HOUSE OF REPRESENTATIVES |
H.B. NO. |
1112 |
TWENTY-EIGHTH LEGISLATURE, 2015 |
H.D. 2 |
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STATE OF HAWAII |
S.D. 1 |
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A BILL FOR AN ACT
RELATING TO THE HAWAII HEALTH SYSTEMS CORPORATION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
PART I
SECTION 1. The legislature finds that the State's community hospital system, the Hawaii health systems corporation, provides essential hospital and long-term care services, in addition to physician and other health care services throughout the State. Hawaii health systems corporation facilities are often the only hospitals and emergency care providers in many rural communities. Due to rapid changes taking place in the health care industry, the legislature acknowledges that the governing structure of our public hospital system must provide the appropriate flexibility and autonomy needed to compete and remain viable and to respond to the needs of the specific communities served, by furthering the development of centers of excellence in health care.
The current administrative arrangement places the public hospital system in a single statewide public agency, the Hawaii health systems corporation, which operates with some autonomy from the executive branch. This arrangement is the result of landmark legislation, Act 262, Session Laws of Hawaii 1996, (Act 262), after years of study. Act 262 was largely the result of the work of a task force established pursuant to Act 266, Session Laws of Hawaii 1994, charged with studying the establishment of an agency for community hospitals, then a division of the department of health. On December 20, 1994, the task force issued its report to the governor and the legislature entitled The Preliminary Report of the Governor's Task Force on the Establishment of an Agency for Community Hospitals. Many of the recommendations of the task force were adopted by the legislature, resulting in passage of Act 262, and the creation of the Hawaii health systems corporation in 1996.
One significant recommendation of the task force included the establishment of regional system boards of directors, along with the system-wide board. This was accomplished in Act 290, Session Laws of Hawaii 2007, where the legislature established a two-tiered board system, giving the regional boards custodial control over the operations, facilities, and personnel, to be exercised within corporate policy.
The legislature further limited the corporation's centralized operational authority through Act 182, Session Laws of Hawaii 2009 (Act 182), which prohibits the corporation from granting mortgages on corporation real property in order to secure loans and revenue bonds. However, the legislature finds that the inability to leverage its biggest asset of real property by pledging it as collateral as well as the dollar cap that Act 182 imposed on the corporation's authority to enter into municipal leases has hindered the ability of the corporation to obtain outside financing and refinance loans for more favorable terms.
The legislature finds that the decentralization, while in some ways beneficial, also caused inefficiencies that are detrimental to the financial accountability and stability of the system. Consequently, there is a need to stabilize the network of public hospitals that are the primary source of medical care on the neighbor islands, as well as a safety net for thousands of elderly and needy patients.
The purpose of this part is to centralize personnel, purchasing, and other administrative functions wherever feasible within the Hawaii health systems corporation and remove unnecessary operational limitations to achieve greater efficiency, effectiveness, and meaningful financial accountability.
SECTION 2. Chapter 323F, Hawaii Revised Statutes, is amended by adding a new section to part II to be appropriately designated and to read as follows:
"§323F- Financial and management audits. The auditor shall conduct a financial and management audit of the Hawaii health systems corporation every five years."
