Hawaii Revised Statutes
346. Department of Human Services
346-10 Protection of records; divulging confidential information prohibited.

§346-10 Protection of records; divulging confidential information prohibited. (a) The department and its agents shall keep records that may be necessary or proper in accordance with this chapter. All applications and records concerning any applicant or recipient shall be confidential. The use or disclosure of information concerning applicants and recipients shall be limited to:
(1) Persons duly authorized by the State or the United States in connection with their official duties, when the official duties are directly connected with the administration of any form of public assistance, medical assistance, food stamps, or social services;
(2) Purposes directly connected with any investigation, prosecution, or criminal or civil proceeding conducted in connection with the administration of any form of public assistance, food stamps, medical assistance, or social services, including disclosure by the department of information and documents to police departments, prosecutors' offices, the attorney general's office, or any other state, county, or federal agency engaged in the detection, investigation, or prosecution of violations of applicable state, county, and federal laws or regulations regarding any aspect of theft, fraud, deception, or overpayment in connection with any aspect of public assistance, food stamps, medical assistance, or social services; provided that disclosure by recipient agencies and personnel shall be permitted under this section to the extent reasonably necessary to carry out the functions for which the information was provided;
(3) Disclosure to the extent necessary to provide services for applicants and recipients, to determine eligibility, or to determine the amount of public assistance, including verification of information provided by the recipient of public assistance, medical assistance, or food stamps, or to determine the type, kind, frequency, and amount of social services, including health and mental health related services needed;
(4) Disclosure to banks, financial institutions, or any other payor of a public assistance warrant or check of any information indicating that a public assistance warrant or check honored by the bank, institution, or payor has been forged or otherwise wrongfully presented for payment;
(5) Federal agencies responsible for the administration of federally assisted programs that provide assistance in cash or in kind for services directly to individuals on the basis of need and the certification of receipt of assistance to needy families with minor dependents to an employer for purposes of claiming tax credit under Public Law 94-12, the Tax Reduction Act of 1975, shall be permitted;
(6) Employees acting within the scope and course of their employment of recognized social welfare organizations as may be approved by the department;
(7) Purposes directly connected with any investigation, prosecution, or criminal proceeding conducted in connection with the licensure or operation of an adult day care center, including disclosure by the department of information and documents to police departments, prosecutors' offices, the attorney general's office, or any other state, county, or federal agency engaged in the detection, investigation, or prosecution of violations of applicable state, county, and federal laws or regulations;
(8) Disclosure to the child support enforcement agency for obtaining or enforcing a child support order under chapter 576D;
(9) Disclosure of a recipient's residence and business address to law enforcement officers who request information if the information is needed for an official administrative, civil, or criminal law enforcement purpose to identify a recipient as a fugitive felon or parole violator, and in cases where the information is needed for an official purpose and where the department has informed the recipient of the circumstances in which the recipient's address may be released under section 92F-19(a)(1), (3), or (4);
(10) Disclosure of reports and records relating to child abuse or neglect to the extent allowed by rules adopted under section 350-1.4; and
(11) Disclosure pursuant to a court order, after an in camera review of the records by the court, upon a showing of good cause by the party seeking the release of the records.
(b) Disclosure to any committee or legislative body (federal, state, or local) of any information that identifies by name and address any such applicant or recipient; and publication of lists or names of applicants and recipients shall be prohibited.
(c) The department shall promulgate and enforce such rules as may be necessary to prevent improper acquisition or use of confidential information. Any information secured pursuant to this section by the officials or employees may be used in connection with their official duties or within the scope and course of their employment but not otherwise, and shall be kept in confidential records or files, which shall not be subject to any other law permitting inspection of government records. The department and its agents shall determine whether or not such inspection is in connection with such official duties or within the scope and course of such employment.
(d) The use of the records, and other communications of the department or its agents by any other agency or department of government to which they may be furnished, shall be limited to the purposes for which they are furnished.
(e) Confidential information shall be released if requested by specific written waiver of the applicant or recipient concerned.
(f) The identity of foster parents, adoptive parents, and foster care facility staff parents, and the location of the foster home, adoptive home, or foster care facility is confidential but may be released with the consent of the foster parent, adoptive parent, or foster care facility staff. If the department determines it is in the best interest of the child and of the adoptive parents, foster parents, or facility, the identity and location of the adoptive parents or foster parents, foster home, or facility may be stricken from the individual's case file or withheld from the child's parents, guardians, or other interested persons. Notwithstanding the above, the department shall release the identity, mailing address, and telephone number of licensed or certified foster parents and approved relative caregivers to any association, agency, or government entity which would be of benefit to the foster parents or relative caregivers or to the foster care program, unless the foster parents or relative caregivers submit to the department a signed statement requesting that such information be kept confidential. To be effective, this statement must be submitted to the department by December 31, 1996, or with the application to the department thereafter. The identity, mailing address, and telephone number of licensed or certified foster parents and approved relative caregivers provided to an association, agency, or government entity shall not be released by the association, agency, or government entity without the consent of the foster parent or relative caregiver.
(g) All reports concerning adult abuse or neglect, as well as all records of such reports, are confidential and any unauthorized disclosure of a report or record of a report shall be a violation. The director of human services may adopt, amend, or repeal rules, pursuant to chapter 91, to provide for the confidentiality of reports and records and for the authorized disclosure of reports and records. [L 1941, c 296, pt of §1; am L 1943, c 113, §1; RL 1945, §4825; am L 1951, c 226, §1; am L 1953, c 153, §2; RL 1955, §108-5; HRS §346-10; am L 1970, c 105, §5; am L 1978, c 105, §2; am L 1983, c 213, §1; am L 1985, c 272, §8; am L 1986, c 332, §6; am L 1987, c 339, §4 and c 345, §2; am L 1991, c 145, §2; am L 1996, c 33, §1; am L 1997, c 200, § §3, 11; am L 1998, c 127, §5; am L 1999, c 34, §1; am L 2012, c 91, §1]
Attorney General Opinions
Dissemination of data in DSSH files is limited to officials and employees, therefore HMSA is entitled only to information essential to its fiscal functions. Att. Gen. Op. 77-5.
Case Notes
Confidentiality requirement insufficient to prevent administrative inspection procedures from unconstitutionally intruding into patient's freedom to decide whether to seek aid of psychiatrist and communicate personal information. 481 F. Supp. 1028 (1979).

