Hawaii Revised Statutes
346. Department of Human Services
346-71 General assistance to households without minor dependents.

Note
Part heading amended by L 1997, c 200, § §6, 11; L 1998, c 127, §5.
§346-71 General assistance to households without minor dependents. (a) The department of human services is authorized to administer and provide public assistance to eligible persons who are disabled, who are not otherwise provided for under this chapter, and who are unable to provide sufficient support for themselves or those dependent upon them; provided that such persons:
(1) Have first been determined ineligible for a comparable federally funded financial assistance program;
(2) Are bona fide residents of this State; and
(3) Have furnished to the department a social security account number for each member of the assistance unit or verification that an application was made with the Social Security Administration for a social security account number for each member of the assistance unit.
Persons who meet the categorical criteria for eligibility, but fail to satisfy income and resource criteria adopted by the department shall not be eligible for general assistance to household without minor dependents. The failure of any adult member of the assistance unit to comply with the requirements or conditions of general assistance to households without minor dependents shall exclude the entire assistance unit from receiving financial assistance. However, when the adult member is disqualified for not meeting the work requirement, the assistance unit shall not be disqualified if the assistance unit was formed after the failure to meet the work requirement occurred. "Assistance unit" as the term is used in this section means persons whose needs, income, and assets are considered in the financial assistance payment and their dependents.
For purposes of determining whether persons seeking assistance are bona fide residents of this State, the department of human services shall consider, but is not limited to considering, the following factors:
(1) Enrollment and receipt of welfare benefits from another jurisdiction;
(2) Physical presence in the State;
(3) Maintenance of a place of residence in the State;
(4) The availability of furnishings and household and personal effects sufficient to lead a reasonable person to conclude that the place of residence is more than a public accommodation;
(5) Qualification as to residence for purposes of voting in the State;
(6) Change in vehicle operation license;
(7) Vehicle registration;
(8) Enrollment of children in local schools; and
(9) Bank accounts in this State or any other jurisdiction.
(b) A person between eighteen and sixty-five years of age with a disability shall be eligible for general assistance to households without minor dependents if the person:
(1) Is determined to be needy in accordance with standards established by this chapter and the rules adopted under subsection (e);
(2) Is unable to meet the disability requirements established by the federal supplemental security income program or its successor agency; and
(3) Is unable to engage in any substantial gainful employment because of a determined and certified physical, mental, or combination of physical and mental disability. Upon application, the department shall ask the person whether the person has a physical or mental disability, or both. If the person claims to have both a physical and mental disability, the department shall ask the person to choose whether the person's primary disability is physical or mental. Determination and certification of the disability shall be as follows:
(A) A determination and certification of physical disability shall be made by a board of licensed physicians designated and paid by the department. Meetings of this board shall not be subject to part I of chapter 92;
(B) A determination and certification of mental disability shall be made by a board of licensed psychologists or licensed physicians whose specialty is in psychiatry. This board shall be designated and paid by the department. Meetings of this board shall not be subject to part I of chapter 92;
(C) If a determination and certification is made that the applicant does not have a physical, mental, or combination of a physical and mental disability, prior to a denial of any claim, the department shall provide the applicant with an initial denial notice that gives the applicant at least ten calendar days to provide additional medical evidence. The notice shall refer the applicant to free legal services for assistance and permit the applicant to request extensions of time, if necessary;
(D) If a determination of physical, mental, or combination of a physical and mental disability is made, the person shall accept and pursue appropriate medical treatment from a provider of the person's choice. The department shall promptly provide the person with a complete and legible copy of the recommended appropriate treatment;
(E) Any person, to continue to be certified as mentally disabled, physically disabled, or both mentally and physically disabled, shall be reevaluated annually, as provided by this section, and more frequently, as required by the department; and
(F) Failure to pursue appropriate medical treatment shall result in a loss of eligibility, unless the failure is due to good cause. Good cause shall include but not be limited to:
(i) Treatment is unavailable;
(ii) Personal emergencies; and
(iii) Circumstances that threaten the safety of the patient.
The department shall adopt rules in accordance with chapter 91 to define "good cause", as used in subparagraph (F), in order to determine when treatment is unavailable, what constitutes a personal emergency, what circumstances may threaten the safety of a patient, and other factors that may constitute good cause.
As used in this subsection:
"Substantial gainful employment" means at least thirty hours of work per week.
"With a disability" or "having a disability" means a disability that extends for a period of over sixty days.
Any person determined to be eligible under this subsection may be referred to any appropriate state agency for vocational rehabilitation services and shall be required to accept the services as a further condition of eligibility for the receipt of general assistance to households without minor dependents under this section. An assistance unit shall be determined ineligible for general assistance to households without minor dependents if any adult member of the assistance unit fails to cooperate with any appropriate state agency for vocational rehabilitation services after being referred for services. Any person found eligible under this subsection may also be required to seek employment and participate in public work projects, as described in section 346-31, and in public employment projects, as described in section 346-102.
(c) Applicants and recipients shall be required to satisfy all applicable provisions of this section. Recipients disqualified for failure to comply with any of the requirements under this section shall be excluded from general assistance to households without minor dependents for a period not to exceed twelve months.
(d) The allowance for general assistance to households without minor dependents shall not exceed sixty-two and one-half per cent of the standard of need.
(e) Within the limitations of this section, the department shall by rules adopted pursuant to chapter 91, determine:
(1) The allowance for general assistance to households without minor dependents based upon the total amount appropriated for general assistance to households without minor dependents;
(2) A method for determining assistance amounts; and
(3) Other necessary provisions to implement general assistance to households without minor dependents. [L 1941, c 296, pt of §1; RL 1945, §4863; am L 1951, c 291, §1; am L 1953, c 153, §15; RL 1955, §108-41; am L Sp 1959 2d, c 1, §12; HRS §346-71; am L 1970, c 105, §5; am L 1971, c 203, §1; am L 1973, c 177, §3; am L Sp 1974, c 1, §1; am L 1978, c 103, §2; am L 1979, c 175, § §1 to 3; am L 1981, c 119, §1; am L 1982, c 99, §1; am L 1985, c 24, §1; gen ch 1985; am L 1987, c 290, §3 and c 339, §4; am L 1989, c 12, §1 and c 234, §1; am L 1995, c 166, §2; am L 1996, c 289, §2; am L 1997, c 200, §7 and c 354, §3; am L 1998, c 127, §2; am L 2003, c 105, §1; am L 2004, c 208, §1]
Case Notes
Section, as amended by Act 166 [L 1995], violated neither Title II of Americans with Disabilities Act, nor the equal protection and due process clauses of the U.S. Constitution. 83 F.3d 1150 (1996).
Under federal regulations, income tax refund is not "income" for determining need for benefits. 396 F. Supp. 375 (1975).
Inability to engage in substantial gainful employment. 67 H. 560, 698 P.2d 280 (1985).
Where administrative rules failed to set forth the method by which department determined general assistance amounts, and the method used by department to determine amounts was adopted without compliance with chapter 91, administrative rules contravened statutory mandate of subsection (f) (1996) and were thus void and unenforceable. 88 H. 307, 966 P.2d 619 (1998).
Authorizes suit by eligible recipients to recover benefits wrongfully denied. 6 H. App. 160, 715 P.2d 813 (1986).

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.