SECTION 3. Section 323F-7, Hawaii Revised Statutes, is amended by amending subsections (c) and (d) to read as follows:
"(c) Notwithstanding any other law to the contrary, the corporation and any of the regional system boards shall exercise the following duties and powers:
(1) Developing corporation-wide policies, procedures, and rules necessary or appropriate to plan, operate, manage, and control the system of public health facilities and services without regard to chapter 91; provided that each regional system board shall be responsible for its own policies, procedures, and rules necessary or appropriate to plan, operate, manage, and control the public health facilities within its own regional system consistent with corporation policies;
(2) Evaluating the need for additional health facilities and services; provided that each regional system board shall be responsible for the evaluation within its own regional system;
(3) Entering into and performing any contracts, leases, cooperative agreements, partnerships, or other transactions whatsoever that may be necessary or appropriate in the performance of its purposes and responsibilities, and on terms the corporation, or regional system boards, may deem appropriate, with either:
(A) Any agency or instrumentality of the United States, or with any state, territory, or possession, or with any subdivision thereof; or
(B) Any person, firm, association, partnership, or corporation, whether operated on a for-profit or not-for-profit basis;
provided that the transaction furthers the public interest; and provided further that if any dispute arises between any contract, lease, cooperative agreement, partnership, or other transaction entered into by the corporation and a regional system board with regard to matters solely within that regional system, after July 1, 2007, the contract, lease, cooperative agreement, partnership, or other transaction entered into by the regional system board shall prevail; and provided further that such agreements are consistent with corporation policies;
(4) Conducting activities and entering into business relationships as the corporation board, or any regional system board, deems necessary or appropriate, including but not limited to:
(A) Creating nonprofit corporations, including but not limited to charitable fund-raising foundations, to be controlled wholly by the corporation, any regional system board, or jointly with others;
(B) Establishing, subscribing to, and owning stock in business corporations individually or jointly with others; and
(C) Entering into partnerships and other joint venture arrangements, or participating in alliances, purchasing consortia, health insurance pools, or other cooperative arrangements, with any public or private entity; provided that any corporation, venture, or relationship entered into under this section furthers the public interest; provided further that this paragraph shall not be construed to authorize the corporation or a regional system board to abrogate any responsibility or obligation under paragraph (15);
provided that each regional system board shall be responsible for conducting the activities under this paragraph in its own regional system consistent with policies established by the corporation board;
(5) Participating in and developing prepaid health care service and insurance programs and other alternative health care delivery programs, including programs involving the acceptance of capitated payments or premiums that include the assumption of financial and actuarial risk; provided that each regional system board shall be responsible for conducting the activities under this paragraph in its own regional system consistent with policies established by the corporation board;
(6) Executing, in accordance with all applicable bylaws, rules, and laws, all instruments necessary or appropriate in the exercise of any powers of the corporation or regional system boards;
(7) Preparing
and executing all corporation-wide budgets, policies, and procedures or any
regional system budgets, policies, and procedures; provided that the regional
system boards shall submit their regional and facility budgets to the
corporation [to be consolidated into a corporation-wide budget for purposes
of corporation-wide planning and appropriation requests. Regional system and
facility budgets shall be received by the corporation and shall be included in
the corporation-wide budget upon submittal to the corporation;] for
approval, amendment, or rejection;
(8) Setting rates and charges for all services provided by the corporation without regard to chapter 91; provided that the duty and power of the corporation board shall be limited to approving the rates and charges developed by the regional system boards for the regional system's facilities and services. Rates and charges may vary among regional systems and facilities and may be consolidated with the rates of other regional systems into one charge master. Third-party payer contracts may be negotiated at the corporation-wide level with input from the regional systems, taking into consideration the rates set by the regional system boards. For purposes of securing revenue bonds, the corporation or regional system board may covenant to set, and if necessary increase, rates and charges as needed to pay debt service and related obligations plus a coverage factor;
(9) Developing a corporation-wide hospital system that is subject to chapters 76 and 89; provided that employees transitioned to a private entity pursuant to this chapter shall not be governed by chapters 76 and 89; provided that employment of regional system and facility personnel shall be the responsibility of the regional system boards pursuant to corporation-wide policies and procedures, applicable laws, rules, regulations, and collective bargaining agreements;
(10) Developing the corporation's corporation-wide capital and strategic plans or any regional system board's capital and strategic plans; provided that each regional system board shall be responsible for development of capital and strategic plans in its own regional system that shall be consistent with, and incorporated into, the overall corporation-wide plans; and provided further that the corporation and each regional system board shall be entitled to undertake the acquisition, construction, and improvement of property, facilities, and equipment to carry out these capital and strategic plans;
(11) Suing and being sued; provided that only the corporation may sue or be sued; and provided further that the corporation and regional system boards shall enjoy the same sovereign immunity available to the State;
(12) Making and altering corporation board and regional system board bylaws for its organization and management without regard to chapter 91 and consistent with this chapter; provided that each regional system board shall be responsible for the final approval of its regional system board bylaws;
