HI SCR151

Requests establishment of a work group to examine social determinants of health and risk adjustment for Medicaid, gap-group, and uninsured individuals in Hawaii.

Work group membership includes the Insurance Commissioner, Department of Human Services and Health representatives, health insurance plans, provider organizations, three health care providers, three community health center representatives, three consumers (one from each coverage group), Hawaii Health Connector, Healthcare Transformation Office, and legislative committee chairs.

Work group must examine enabling services, care coordination efforts, state incentive structures, behavioral health and substance abuse management, risk pool management, value-added health care home services, and risk adjustment systems that account for medical complexity and social determinants.

Work group must submit a preliminary report to the Legislature no later than 20 days before the 2014 Regular Session convening and a final report no later than 20 days before the 2015 Regular Session convening.

Work group ceases to exist on June 30, 2015 and is subject to Hawaii Revised Statutes Chapter 92 (public meetings requirements).