Structure Hawaii Revised Statutes

Hawaii Revised Statutes

Title 20. Social Services

346. Department of Human Services

346-1 Definitions.

346-1.7 REPEALED.

346-2 Appointment of personnel.

346-2.5 Criminal history record checks.

346-3 Compensation of employees.

346-4 REPEALED.

346-4.5 Investigators; authority and access to records.

346-5 Reports.

346-6 Appropriations; expenditures; donations.

346-7 Acceptance of grants-in-aid or outright grants.

346-7.5 Spouse and child abuse special fund.

346-8 Additional funds.

346-9 Workshop program.

346-10 Protection of records; divulging confidential information prohibited.

346-11 Unauthorized disclosure or inspection.

346-12 Hearing.

346-13 Attendance and testimony of witnesses.

346-14 Duties generally.

346-14.3 Guiding principles to be used by state agencies when dealing with children of incarcerated parents.

346-14.5 Financial assistance advisory council; established.

346-15 Death benefits for deceased medical or financial assistance recipients and disposition of unclaimed dead human bodies.

346-16 Definitions.

346-17 Child placing organizations, child caring institutions, and resource family homes; authority over, investigation of, and standards for.

346-17.2 Health assessment.

346-17.3 Motor vehicle insurance. The parents of a child under foster care who has obtained a driver's license shall pay the costs of the child's motor vehicle insurance, unless the court determines the parents to be financially unable to pay the cos...

346-17.4 Higher education stipends for students

346-17.5 Federal aid to children in foster care.

346-17.6 Consent to no cost emergency shelter and related services.

346-18 to 346-19.5 REPEALED.

346-19.6 REPEALED.

346-19.7 Prospective adoptive parents; standards and home studies.

346-19.8 Department standards and requirements; disability.

346-20 to 346-25 REPEALED.

346-26 Prevention and treatment of conditions giving rise to need.

346-27 REPEALED.

346-28 REPEALED.

346-28.5 Family self-sufficiency escrow accounts; asset test exemption.

346-29 Applications for public assistance; manner, form, conditions.

346-29.3 Medical assistance application information; annual report; public disclosure. (a) Each applicant for medical assistance under any program administered by the department shall identify the employer of the proposed beneficiary of medical assis...

346-29.5 Real property liens.

346-30 Relief limited.

346-31 Assignment of persons in need of public assistance to work on public projects.

346-32 Application of chapter 386 to persons in need of public assistance assigned to work projects.

346-33 Assistance payments inalienable.