(13) Adopting rules without regard to chapter 91 governing the exercise of the corporation's or regional system boards' powers and the fulfillment of its purpose under this chapter;
(14) Entering into any contract or agreement whatsoever, not inconsistent with this chapter or the laws of this State, and authorizing the corporation, regional system boards, and chief executive officers to enter into all contracts, execute all instruments, and do all things necessary or appropriate in the exercise of the powers granted in this chapter, including securing the payment of bonds; provided that the corporation board shall delegate to a regional system board its authority to enter into and execute contracts or agreements relating to matters exclusively affecting that regional system; provided further that a regional system board shall exercise this power consistent with corporation-wide policies; and provided further that contracts or agreements executed by a regional system board shall encumber only the regional subaccounts of that regional system board;
(15) Issuing revenue bonds up to $100,000,000 subject to the approval of the governor or the director of finance; provided that:
(A) All revenue bonds shall be issued pursuant to part III, chapter 39;
(B) The corporation and any regional system board shall have the power to issue revenue bonds in any amount without regard to any limitation in chapter 39; and
(C) The corporation shall have the power to incur debt, including the issuance of revenue bonds in any amount, and the regional system boards shall have the power to issue revenue bonds in any amount upon approval by the corporation board;
(16) Reimbursing the state general fund for debt service on general obligation bonds or reimbursable general obligation bonds issued by the State for the purposes of the corporation or any regional system board;
(17) Pledging or assigning all or any part of the receipts, revenues, and other financial assets of the corporation or the regional system boards for purposes of meeting or securing bond or health systems liabilities; provided that each regional system board shall be responsible for conducting the activities under this paragraph in its own regional system. Any pledge or assignment by the corporation or any regional system board to secure revenue bonds or health system liabilities shall be valid and binding in accordance with its terms against the pledgor, creditors, and all others asserting rights thereto from the time the pledge or assignment is made, without the need of physical delivery, recordation, filing, or further act. The corporation shall not take or omit to take any act that would interfere with, impair, or adversely affect any pledge or assignment by a regional system board pursuant to this chapter. In connection with issuing revenue bonds or related obligations, consistent with corporation policies and procedures, any regional system board may make such other covenants, binding on the regional system board and the corporation, that the regional system board determines to be necessary or appropriate to establish and maintain security for the revenue bonds or related obligations;
(18) Owning, purchasing, leasing, exchanging, or otherwise acquiring property, whether real, personal, or mixed, tangible or intangible, and of any interest therein, in the name of the corporation, which property is not owned or controlled by the State but is owned or controlled by the corporation; provided that:
(A) Regional system boards shall have custodial control over facilities and physical assets in their respective regional systems. A regional system board may own, purchase, lease, exchange, or otherwise acquire property, whether real, personal, or mixed, tangible or intangible, and of any interest therein, other than property owned or controlled by the corporation, in the name of the regional system board; provided further that a regional system board shall be subject to section 323F-3.5; and
(B) Each regional system board shall be responsible for conducting the activities under this paragraph in its own regional system;
(19) Maintaining,
improving, pledging, mortgaging, selling, or otherwise holding or disposing of
property, whether real, personal, or mixed, tangible or intangible, and of any
interest therein, at any time and manner, in furtherance of the purposes and
mission of the corporation or any regional system board; provided that the
corporation or any regional system board legally holds or controls the property
in its own name; provided further that other than to secure revenue bonds and
related obligations and agents, and to transition into
a new entity, the corporation
or any regional system board shall not sell, assign, lease, hypothecate,
mortgage, pledge, give, or dispose of all or substantially all of its property;
and provided further that each regional system board shall be responsible for
conducting the activities under this paragraph in its own regional system, and
control over such property shall be delegated to each regional system board; [provided
further that this paragraph shall not be construed to authorize the sale,
pledge, or mortgage of real property under the control of the corporation or a
regional system board;]
(20) Purchasing insurance and creating captive insurers in any arrangement deemed in the best interest of the corporation, including but not limited to funding and payment of deductibles and purchase of reinsurance; provided that only the corporation shall have the power to create captive insurers to benefit public health facilities and operations in all regional systems; and provided further that a regional system board may purchase insurance for its regional system in collaboration with the other regional systems and the corporation until captive coverage is provided by the corporation;
(21) Acquiring by condemnation, pursuant to chapter 101, any real property required by the corporation to carry out the powers granted by this chapter;
(22) Depositing any moneys of the corporation or any regional system board in any banking institution within or without the State, and appointing, for the purpose of making deposits, one or more persons to act as custodians of the moneys of the corporation or any regional system board; provided that regional system boards may deposit moneys in banking institutions pursuant to corporation-wide guidelines established by the corporation board;
