Bill Text: HI SB1045 | 2010 | Regular Session | Amended

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Bill Title: Health Care; Advanced Practice Registered Nurse; Primary Care Provider; Prescriptive Authority

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Engrossed - Dead) 2009-05-11 - Carried over to 2010 Regular Session. [SB1045 Detail]

Download: Hawaii-2010-SB1045-Amended.html

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STAND. COM. REP. NO. 752

 

Honolulu, Hawaii

                  

 

RE:    S.B. No. 1045

       S.D. 2

 

 

 

Honorable Colleen Hanabusa

President of the Senate

Twenty-Fifth State Legislature

Regular Session of 2009

State of Hawaii

 

Madam:

 

     Your Committee on Commerce and Consumer Protection, to which was referred S.B. No. 1045, S.D. 1, entitled:

 

"A BILL FOR AN ACT RELATING TO ADVANCED PRACTICE REGISTERED NURSES,"

 

begs leave to report as follows:

 

     The purpose of this measure is to improve access to primary health care services by:

 

     (1)  Requiring providers of accident and health or sickness insurance to recognize advanced practice registered nurses practicing within the scope of their licenses as primary health care providers;

 

     (2)  Granting global signatory authority to advanced practice registered nurses;

 

     (3)  Amending the definition of advanced practice registered nurse to include educational, training, and qualification requirements; and

 

     (4)  Updating prescriptive authority of advanced practice registered nurses.

 

     Your Committee received testimony in support of this measure from the University of Hawaii, Hawaii State Center for Nursing, Healthcare Association of Hawaii, Hawaii Primary Care Association, Hawaii Medical Service Association, Kaiser Permanente, Hawaii Association of Professional Nurses, Lanai Women's Center, Walgreens, AARP, and 10 private citizens.  Testimony with comments on this measure was received from the Department of Human Services, the Board of Nursing, and the Disability and Communication Access Board.  Written testimony presented to the Committee may be reviewed on the Legislature's website.

 

     Your Committee finds that this measure will improve access to health care, especially in rural areas where there is a shortage of doctors.  Your Committee further finds that advanced practice registered nurses are important members of the primary health care team and have expertise in both the science of medicine and the art of patient care.

 

     Your Committee notes that it has worked in conjunction with insurers, health plans, the nursing school, the Center for Nursing, and the Board of Nursing to address the concerns raised by stakeholders regarding this measure. Accordingly, your Committee has amended this measure by:

 

     (1)  Adding a section of legislative findings to accurately describe the purpose of this measure;

 

     (2)  Clarifying the definition of "participating advanced practice nurse";

 

     (3)  Clarifying that an insurer retains the right to determine contract criteria for its participating providers;

 

     (4)  Clarifying that an advanced practice registered nurse's signatory authority applies to health care provided within the scope of the advanced practice registered nurse's practice;

 

     (5)  Deferring the date by which the Board of Nursing shall grant recognition as an advanced practice registered nurse to allow sufficient time to develop appropriate procedures;

 

     (6)  Clarifying the qualifications for recognition as an advanced practice registered nurse;

 

     (7)  Authorizing the Board of Nursing to determine an exclusionary formulary for qualified advanced practice registered nurses granted prescriptive authority and specifying the means of determining the formulary and the qualifications required for prescriptive authority; and

 

     (8)  Making this measure effective upon its approval.

 

     As affirmed by the record of votes of the members of your Committee on Commerce and Consumer Protection that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 1045, S.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as S.B. No. 1045, S.D. 2.

 

Respectfully submitted on behalf of the members of the Committee on Commerce and Consumer Protection,

 

		____________________________ ROSALYN H. BAKER, Chair