346-34 Frauds, penalties.

346-35 Cancellation or revision.

346-36 Assistance payments, subject to change or repeal.

346-37 Recovery of payments and costs of medical assistance.

346-37.1 Payment of public assistance for child requires payment of child support to department by natural or adoptive parents.

346-37.2 Department subrogated to rights.

346-37.3 Notice of child support debt.

346-37.4 to 346-37.6 REPEALED.

346-38 Incompetency of recipient.

346-39 Legal representative.

346-39.5 Unclaimed financial assistance balances in electronic benefit transfer accounts.

346-40 Maintenance and availability of records; penalty.

346-41 Inspection of institutional facilities.

346-41.5 Hawaii qualified health centers.

346-42 Administrative inspections and warrants.

346-43 Penalties under other laws.

346-43.5 Medical assistance fraud; penalties.

346-44 Recovery of public assistance overpayments.

346-45 Confidentiality of court records.

346-46 Certified nurse aides; training programs and recertification.

346-47 REPEALED.

346-48 Coverage of ground ambulance services.

346-51 to 346-62 OLD REPEALED. §346-51 Public assistance and child welfare services administered by department.

346-51.5 Expenditure of temporary assistance for needy families funds.

346-52 Aged, blind, and permanently and totally disabled persons; eligibility for assistance.

346-53 Determination of amount of assistance.

346-53.2 Temporary assistance for needy families; funding and programs; public comment.

346-53.3 Temporary assistance for needy families and food stamps for individuals with a felony conviction which has as an element the possession, use, or distribution of a controlled substance.

346-53.4 Reimbursement to expanded adult residential care home operators.

346-53.5 REPEALED. L 1993, c 148, §2.

346-53.6 Federally qualified health centers; rural health clinics; reimbursement.

346-53.8 Kahuku medical center.

346-53.61 Centers for Medicare and Medicaid Services approval.

346-53.62 Federally qualified health centers and rural health clinics; reconciliation of managed care supplemental payments.

346-53.63 Federally qualified health center or rural health clinic; adjustment for changes to scope of services.

346-53.64 Federally qualified health center or rural health clinic visit. (a) Services eligible for prospective payment system reimbursement are those services that are furnished by a federally qualified health center or rural health clinic that are:...

346-53.65 Appeal.

346-54 Report to the legislature.

346-55 REPEALED.

346-55.1 Visitation, custody, and support when public assistance paid.

346-55.5 REPEALED.

346-56 State reimbursement.

346-57 Loans to applicants for federal supplemental security income.

346-57.5 Interim assistance reimbursement special fund.

346-58 REPEALED.

346-59 Medical care payments.

346-59.1 Coverage for telehealth. (a) The State's medicaid managed care and fee-for-service programs shall not deny coverage for any service provided through telehealth that would be covered if the service were provided through in-person consultation...

346-59.2 Comprehensive breast and cervical cancer control program.

346-59.4 Medical assistance to other children.

346-59.5 Enforcement of contracts.

346-59.6 Medicaid overpayment recovery.

346-59.7 Enforcement of decisions regarding medicaid overpayment recovery; judgment rendered thereon.

346-59.8 REPEALED.

346-59.9 Psychotropic medication.

346-60 Group therapy; reimbursement for services.

346-61 Optometric services, choice.

346-62 Examination of blind.

346-63 Social services.

346-64 REPEALED.

346-64.5 Eligibility for chore services. (a) An applicant for chore services shall be eligible when the applicant meets program requirements for chore services and income eligibility standards as established by the department of human services. Incom...

346-65 Child abuse and neglect discretionary emergency assistance.

346-66 Psychological services.

346-67 Medical foods and low-protein modified food products; treatment of inborn error of metabolism; notice.

346-68 Bridge to hope program; transitional benefits.

346-69 Welfare safety net program; department of human services.

346-70 Medical assistance for other pregnant women.

346-71 General assistance to households without minor dependents.

346-72 Applications.

346-73 REPEALED.

346-74 Representative payee.

346-75 REPEALED.

346-81 to 346-85 REPEALED.

346-90 REPEALED.

346-91 to 346-96 REPEALED.

346-97 Criminal history record checks.

346-101 Findings and purpose.

346-102 Public service employment; established.

346-103 Wages or salaries of public service employment.

346-104 Refusal to work; ineligibility for public assistance.

346-121 to 346-124 REPEALED.

346-141 Purpose.

346-142 Definitions.

346-143 Administration.