(23) Contracting for and accepting any gifts, grants, and loans of funds, property, or any other aid in any form from the federal government, the State, any state agency, or any other source, or any combination thereof, and complying, subject to this chapter, with the terms and conditions thereof; provided that the regional system boards shall be responsible for contracting for and accepting any gifts, grants, loans, property, or other aid if intended to benefit the public health facilities and operations exclusively in their respective regional systems; and provided further that all contracting for or acceptance of gifts, grants, loans, property, or other aid shall be consistent with corporation-wide policies established by the corporation board;
(24) Providing health and medical services for the public directly or by agreement or lease with any person, firm, or private or public corporation, partnership, or association through or in the health facilities of the corporation or regional system boards or otherwise; provided that the regional system boards shall be responsible for conducting the activities under this paragraph in their respective regional systems;
(25) Approving medical staff bylaws, rules, and medical staff appointments and reappointments for all public health facilities of the corporation or any regional system board, including but not limited to determining the conditions under which a health professional may be extended the privilege of practicing within a health facility, as determined by the respective regional system board and consistent with corporation-wide policies, and adopting and implementing reasonable rules, without regard to chapter 91, for the credentialing and peer review of all persons and health professionals within the facility; provided that regional system boards shall be the governing body responsible for all medical staff organization, peer review, and credentialing activities to the extent allowed by law;
(26) (A) Investing any funds not required for immediate disbursement in property or in securities that meet the standard for investments established in chapter 88 as provided by the corporation board or any regional system board; provided that proceeds of bonds and moneys pledged to secure bonds may be invested in obligations permitted by any document that authorizes the issuance or securing of bonds; and provided further that the investment assists the corporation or any regional system board in carrying out its public purposes; selling from time to time securities thus purchased and held, and depositing any securities in any bank or financial institution within or without the State. Any funds deposited in a banking institution or in any depository authorized in this section shall be secured in a manner and subject to terms and conditions as the corporation board or a regional system board may determine, with or without payment of any interest on the deposit, including without limitation time deposits evidenced by certificates of deposit. Any bank or financial institution incorporated under the laws of this State may act as depository of any funds of the corporation or a regional system board and may issue indemnity bonds or may pledge securities as may be required by the corporation or regional system board; provided that regional system boards may exercise the powers under this subsection with respect to financial assets of the regional system consistent with corporation-wide policies; and
(B) Notwithstanding subparagraph (A), contracting with the holders of any of its notes or bonds as to the custody, collection, securing, investment, and payment of any moneys of the corporation or regional system board and of any moneys held in trust or otherwise for the payment of notes or bonds and carrying out the contract. Moneys held in trust or otherwise for the payment of notes or bonds or in any way to secure notes or bonds, and deposits of such moneys, may be secured in the same manner as moneys of the corporation or regional system board, and all banks and trust companies are authorized to give security for the deposits;
(27) Entering into any agreement with the State, including but not limited to contracts for the provision of goods, services, and facilities in support of the corporation's programs or the regional system boards' programs, and contracting for the provision of services to or on behalf of the State; provided that the regional system boards shall be responsible for entering into agreements to provide goods, services, and facilities in support of programs in their respective regional systems consistent with corporation-wide policies;
(28) Having a seal and altering the same at pleasure;
(29) Waiving, by means that the corporation or regional system board deems appropriate, the exemption from federal income taxation of interest on the corporation's or regional system boards' bonds, notes, or other obligations provided by the Internal Revenue Code of 1986, as amended, or any other federal statute providing a similar exemption;
(30) Developing internal policies and procedures for the procurement of goods and services, consistent with the goals of public accountability and public procurement practices, and subject to management and financial legislative audits; provided that the regional system boards shall be responsible for developing internal policies and procedures for each of their regional systems consistent with the corporation's policies and procedures; and further provided that:
(A) The regional system boards and the corporation board shall enjoy the exemption under section 103-53(e);
(B) The regional system boards shall enjoy the exemption under chapter 103D; and
(C) The corporation shall be subject to chapter 103D;
(31) Authorizing and establishing positions; provided that regional system boards shall be responsible for hiring and firing regional and facility personnel consistent with corporation policies, except a regional chief executive officer shall only be hired or dismissed upon the approval of the regional system board as further set forth in section 323F-8.5;
(32) Having and exercising all rights and powers necessary or incidental to or implied from the specific powers granted in this chapter, which specific powers shall not be considered as a limitation upon any power necessary or appropriate to carry out the purposes and intent of this chapter; provided that the regional system boards shall be responsible for having and exercising all powers and rights with respect to matters in their regional systems consistent with the law; and
(33) Each regional system, through its regional system board, shall:
(A) Develop policies and procedures necessary or appropriate to plan, operate, manage, and control the day-to-day operations of facilities within the regional system that are consistent with corporation-wide policies;
(B) Exercise custodial control over and use of all assets of the corporation that are located in the regional system pursuant to this chapter; and
(C) Expend funds within its approved regional system budget and expend additional funds in excess of its approved regional system budget upon approval of the corporation board.
