii | *** Support | Apr 2, 2025 |
| Hawai‘i State Council on Developmental Disabilities | *** Support | Apr 2, 2025 |
| ILWU Local 1000 Home Health Care Operators | ** Support | |
| Sebastian's ARCH LLC | ** Support | |
| State Council on Developmental Disabilities | ** Support |
CONFERENCE COMMITTEE REP. NO. 184
Honolulu, Hawaii
, 2025
RE: H.B. No. 1477
H.D. 1
S.D. 1
C.D. 1
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madam and Sir:
Your Committee on Conference on the disagreeing vote of the House of Representatives to the amendments proposed by the Senate in H.B. No. 1477, H.D. 1, S.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO SOCIAL SERVICES,"
having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.
The purpose of this measure is to increase the domiciliary care rates for certain providers and clarify that the needs allowance and the domiciliary care rates are included in the state supplemental payment ceiling amounts.
Your Committee on Conference has amended this measure by:
(1) Changing the effective date to October 1, 2025; and
(2) Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.
As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of H.B. No. 1477, H.D. 1, S.D. 1, as amended herein, and recommends that it pass Final Reading in the form attached hereto as H.B. No. 1477, H.D. 1, S.D. 1, C.D. 1.
Respectfully submitted on behalf of the managers:
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ON THE PART OF THE SENATE |
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ON THE PART OF THE HOUSE |
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____________________________ HENRY J.C. AQUINO Chair |
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____________________________ LISA MARTEN Co-Chair |
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____________________________ SHARON MORIWAKI Co-Chair |
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____________________________ DEE MORIKAWA Co-Chair |
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STAND. COM. REP. NO. 1796
Honolulu, Hawaii
RE: H.B. No. 1477
H.D. 1
S.D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Sir:
Your Committee on Ways and Means, to which was referred H.B. No. 1477, H.D. 1, S.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO SOCIAL SERVICES,"
begs leave to report as follows:
The purpose and intent of this measure is to increase the domiciliary care rates for certain providers and to clarify that the needs allowance and the domiciliary care rates are included in the State supplemental payment ceiling amounts.
Your Committee received written comments in support of this measure from the Department of Human Services, Hawaii State Council on Developmental Disabilities, and Easterseals Hawaii.
Your Committee finds that the Social Security Administration issues to eligible recipients a single monthly payment, which combines supplemental security income and the State supplemental payment, including the personal needs allowance for the individual and a domiciliary care rate for the provider. Your Committee further finds that this measure aims to increase domiciliary care rates for certain providers and to clarify that both the needs allowances and domiciliary care rates are part of the State supplement payment ceiling amounts.
As affirmed by the record of votes of the members of your Committee on Ways and Means that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1477, H.D. 1, S.D. 1, and recommends that it pass Third Reading.
Respectfully submitted on behalf of the members of the Committee on Ways and Means,
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________________________________ DONOVAN M. DELA CRUZ, Chair |
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STAND. COM. REP. NO. 1149
Honolulu, Hawaii
RE: H.B. No. 1477
H.D. 1
S.D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Sir:
Your Committee on Health and Human Services, to which was referred H.B. No. 1477, H.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO SOCIAL SERVICES,"
begs leave to report as follows:
The purpose and intent of this measure is to clarify that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care.
Your Committee received testimony in support of this measure from the Department of Human Services, State Council on Developmental Disabilities, and Easterseals Hawaii.
Your Committee finds that the monthly needs allowance afforded to individuals living in certain long-term care facilities and the monthly state supplemental payment to specified care providers was recently increased by $25 and $132, respectively. However, your Committee further finds that the state supplemental payment is administered by the United States Social Security Administration (SSA), which issues one monthly payment to the recipient or representative payee that includes both the state supplemental payment and supplemental security income. Therefore, due to the ceiling limit for monthly payments from the SSA, the $25 needs allowance increase is being deducted from the $132 state supplemental payment increase, which was not the intent of the Legislature when it passed Acts 18 and 20, Session Laws of Hawaii 2024. Accordingly, this measure provides clarity to ensure funds are properly allotted and resolves discrepancies in existing law by preventing the needs allowance increase for individuals in certain long-term care facilities from being deducted from the state supplemental payment increase.
