Hawaii 2022 Regular Session

Hawaii House Bill HB1675 Compare Versions

OldNewDifferences
1-HOUSE OF REPRESENTATIVES H.B. NO. 1675 THIRTY-FIRST LEGISLATURE, 2022 H.D. 1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO MEDICAL CARE FOR MINORS. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
1+HOUSE OF REPRESENTATIVES H.B. NO. 1675 THIRTY-FIRST LEGISLATURE, 2022 STATE OF HAWAII A BILL FOR AN ACT relating to medical care for minors. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
22
33 HOUSE OF REPRESENTATIVES H.B. NO. 1675
4-THIRTY-FIRST LEGISLATURE, 2022 H.D. 1
4+THIRTY-FIRST LEGISLATURE, 2022
55 STATE OF HAWAII
66
77 HOUSE OF REPRESENTATIVES
88
99 H.B. NO.
1010
1111 1675
1212
1313 THIRTY-FIRST LEGISLATURE, 2022
1414
15-H.D. 1
15+
1616
1717 STATE OF HAWAII
1818
1919
2020
2121
2222
2323
2424
2525
2626
2727
2828
2929
3030
3131 A BILL FOR AN ACT
3232
3333
3434
3535
3636
3737 relating to medical care for minors.
3838
3939
4040
4141
4242
4343 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
4444
4545
4646
47- SECTION 1. Chapter 577A, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows: "§577A- HIV medical care and services; minors. (a) Notwithstanding any other law to the contrary, a minor who may have come into contact with the human immunodeficiency virus (HIV) may consent to medical care and services related to the diagnosis or treatment of HIV provided by a licensed health care provider. (b) A minor may consent to medical care and services related to the prevention of HIV. (c) A parent or legal guardian may not abrogate consent given by the minor on the minor's own behalf. (d) If a minor consents to receive medical care and services pursuant to this section, the minor shall not be liable for payment." SECTION 2. Section 577A-1, Hawaii Revised Statutes, is amended as follows: 1. By adding two new definitions to be appropriately inserted and to read: ""Licensed health care provider" means a physician or an osteopathic physician licensed under chapter 453, a physician assistant licensed under chapter 453, or an advanced practice registered nurse licensed under chapter 457. "Sexually transmitted infection" means an infection that is commonly transmitted through sexual contact, including but not limited to human immunodeficiency virus infection." 2. By amending the definition of "medical care and services" to read: ""Medical care and services" means the diagnosis, examination, and administration of medication in the prevention or treatment of [venereal diseases,] sexually transmitted infections, pregnancy, and family planning services. [It] "Medical care and services" shall not include surgery or any treatment to induce abortion." SECTION 3. Section 577A-2, Hawaii Revised Statutes, is amended to read as follows: "§577A-2 Consent valid. The consent to the provision of medical care and services by public and private hospitals or public and private clinics, or the performance of medical care and services by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, when executed by a female minor who is or professes to be pregnant, or by a minor who is or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be valid and binding as if the minor had achieved [his or her] the age of majority as the case may be; that is, a female minor who is, or professes to be pregnant, or a minor who is, or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be deemed to have, and shall have the same legal capacity to act, and the same legal obligations with regard to the giving of [such] consent to [such] hospitals and [such] clinics or consent to the performance of medical care and services [to be provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, as a person of full legal age and capacity, the infancy of the minor and any contrary provisions of law notwithstanding[, and such]; provided that the consent shall not be subject to later disaffirmance by reason of such minority; [and] provided further that the consent of no other person or persons [(including], including but not limited to a spouse, parent, custodian, or guardian[)], shall be necessary in order to authorize [such] the hospitals or [such] clinics or the performance of medical care and services [provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider to [such] the minor." SECTION 4. Section 577A-3, Hawaii Revised Statutes, is amended to read as follows: "§577A-3 Providing information. (a) Public and private hospitals, [or] public and private clinics, or [physicians licensed to practice medicine or advanced practice registered nurses as defined in section 457-2.7] licensed health care providers may, at the discretion of the treating [physician or advanced practice registered nurse,] licensed health care provider, inform the spouse, parent, custodian, or guardian of any minor patient of the provision of medical care and services to the minor or disclose any information pertaining to [such] the medical care and services after consulting with the minor patient to whom [such] the medical care and services have been provided under this chapter. (b) If the minor patient is not diagnosed as being pregnant or [afflicted with [a] venereal disease, such] having a sexually transmitted infection, this information as well as the application for diagnosis may be disclosed, at the discretion of the treating [physician or advanced practice registered nurse] licensed health care provider after consulting with the minor patient." SECTION 5. Section 577A-4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows: "(a) If a minor consents to receive medical care and services, the spouse, parent, custodian, or guardian of the minor patient shall not be liable for the legal obligations resulting from the furnishing of medical care and services provided by the public and private hospital, public and private clinic, or [physician licensed to practice medicine, or advanced practice registered nurse as defined in section 457-2.7. A] licensed health care provider. Except as otherwise provided under section 577A- , a minor who consents to the provision of medical care and services under this section shall assume financial responsibility for the costs of such medical care and services. Any other law to the contrary notwithstanding, no spouse, parent, custodian, or guardian whose consent has not been obtained or who has no prior knowledge that the minor has consented to the provision of such medical care and services shall be liable for the costs incurred by virtue of the minor's consent." SECTION 6. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 7. This Act shall take effect on July 1, 2060.