(d)
Each regional system board shall not be subject to chapters 36 to 38, 40, 41D,
and 103D as well as part I of chapter 92 and shall enjoy the exemptions
contained in sections 102-2 and 103-53(e), except as otherwise provided in this
chapter. The corporation shall not be subject to chapters 36 to 38, 40, and
41D, as well as part I of chapter 92, and shall enjoy the exemptions contained
in sections 102-2 and 103-53(e); provided that the
exemption provided under this subsection to chapter 37D shall only apply to
financing agreements of $5,000,000 or less; provided further that the aggregate
value of financing agreements per fiscal year shall not exceed $25,000,000[.]
per region."
SECTION 4. Section 323F-21, Hawaii Revised Statutes, is amended as follows:
1. By amending subsection (b) to read:
"(b)
The corporation board and regional system boards shall collaboratively develop
budgetary guidelines and annual operating and capital budgets for each
facility, taking into account anticipated surpluses from or subsidies to the
facilities pursuant to the annual guidelines described in this section,
accumulated corporation and regional reserves and accounts, subsidies, if any,
that are determined to be needed from the general fund, and other sources of
corporation-wide and regional income as may be identified. Two-year budgets
will be [approved for] recommended for approval by regional
system boards, in alignment with State of Hawaii biennium budgeting. The
corporate board shall [not alter] approve the two-year budget of [a]
the regional system [except:
(1) Where state general funding is
reduced;
(2) An emergency exists; or
(3) There is a renegotiated budget
approved by a regional system board].
The corporation and regional system boards shall collaboratively develop budgetary guidelines and negotiate with each facility reasonable corporation administrative costs, including funds determined by the corporation or any regional system board to be needed from or provided to each facility to:
(1) Repay corporation or regional system board debts;
(2) Provide subsidies to any facility determined to be unable to fund from within that facility's programs and services deemed essential to community needs; and
(3) Maintain appropriate reserves."
2. By amending subsection (d) to read:
"(d) Beginning with the first of the legislative biennium budget years following the establishment of a regional system board, and for each biennium period thereafter, the corporation shall call together all the regional systems through representatives selected by each regional system board, and the chairs of the facility management advisory committees, if any, to determine which services and functions should be provided by the corporation for the next biennium budget period, consistent with this chapter. As part of the biennium budgeting process, the corporation board and the representatives of each regional system, working through the corporation board regional representatives, shall agree upon an allocation methodology for funding the agreed upon and statutorily created corporate services and functions. When allocation decisions cannot be reached by agreement of the regional and corporate boards, the corporate board shall decide the allocation for that service or function for that biennium period."
PART II
SECTION 5. The legislature finds that under current law, employees of the Hawaii health systems corporation are included in seven bargaining units that also include employees of other public employers. While this arrangement is not unique to the Hawaii health systems corporation, the corporation's status as one of the nation's largest public health care organizations providing acute and long term health care services makes its workforce needs wholly different from other government agencies in the State.
Other health care workers are employed by the State; however, none of them provide acute hospital care or residential long term care. The ability to negotiate comprehensive master collective bargaining agreements that address the wages, hours, and working conditions of its employees will allow the Hawaii health systems corporation to expeditiously respond to and address the unique issues inherent in its hospital operations, including census, acuity, process improvement, and most importantly, quality patient care.
The purpose of this part is to provide for negotiation of master collective bargaining agreements by the Hawaii health systems corporation for its employees.
SECTION 6. Section 89-8.5, Hawaii Revised Statutes, is amended to read as follows:
"[[]§89-8.5[]]
Negotiating authority; Hawaii health systems corporation. Notwithstanding any law to the contrary, including section 89-6(d),
the Hawaii health systems corporation or any of the regional boards, as a sole
employer negotiator, may negotiate with the exclusive representative of any
appropriate bargaining unit and execute [memorandums of understanding] its
own collective bargaining agreement that is a mandatory subject of collective
bargaining for employees under its control [to alter any existing or new
collective bargaining agreement on any item or items subject to section 89-9]."
