REQUESTING THE DEPARTMENT OF HUMAN SERVICES TO CONVENE A TASK FORCE TO INCREASE COMMUNITY CARE FOSTER FAMILY HOME ACCESSIBILITY FOR PRIVATE-PAY INDIVIDUALS.

HCR113

HOUSE OF REPRESENTATIVES

H.C.R. NO.

113

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

HOUSE CONCURRENT

RESOLUTION

requesting the Department of Human Services to convene a task
force to increase community care foster family home accessibility for private-pay
individuals
.

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WHEREAS, community
care foster family homes are homes regulated by the Department of Human
Services that provide twenty-four-hour living accommodations for not more than
three clients; and

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WHEREAS, the
statutory definition of a community care foster family home, in section 321-481,
Hawaii Revised Statutes, generally limits the home's clients to a maximum of
one private‑pay client at a time, with the other clients being Medicaid
recipients; and

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WHEREAS, under
certain circumstances, a community care foster family home may have two
private-pay clients if the two private-pay clients are married to, or in a
civil union with, each other and if various other conditions are satisfied; and

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WHEREAS, the
law does not allow two individuals who are not married, or not in a civil union
with each other, to reside in the same community care foster family home if
both individuals are private-pay clients; and

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WHEREAS, this
restriction can make it difficult for some individuals who are in a relationship
to find long-term care in the same home; and

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WHEREAS,
amending section 321-481, Hawaii Revised Statutes, to allow two unrelated,
private-pay individuals to reside in the same community care foster family home
could make community care foster family homes more accessible to a portion of Hawaii's
aging population, but could also reduce available care for Medicaid recipients;
now, therefore,

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BE IT
RESOLVED by the House of Representatives of the Thirty-third Legislature of the
State of Hawaii, Regular Session of 2026, the Senate concurring, that the
Department of Human Services is requested to convene a task force to make
recommendations for:

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(1)
�
Creating a more expedient application process
for private-pay clients who are either married to, or in a civil union with,
each other, and who wish to reside in the same community care foster family
home; and

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(2)
�
Increasing the availability of community care
foster family homes so that two unrelated private-pay individuals may be able
to reside in the same community care foster family home; and

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BE IT FURTHER
RESOLVED that the task force is requested to comprise the following:

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(1)
�
The Director of Human Services, or the Director's
designee, who shall serve as the Chairperson of the task force; and

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(2)
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The Director of Health, or the Director's
designee;

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(3)
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The Department of Human Services Med-QUEST
Division Administrator, or the Administrator's designee;

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(4)
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One individual from an organization that
represents adult residential care home organizations in Hawaii, to be invited
by the Chairperson to participate;

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(5)
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One individual from an organization that
represents home health care operators in Hawaii, to be invited by the
Chairperson to participate;

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(6)
�
One individual from an organization that
represents
�
case management agencies in
Hawaii, to be invited by the Chairperson to participate; and

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(7)
�
Any other individuals deemed relevant and
invited by the Chairperson to participate; and

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BE IT FURTHER
RESOLVED that the Department of Human Services is requested to publish on its
website annual statistics on the number of married and civil union private-pay
couples who have applied to reside together in a community care foster family
home, and the outcomes of those applications; and

BE IT FURTHER RESOLVED that
the Department of Human Services is requested to provide administrative support
to the task force, as needed; and

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BE IT FURTHER
RESOLVED that the task force is requested to submit a report of its findings,
recommendations, and proposed legislation, if any, to the Legislature no later
than twenty days prior to the Regular Session of 2027; and

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BE IT FURTHER
RESOLVED that certified copies of this Concurrent Resolution be transmitted to the
Director of Human Services, Director of Health, and Administrator of the Department
of Human Services Med-QUEST Division.

OFFERED BY:

_____________________________

Report Title:
�

Community
Care Foster Family Home; Private Pay; Medicaid; DHS; DOH