47+ SECTION 1. Chapter 577A, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows: "§577A- HIV medical care and services; minors. (a) Notwithstanding any other law to the contrary, a minor who may have come into contact with the human immunodeficiency virus (HIV) may consent to medical care and services related to the diagnosis or treatment of HIV provided by a licensed health care provider. (b) A minor may consent to medical care related to the prevention of HIV. (c) A parent or legal guardian may not abrogate consent given by the minor on the minor's own behalf. (d) If a minor consents to receive medical care and services pursuant to this section, the minor shall not be liable for payment." SECTION 2. Section 577A-1, Hawaii Revised Statutes, is amended as follows: 1. By adding two new definitions to be appropriately inserted and to read: ""Licensed health care provider" means physicians and osteopathic physicians licensed under chapter 453, physician assistants licensed under chapter 453, and advanced practice registered nurses licensed under chapter 457. "Sexually transmitted infection" means an infection that is commonly transmitted through sexual contact, including but not limited to human immunodeficiency virus infection." 2. By amending the definition of "medical care and services" to read: ""Medical care and services" means the diagnosis, examination, and administration of medication in the prevention or treatment of [venereal diseases,] sexually transmitted infection, pregnancy, and family planning services. [It] "Medical care and services" shall not include surgery or any treatment to induce abortion." SECTION 3. Section 577A-2, Hawaii Revised Statutes, is amended to read as follows: "§577A-2 Consent valid. The consent to the provision of medical care and services by public and private hospitals or public and private clinics, or the performance of medical care and services by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, when executed by a female minor who is or professes to be pregnant, or by a minor who is or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be valid and binding as if the minor had achieved [his or her] the age of majority as the case may be; that is, a female minor who is, or professes to be pregnant, or a minor who is, or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be deemed to have, and shall have the same legal capacity to act, and the same legal obligations with regard to the giving of [such] consent to [such] hospitals and [such] clinics or consent to the performance of medical care and services [to be provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, as a person of full legal age and capacity, the infancy of the minor and any contrary provisions of law notwithstanding[, and such]; provided that the consent shall not be subject to later disaffirmance by reason of such minority; [and] provided further that the consent of no other person or persons [(]including[,] but not limited to a spouse, parent, custodian, or guardian[)], shall be necessary in order to authorize [such] the hospitals or [such] clinics or the performance of medical care and services [provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider to [such] the minor." SECTION 4. Section 577A-3, Hawaii Revised Statutes, is amended to read as follows: "§577A-3 Providing information. (a) Public and private hospitals, or public and private clinics or [physicians licensed to practice medicine or advanced practice registered nurses as defined in section 457-2.7] licensed health care providers may, at the discretion of the treating [physician or advanced practice registered nurse,] licensed health care provider, inform the spouse, parent, custodian, or guardian of any minor patient of the provision of medical care and services to the minor or disclose any information pertaining to [such] the medical care and services after consulting with the minor patient to whom [such] the medical care and services have been provided under this chapter. (b) If the minor patient is not diagnosed as being pregnant or [afflicted with [a] venereal disease, such] having a sexually transmitted infection, this information as well as the application for diagnosis may be disclosed, at the discretion of the treating [physician or advanced practice registered nurse] licensed health care provider after consulting with the minor patient." SECTION 5. Section 577A-4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows: "(a) If a minor consents to receive medical care and services, the spouse, parent, custodian, or guardian of the minor patient shall not be liable for the legal obligations resulting from the furnishing of medical care and services provided by the public and private hospital, public and private clinic, or [physician licensed to practice medicine, or advanced practice registered nurse as defined in section 457-2.7. A] licensed health care provider. Except as otherwise provided under section 577A- , a minor who consents to the provision of medical care and services under this section shall assume financial responsibility for the costs of such medical care and services. Any other law to the contrary notwithstanding, no spouse, parent, custodian, or guardian whose consent has not been obtained or who has no prior knowledge that the minor has consented to the provision of such medical care and services shall be liable for the costs incurred by virtue of the minor's consent." SECTION 6. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 7. This Act shall take effect on July 1, 2022. INTRODUCED BY: _____________________________
4848
4949 SECTION 1. Chapter 577A, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
5050
5151 "§577A- HIV medical care and services; minors. (a) Notwithstanding any other law to the contrary, a minor who may have come into contact with the human immunodeficiency virus (HIV) may consent to medical care and services related to the diagnosis or treatment of HIV provided by a licensed health care provider.