PART III
SECTION 7. The legislature finds that there is a need to ensure that all of the people of Hawaii, especially those residing in underserved rural communities, have continued access to health care services by establishing a process for determining whether the health care services presently provided by the Hawaii health systems corporation, one or more of the corporation's five regional health care systems, or one or more of the corporation's health systems facilities can be delivered more cost-effectively by partnering with a private health care management system.
SECTION 8. Section 323F-7.6, Hawaii Revised Statutes, is amended to read as follows:
"[[]§323F-7.6[]] Transition of Hawaii
health systems regional system or health facility to a new entity. (a) Notwithstanding any other law to the contrary, including but
not limited to section 27-1 and [chapter] chapters 76, 78, 89, and
171, any of the regional systems or individual facilities of the Hawaii health
systems corporation is hereby authorized to [transition]:
(1) Enter into agreements with other health care entities to transition some or all of the responsibilities of a facility or region; and
(2) Transition into a new legal entity in any form recognized under the laws of the State, including but not limited to:
[(1)] (A) A nonprofit corporation;
[(2)] (B) A for-profit corporation;
[(3)] (C) A municipal facility;
[(4)] (D) A public benefit corporation; or
[(5)] (E) Any two or more of the entities in [paragraphs
(1) through (4).] subparagraphs (A) through (D).
A transition shall occur through the sale, lease, or transfer of all or substantially all of the assets of the facility or regional system, except for real property which shall only be transferred by lease. Any transition shall comply with chapter 323D.
(b) A transition shall only occur upon approval of the appropriate regional system board in the case of a regional system or individual facility transition, or upon approval of the regional system boards and the corporation in the case of the transition of the entire corporation. Any transition shall be subject to legal review by the attorney general who shall approve the transition if satisfied that the transition conforms to all applicable laws, subject to the review of the director of the department of budget and finance who shall approve the transition if it conforms to all applicable financing procedures, and subject to the governor's approval. In addition the transition shall be subject to the following terms and conditions:
(1) All proceeds from the sale, lease, or transfer of assets shall be used for health care services in the respective regional system or facility, except that real property shall only be transferred by lease;
(2) Any and all liabilities of a regional system or facility transitioning into a new entity that were transferred to the Hawaii health systems corporation upon its creation by Act 262, Session Laws of Hawaii 1996, and all liabilities of the regional system or facility related to collective bargaining contracts negotiated by the State, shall become the responsibility of the State; and
(3) During the period of transition:
(A) The State shall continue to fund the provision of health care services provided for by the regional system or individual facility; and
(B) All applicable provisions of this chapter shall continue to apply.
[Upon
the completion of the transition of all the facilities in a regional system to
a new entity, the regional system board for that regional system shall
terminate; provided that if not all of a regional system's facilities are
transitioned to a new entity, the existing regional system board shall not
terminate but shall continue to retain jurisdiction over those facilities
remaining in the regional system.]
(c) The Hawaii health systems corporation and the regional system boards shall collaborate and adopt management and oversight policies for agreements entered into pursuant to subsection (a)(1). The regional system board of the area where the facilities and operations are located shall oversee the performance of the terms of the agreement by the private entity and shall manage the agreement on behalf of the State in accordance with the policies adopted."
PART IV
SECTION 9. No employee of the Hawaii health systems corporation who is separated from service as a result of the implementation of a transition plan under this chapter shall suffer any loss of retirement allowance earned as provided in section 88-74, Hawaii Revised Statutes.
SECTION 10. All acts passed prior to or during the regular session of 2015, whether enacted before or after passage of this Act, shall be amended to conform to this Act unless such acts specifically provide that this Act is being amended. Insofar as this Act is inconsistent with any other law, this Act shall control.
SECTION 11. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 12. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 13. This Act shall take effect on July 1, 2015; provided that part II of this Act shall apply to collective bargaining agreements negotiated after July 1, 2015.
Report Title:
Hawaii Health Systems Corporation; Audit; Collective Bargaining; Transition
Description:
Repeals certain limits on operational authority. Requires the auditor to conduct a financial and management audit of HHSC every five years. Authorizes HHSC to negotiate master collective bargaining agreements for its employees. Clarifies that a region or facility may transition by partnering with a private healthcare management system notwithstanding civil service and related laws. (SD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.