Hawaii Revised Statutes
346. Department of Human Services
346-53 Determination of amount of assistance.

§346-53 Determination of amount of assistance. (a) This subsection does not apply to general assistance to households without minor dependents. The standard of need shall equal the poverty level established by the federal government in 2006, prorated over a twelve-month period based on family size.
The assistance allowance provided shall be based on a percentage of the standard of need. For other work eligible households and non-work eligible households and households in which all caretaker relatives are minors, living independently with minor dependents and attending school, the assistance allowance shall be set no higher than sixty-two and one-half per cent and no lower than forty-four per cent of the standard of need. For all other households, the assistance allowance shall be set no higher than sixty-two and one-half per cent of the standard of need and set no lower than thirty-four per cent of the standard of need. The standard of need shall be determined by dividing the 2006 federal poverty level by twelve and rounding down the quotient. The remaining quotient shall be multiplied by the per cent as set by the director by rules pursuant to chapter 91, and the final product shall be rounded down to determine the assistance allowance; provided that:
(1) The department may increase or reduce the assistance allowance as determined in this subsection for work eligible households for the purpose of providing work incentives or services under part XI;
(2) No reduction shall be allowed that jeopardizes eligibility for or receipt of federal funds;
(3) Reductions in the assistance allowance shall be limited to no more than one per year; and
(4) No work eligible household, which includes an adult who has received sixty cumulative months of temporary assistance to needy families with minor dependents, shall be eligible for an assistance allowance, unless authorized by federal regulations.
(b) The director shall determine the allowance for general assistance to households without minor dependents based upon the total amount appropriated for general assistance to households without minor dependents, among other relevant factors.
(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 supplementary security income or public assistance, or both. The director shall provide for level of care payment as follows:
(1) Beginning on July 1, 2008, 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 $651.90; and
(2) Beginning on July 1, 2008, for adult residential care homes classified as facility type II, the state supplemental payment shall not exceed $759.90.
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.
The department shall handle abusive practices under this section in accordance with chapter 91.
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.
(d) On July 1, 2006, and thereafter, 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.
The payment shall be made with that portion of state funds identified in this subsection that has not been expended.
The department shall determine the rate of payment to ensure compliance with its maintenance of effort agreement with the Social Security Administration.
(e) The department shall pay rental and utility (to include gas, electricity, and water only) deposits once only for any person eligible for financial assistance by the department. However, under extraordinary circumstances as determined by the department, an additional rental deposit, utility deposit, or both, may be granted.
(f) Any recipient may petition the department for additional assistance when the recipient's need is due to emergencies caused by seismic wave, tsunami, hurricane, volcanic eruption, typhoon, earthquake, flood, or fire determined by the director to have caused losses as to require and justify additional assistance from the State. In addition, any recipient may petition the department for additional assistance for the replacement or repair of household appliances. The additional assistance shall be paid on an emergency basis, as determined by the department, to meet the cost of replacing or repairing household appliances. If the cost of repairs of household appliances is less than one-half the unit cost of the item, the department shall pay for the cost of repairs. If the cost of repairs of household appliances is one-half the unit cost of the item or more, the department shall replace the household appliance; provided that the replacement cost shall not exceed $350. For the purposes of this subsection, "household appliances" means a refrigerator or a range.
The department shall establish an emergency fund, not to exceed one per cent of total financial assistance from state funds required by this chapter in the previous fiscal year. The director shall adopt rules pursuant to chapter 91 for determining in which cases to grant lump sum payments to recipients petitioning for additional assistance.
(g) The department shall include protective child care payment as a special needs item in the financial assistance standard for cases of child neglect or abuse requiring placement of a child in child care. The referral for protective child care payment shall be from the department's child welfare program and the rate of payment shall be set by the department.
(h) The director shall adopt rules pursuant to chapter 91 to implement this section. [L 1975, c 145, pt of §1(3); am L 1976, c 73, §3; am L 1978, c 104, §1 and c 107, §6; am L 1979, c 52, § §3, 5; am L 1980, c 120, §3; am L 1983, c 196, §2; am L 1985, c 272, §9; gen ch 1985; am L 1987, c 25, §1 and c 344, §2; am L 1988, c 213, §1 and c 327, §2; am L 1989, c 154, §2, c 233, §1, and c 379, §1; am L 1990, c 321, §2; am L 1993, c 356, §2; am L 1995, c 70, §1 and c 166, §1; am L 1996, c 300, § §4, 6; am L 1997, c 200, § §5, 9, 11 and c 340, §2; am L 1998, c 127, § §4, 5; am L 2000, c 80, §1; am L 2005, c 168, §3; am L 2006, c 265, § §1, 2 and c 287, §2; am L 2007, c 237, §4; am L 2008, c 220, §12 as superseded by L Sp 2008, c 11, §12; am L 2009, c 101, §2; am L 2012, c 93, §3]
Case Notes
An unborn child is entitled to separate payment. 62 H. 626, 618 P.2d 295 (1980).
"Lump sum" rule, disqualifying assistance units for period based on total net monthly income, modified. 69 H. 187, 737 P.2d 867 (1987).

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.