5252
53- (b) A minor may consent to medical care and services related to the prevention of HIV.
53+ (b) A minor may consent to medical care related to the prevention of HIV.
5454
5555 (c) A parent or legal guardian may not abrogate consent given by the minor on the minor's own behalf.
5656
5757 (d) If a minor consents to receive medical care and services pursuant to this section, the minor shall not be liable for payment."
5858
5959 SECTION 2. Section 577A-1, Hawaii Revised Statutes, is amended as follows:
6060
6161 1. By adding two new definitions to be appropriately inserted and to read:
6262
63- ""Licensed health care provider" means a physician or an osteopathic physician licensed under chapter 453, a physician assistant licensed under chapter 453, or an advanced practice registered nurse licensed under chapter 457.
63+ ""Licensed health care provider" means physicians and osteopathic physicians licensed under chapter 453, physician assistants licensed under chapter 453, and advanced practice registered nurses licensed under chapter 457.
6464
6565 "Sexually transmitted infection" means an infection that is commonly transmitted through sexual contact, including but not limited to human immunodeficiency virus infection."
6666
6767 2. By amending the definition of "medical care and services" to read:
6868
69- ""Medical care and services" means the diagnosis, examination, and administration of medication in the prevention or treatment of [venereal diseases,] sexually transmitted infections, pregnancy, and family planning services. [It] "Medical care and services" shall not include surgery or any treatment to induce abortion."
69+ ""Medical care and services" means the diagnosis, examination, and administration of medication in the prevention or treatment of [venereal diseases,] sexually transmitted infection, pregnancy, and family planning services. [It] "Medical care and services" shall not include surgery or any treatment to induce abortion."
7070
7171 SECTION 3. Section 577A-2, Hawaii Revised Statutes, is amended to read as follows:
7272
73- "§577A-2 Consent valid. The consent to the provision of medical care and services by public and private hospitals or public and private clinics, or the performance of medical care and services by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, when executed by a female minor who is or professes to be pregnant, or by a minor who is or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be valid and binding as if the minor had achieved [his or her] the age of majority as the case may be; that is, a female minor who is, or professes to be pregnant, or a minor who is, or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be deemed to have, and shall have the same legal capacity to act, and the same legal obligations with regard to the giving of [such] consent to [such] hospitals and [such] clinics or consent to the performance of medical care and services [to be provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, as a person of full legal age and capacity, the infancy of the minor and any contrary provisions of law notwithstanding[, and such]; provided that the consent shall not be subject to later disaffirmance by reason of such minority; [and] provided further that the consent of no other person or persons [(including], including but not limited to a spouse, parent, custodian, or guardian[)], shall be necessary in order to authorize [such] the hospitals or [such] clinics or the performance of medical care and services [provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider to [such] the minor."
73+ "§577A-2 Consent valid. The consent to the provision of medical care and services by public and private hospitals or public and private clinics, or the performance of medical care and services by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, when executed by a female minor who is or professes to be pregnant, or by a minor who is or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be valid and binding as if the minor had achieved [his or her] the age of majority as the case may be; that is, a female minor who is, or professes to be pregnant, or a minor who is, or professes to be [afflicted with a venereal disease,] infected with, or to have been exposed to, a sexually transmitted infection, or a minor seeking family planning services shall be deemed to have, and shall have the same legal capacity to act, and the same legal obligations with regard to the giving of [such] consent to [such] hospitals and [such] clinics or consent to the performance of medical care and services [to be provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider, as a person of full legal age and capacity, the infancy of the minor and any contrary provisions of law notwithstanding[, and such]; provided that the consent shall not be subject to later disaffirmance by reason of such minority; [and] provided further that the consent of no other person or persons [(]including[,] but not limited to a spouse, parent, custodian, or guardian[)], shall be necessary in order to authorize [such] the hospitals or [such] clinics or the performance of medical care and services [provided] by a [physician licensed to practice medicine or advanced practice registered nurse as defined in section 457‑2.7,] licensed health care provider to [such] the minor."
