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HB552
HOUSE OF REPRESENTATIVES
H.B. NO.
552
THIRTY-THIRD LEGISLATURE, 2025
STATE OF HAWAII
A BILL FOR AN ACT
related
to care homes
.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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SECTION
1
.
�
Section 346-53, Hawaii Revised Statutes, is
amended by amending subsections (c) and (d) to read as follows:
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"(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 as follows:
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(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 shall not [
exceed
]
be less than
$784[
;
]
and
shall not exceed $1,332; and
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(2)
�
For
adult residential care homes classified as facility type II, the state
supplemental payment shall not [
exceed
]
be less than
$892[
.
]
and shall not exceed $1,440.
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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.
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The department shall handle abusive
practices under this section in accordance with chapter 91.
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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
.
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(d)
�
[
On July 1, 2006, and thereafter, as
]
As
the department
determines a need, the department shall
authorize
a payment, as allowed by federal law, for resident clients receiving
supplemental security income in adult residential care home type I and type II
facilities, 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, when state funds appropriated for the purpose of providing payments
under subsection (c) for a specific fiscal year are not expended fully within a
period that meets the requirements of the department's maintenance of effort
agreement with the Social Security Administration[
.
]
; provided that
the payment under this subsection shall not exceed $500 and shall only be
authorized if the maximum payments under subsection (c) have been paid for at
least twelve consecutive months.
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The
payment shall be made with that portion of state funds identified in this
subsection that has not been expended.
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The
department shall determine the rate of payment to ensure compliance with its
maintenance of effort agreement with the Social Security Administration."
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SECTION
2.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.
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SECTION 3.
�
This Act shall take effect on July 1, 2025.
INTRODUCED BY:
_____________________________
Report Title:
CCFFH; ARCH; DDDOM; Adult Foster Homes; Department of
Human Services; State Supplemental Payments
Description:
Increases the state supplemental payment ceilings for type
I adult residential care homes, licensed developmental disabilities domiciliary
homes, community care foster family homes, certified adult foster homes, and
type II adult residential care homes.
�
Authorizes an additional payment for resident clients residing in these
homes when state funds for the state supplemental payment for a specific fiscal
year are not fully expended, under certain circumstances.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.