Your Committee has amended this measure by:
(1) Clarifying its legislative findings;
(2) Making it effective upon its approval; and
(3) Making a technical, nonsubstantive amendment for the purposes of clarity and consistency.
As affirmed by the record of votes of the members of your Committee on Health and Human Services that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1477, H.D. 1, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 1477, H.D. 1, S.D. 1, and be referred to your Committee on Ways and Means.
Respectfully submitted on behalf of the members of the Committee on Health and Human Services,
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________________________________ JOY A. SAN BUENAVENTURA, Chair |
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STAND. COM. REP. NO. 974
Honolulu, Hawaii
, 2025
RE: H.B. No. 1477
H.D. 1
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madame:
Your Committee on Finance, to which was referred H.B. No. 1477, H.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO SOCIAL SERVICES,"
begs leave to report as follows:
As affirmed by the record of votes of the members of your Committee on Finance that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1477, H.D. 1, and recommends that it pass Third Reading.
Respectfully submitted on behalf of the members of the Committee on Finance,
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____________________________ KYLE T. YAMASHITA, Chair |
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STAND. COM. REP. NO. 266
Honolulu, Hawaii
, 2025
RE: H.B. No. 1477
H.D. 1
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madame:
Your Committee on Human Services & Homelessness, to which was referred H.B. No. 1477 entitled:
"A BILL FOR AN ACT RELATING TO SOCIAL SERVICES,"
begs leave to report as follows:
The purpose of this measure is to:
(1) Clarify that the monthly needs allowance afforded to individuals living in certain long-term care facilities is not intended to replace or affect funds received as a state supplemental payment for domiciliary care and shall be supplemental to any funds provided to a recipient as a state supplemental payment for domiciliary care; and
(2) Appropriate funds for the Department of Human Services' Community-Based Residential Support Program.
Your Committee finds that the monthly needs allowance for individuals in certain long-term care facilities and the state supplemental payment to specified care providers were recently increased to provide greater financial support. However, due to the way the Social Security Administration administers these payments, the $25 increase in the needs allowance is being deducted from the $132 state supplemental payment increase, effectively negating part of the intended financial relief, and which was not the intent of the Legislature. To correct this issue, this measure clarifies that the needs allowance is intended to be supplemental and does not affect the state supplemental payment for domiciliary care.
Your Committee has amended this measure by:
(1) Removing the specific statutory reference to the starting date for the increase in needs allowance and state supplemental payment;
(2) Deleting as unnecessary the appropriation for the Department of Human Services' Community-Based Residential Support Program;
(3) Changing the effective date to July 1, 3000, to encourage further discussion; and
(4) Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.
Your Committee respectfully respects your Committee on Finance, should it deliberate on this measure, to consider an effective date of October 1, 2025, to give the Social Security Administration adequate time to implement the increase in needs allowance and state supplemental payment proposed by this measure.
As affirmed by the record of votes of the members of your Committee on Human Services & Homelessness that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1477, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 1477, H.D. 1, and be referred to your Committee on Finance.
Respectfully submitted on behalf of the members of the Committee on Human Services & Homelessness,
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____________________________ LISA MARTEN, Chair |
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Date
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Testimony PDF
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| Apr 2, 2025 | HB1477_SD1_TESTIMONY_WAM_04-02-25_.PDF |
| Mar 10, 2025 | HB1477_HD1_TESTIMONY_HHS_03-10-25_.PDF |
| Feb 24, 2025 | HB1477_HD1_TESTIMONY_FIN_02-24-25_.PDF |
| Feb 4, 2025 | HB1477_TESTIMONY_HSH_02-04-25_.PDF |
Discussed in Hearing
1MIN
Conference Committee
2MIN
Conference Committee
1MIN
Senate Standing Committee on Health and Human Services
1MIN
House Standing Committee on Finance
1MIN
Senate Standing Committee on Health and Human Services
1MIN
Senate Standing Committee on Higher Education
2MIN