7474
7575 SECTION 4. Section 577A-3, Hawaii Revised Statutes, is amended to read as follows:
7676
77- "§577A-3 Providing information. (a) Public and private hospitals, [or] public and private clinics, or [physicians licensed to practice medicine or advanced practice registered nurses as defined in section 457-2.7] licensed health care providers may, at the discretion of the treating [physician or advanced practice registered nurse,] licensed health care provider, inform the spouse, parent, custodian, or guardian of any minor patient of the provision of medical care and services to the minor or disclose any information pertaining to [such] the medical care and services after consulting with the minor patient to whom [such] the medical care and services have been provided under this chapter.
77+ "§577A-3 Providing information. (a) Public and private hospitals, or public and private clinics or [physicians licensed to practice medicine or advanced practice registered nurses as defined in section 457-2.7] licensed health care providers may, at the discretion of the treating [physician or advanced practice registered nurse,] licensed health care provider, inform the spouse, parent, custodian, or guardian of any minor patient of the provision of medical care and services to the minor or disclose any information pertaining to [such] the medical care and services after consulting with the minor patient to whom [such] the medical care and services have been provided under this chapter.
7878
7979 (b) If the minor patient is not diagnosed as being pregnant or [afflicted with [a] venereal disease, such] having a sexually transmitted infection, this information as well as the application for diagnosis may be disclosed, at the discretion of the treating [physician or advanced practice registered nurse] licensed health care provider after consulting with the minor patient."
8080
8181 SECTION 5. Section 577A-4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
8282
8383 "(a) If a minor consents to receive medical care and services, the spouse, parent, custodian, or guardian of the minor patient shall not be liable for the legal obligations resulting from the furnishing of medical care and services provided by the public and private hospital, public and private clinic, or [physician licensed to practice medicine, or advanced practice registered nurse as defined in section 457-2.7. A] licensed health care provider. Except as otherwise provided under section 577A- , a minor who consents to the provision of medical care and services under this section shall assume financial responsibility for the costs of such medical care and services. Any other law to the contrary notwithstanding, no spouse, parent, custodian, or guardian whose consent has not been obtained or who has no prior knowledge that the minor has consented to the provision of such medical care and services shall be liable for the costs incurred by virtue of the minor's consent."
8484
8585 SECTION 6. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
8686
87- SECTION 7. This Act shall take effect on July 1, 2060.
87+ SECTION 7. This Act shall take effect on July 1, 2022.
8888
8989
9090
91- Report Title: Minors; Medical Care and Services; HIV; Consent; Prevention; Treatment; Physician Assistants Description: Permits minors to consent to medical care and services related to the diagnosis, treatment, or prevention of HIV. Specifies that a minor, under certain circumstances, shall not be liable for payment associated with the diagnosis, treatment, or prevention of HIV. Authorizes physician assistants, in addition to physicians and advanced practice registered nurses, to render such medical care and services to minors. Effective 7/1/2060. (HD1) The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
91+INTRODUCED BY: _____________________________
92+
93+INTRODUCED BY:
94+
95+_____________________________
96+
97+
98+
99+
100+
101+ Report Title: Minors; Medical Care and Services; HIV; Consent; Prevention; Treatment; Physician Assistants Description: Permits minors to consent to medical care and services related to the diagnosis, treatment, or prevention of HIV. Specifies that a minor, under certain circumstances, shall not be liable for payment associated with the diagnosis, treatment, or prevention of HIV. Authorizes physician assistants, in addition to physicians and advanced practice registered nurses, to render such medical care and services to minors. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
92102
93103
94104
95105
96106
97107 Report Title:
98108
99109 Minors; Medical Care and Services; HIV; Consent; Prevention; Treatment; Physician Assistants
100110
101111
102112
103113 Description:
104114
105-Permits minors to consent to medical care and services related to the diagnosis, treatment, or prevention of HIV. Specifies that a minor, under certain circumstances, shall not be liable for payment associated with the diagnosis, treatment, or prevention of HIV. Authorizes physician assistants, in addition to physicians and advanced practice registered nurses, to render such medical care and services to minors. Effective 7/1/2060. (HD1)
115+Permits minors to consent to medical care and services related to the diagnosis, treatment, or prevention of HIV. Specifies that a minor, under certain circumstances, shall not be liable for payment associated with the diagnosis, treatment, or prevention of HIV. Authorizes physician assistants, in addition to physicians and advanced practice registered nurses, to render such medical care and services to minors.
106116
107117
108118
109119
110120
111121
112122
113123 The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.