346-144 Application; approval; statement; return.

346-145 Transportation assistance.

346-146 Penalty.

346-151 Definitions.

346-152 Exclusions; exemptions.

346-152.3 Investigations.

346-152.5 Requirements for persons exempt pursuant to section 346-152.

346-152.7 Safe sleep policy.

346-153 Records of deficiencies and complaints; release to public

346-154 Background checks.

346-155 Rules.

346-156 Penalty; remedies.

346-157 Liability insurance coverage; requirement.

346-158 No smoking in child care facilities.

346-159 REPEALED.

346-161 License for group child care home, group child care center required.

346-162 Rules; minimum standards.

346-163 Licenses and temporary permits

346-164 Suspension and revocation of licenses and permits; reissuance.

346-165 Visitation and inspection of group child care home, group child care center.

346-166 Records.

346-171 Registration for family child care home required.

346-172 Rules for registration.

346-173 Procedure for registration.

346-174 Informing parent and legal guardian of children and general public.

346-175 Visitation and inspection of family child care home; revocation of registration.

346-176 Family child care system.

346-177 Program of incentive for registration.

346-181 Preschool open doors program.

346-182 Preschool open doors special fund.

346-183 Preschool grant program special fund; established.

346-184 Preschool open doors program; provider accreditation.

346-185 Preschool open doors; procurement exemption.

346-186 Prior early learning program information.

346-201 to 346-215 REPEALED.

346-221 Purpose; construction.

346-222 Definitions.

346-223 Jurisdiction; venue.

346-224 Reports.

346-225 Confidentiality of reports.

346-226 Access to records.

346-227 Investigation.

346-228 Action upon investigation.

346-229 Right of entry.

346-230 Termination of services.

346-231 Order for immediate protection.

346-232 Order to show cause hearing.

346-233 Petition.

346-234 Guardian ad litem; counsel.

346-235 Consolidation with guardianship proceedings.

346-236 Permanent changes.

346-237 Notice of proceedings.

346-238 Service.

346-239 Required findings concerning postponed hearings.

346-240 Adjudicatory hearing.

346-241 Disposition.

346-242 Review hearings.

346-243 Appeal.

346-244 Admissibility of evidence.

346-245 Hearings.

346-246 Failure to comply with court orders.

346-247 Payment for service or treatment provided to a party.

346-248 Fiscal and service responsibility.

346-249 Cooperation.

346-250 Immunity from liability.

346-251 Presumption of capacity.

346-252 Advanced age.

346-253 Rules.

346-261 First-To-Work; establishment; purpose.

346-262 to 346-276 REPEALED.

346-301 Adoption assistance program established.

346-302 Equal benefits.

346-303 Rules.

346-304 Eligibility.

346-305 Effect on prior adoption assistance agreements.

346-311 to 346-319 REPEALED.

346-331 to 346-336 REPEALED.

346-341 to 346-347 REPEALED.

346-351 Findings.

346-352 Preauthorization exemption for certain physicians and physician assistants

346-361 Definitions.

346-362 Duties.

346-363 Exception to liability for donors.

346-364 Contract or conveyance to the department.

346-365 Program administration.

346-366 Time limits.

346-367 Determination of eligibility and need.

346-368 Abuse of assistance.

346-369 Exemptions.

346-370 Emergency or transitional shelter volunteers.

346-371 Annual financial audit.

346-372 Provider agency and donor cooperation are not in restraint of trade.

346-373 Construction of part.

346-374 Homeless shelter stipends.

346-374.5 Emergency shelter; minimum requirements.

346-375 Temporary emergency shelter.

346-376 Additional powers.

346-377 REPEALED.

346-378 Housing first programs.

346-381 Hawaii interagency council on homelessness; establishment.

346-381.5 Governor's coordinator on homelessness.

346-382 Membership.

346-383 Meetings; quorum.

346-391 Purpose.

346-392 Definitions.

346-393 Rights of the young adult.

346-394 Jurisdiction.

346-395 Eligibility.

346-396 Voluntary care agreement.

346-397 Provision of extended foster care services.

346-398 Petition; venue.

346-399 Notice of hearings and reviews.

346-400 Case plan; reports to be submitted by the department.

346-401 Court proceedings.

346-402 Court-appointed attorneys.

346-403 Periodic review.

346-404 Termination of jurisdiction.

346-405 Reestablishing jurisdiction.

346-406 Liability of the department.

346-407 REPEALED.

346-421 Health analytics program; appointments.