Hawaii 2022 Regular Session

Hawaii House Bill HCR139 Compare Versions

Version 1 (Old)

Version 2 (New)

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1		-	HOUSE OF REPRESENTATIVES H.C.R. NO. 139 THIRTY-FIRST LEGISLATURE, 2022 ~~H.D. 1~~ STATE OF HAWAII HOUSE CONCURRENT RESOLUTION REQUESTING THE ~~DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS~~ TO CONDUCT AN ANALYSIS REGARDING THE SCOPES OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS.
	1	+	HOUSE OF REPRESENTATIVES H.C.R. NO. 139 THIRTY-FIRST LEGISLATURE, 2022 STATE OF HAWAII HOUSE CONCURRENT RESOLUTION requesting the auditor to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants.
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3	3		HOUSE OF REPRESENTATIVES H.C.R. NO. 139
4		-	THIRTY-FIRST LEGISLATURE, 2022 ~~H.D. 1~~
	4	+	THIRTY-FIRST LEGISLATURE, 2022
5	5		STATE OF HAWAII
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7	7		HOUSE OF REPRESENTATIVES
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9	9		H.C.R. NO.
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11	11		139
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13	13		THIRTY-FIRST LEGISLATURE, 2022
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15		-	~~H.D. 1~~
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17	17		STATE OF HAWAII
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29	29		HOUSE CONCURRENT
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31	31		RESOLUTION
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37		-	REQUESTING THE ~~DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS~~ TO CONDUCT AN ANALYSIS REGARDING THE SCOPES OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS.
	37	+	requesting the auditor to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants.
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45		-	WHEREAS, this body recognizes that there is a physician shortage in the State, which often presents a challenge for rural communities to access health care; and WHEREAS, advanced practice registered nurses and physician assistants are vital health care professionals who are capable of filling in some of the gaps in access to health care in the State; and WHEREAS, various measures have been introduced during the Regular Session of 2022 and past regular sessions that have proposed expanding the scopes of practice for advanced practice registered nurses and physician assistants; and WHEREAS, there is a need to clearly distinguish the scopes of practice of advanced practice registered nurses and physician assistants and determine the appropriate scope of practice for each of these professions in Hawaii to better complement the work of physicians; now, therefore, BE IT RESOLVED by the House of Representatives of the Thirty-first Legislature of the State of Hawaii, Regular Session of 2022, the Senate concurring, that the ~~Department of Commerce and Consumer Affairs~~ is requested to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants; and BE IT FURTHER RESOLVED that the ~~Department of Commerce and Consumer Affairs~~ is requested to analyze whether the scopes of practice for advanced practice registered nurses and physician assistants should be expanded in certain areas of medical care and services, including: (1) School-based health services; (2) Medical care for minors related to human immunodeficiency virus; (3) Abortion care; (4) The records review process for prescriptions of controlled substances; (5) Clinical Laboratory Improvement Amendments waived tests; ~~and~~ (6) Medical aid in dying; and BE IT FURTHER RESOLVED that the ~~Department of Commerce and Consumer Affairs~~ may include in its analysis a comparison to other jurisdictions and whether those jurisdictions allow for similar expanded scopes of practice; and BE IT FURTHER RESOLVED that the ~~Department of Commerce and Consumer Affairs~~ is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2023; and BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the ~~Director of Commerce and Consumer Affairs~~, Chairperson of the Hawaii Medical Board, and Chairperson of the State Board of Nursing. Report Title: ~~Department of Commerce and Consumer Affairs~~; Analysis; Scope of Practice; Advanced Practice Registered Nurses; Physician Assistants
	45	+	WHEREAS, this body recognizes that there is a physician shortage in the State, which often presents a challenge for rural communities to access health care; and WHEREAS, advanced practice registered nurses and physician assistants are vital health care professionals who are capable of filling in some of the gaps in access to health care in the State; and WHEREAS, various measures have been introduced during the Regular Session of 2022 and past Regular Sessions that have proposed expanding the scopes of practice for advanced practice registered nurses and physician assistants; and WHEREAS, there is a need to clearly distinguish the scopes of practice of advanced practice registered nurses and physician assistants and determine the appropriate scope of practice for each of these professions in Hawaii to better complement the work of physicians; now, therefore, BE IT RESOLVED by the House of Representatives of the Thirty-first Legislature of the State of Hawaii, Regular Session of 2022, the Senate concurring, that the Auditor is requested to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants; and BE IT FURTHER RESOLVED that the Auditor is requested to analyze whether the scopes of practice for advanced practice registered nurses and physician assistants should be expanded in certain areas of medical care and services, including: (1) School-based health services; (2) Medical care for minors related to human immunodeficiency virus; (3) Abortion care; (4) The records review process for prescriptions of controlled substances; (5) Clinical Laboratory Improvement Amendments waived tests; (6) Medical aid in dying; and (7) Other medical care and services; and BE IT FURTHER RESOLVED that the Auditor may include in its analysis a comparison to other jurisdictions and whether those jurisdictions allow for similar expanded scopes of practice; and BE IT FURTHER RESOLVED that the Auditor is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2023; and BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Auditor, Chairperson of the Hawaii Medical Board, and Chairperson of the State Board of Nursing. OFFERED BY: _____________________________ Report Title: Auditor; Analysis; Scope of Practice; Advanced Practice Registered Nurses; Physician Assistants
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47	47		WHEREAS, this body recognizes that there is a physician shortage in the State, which often presents a challenge for rural communities to access health care; and
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51	51		WHEREAS, advanced practice registered nurses and physician assistants are vital health care professionals who are capable of filling in some of the gaps in access to health care in the State; and
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55	55		WHEREAS, various measures have been introduced during the Regular Session of 2022 and past Regular Sessions that have proposed expanding the scopes of practice for advanced practice registered nurses and physician assistants; and
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59	59		WHEREAS, there is a need to clearly distinguish the scopes of practice of advanced practice registered nurses and physician assistants and determine the appropriate scope of practice for each of these professions in Hawaii to better complement the work of physicians; now, therefore,
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63		-	BE IT RESOLVED by the House of Representatives of the Thirty-first Legislature of the State of Hawaii, Regular Session of 2022, the Senate concurring, that the ~~Department of Commerce and Consumer Affairs~~ is requested to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants; and
	63	+	BE IT RESOLVED by the House of Representatives of the Thirty-first Legislature of the State of Hawaii, Regular Session of 2022, the Senate concurring, that the Auditor is requested to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants; and
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67		-	BE IT FURTHER RESOLVED that the ~~Department of Commerce and Consumer Affairs~~ is requested to analyze whether the scopes of practice for advanced practice registered nurses and physician assistants should be expanded in certain areas of medical care and services, including:
	67	+	BE IT FURTHER RESOLVED that the Auditor is requested to analyze whether the scopes of practice for advanced practice registered nurses and physician assistants should be expanded in certain areas of medical care and services, including:
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71	71		(1) School-based health services;
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75	75		(2) Medical care for minors related to human immunodeficiency virus;
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79	79		(3) Abortion care;
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83	83		(4) The records review process for prescriptions of controlled substances;
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87		-	(5) Clinical Laboratory Improvement Amendments waived tests; ~~and~~
	87	+	(5) Clinical Laboratory Improvement Amendments waived tests;
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91	91		(6) Medical aid in dying; and
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95		-	~~BE IT FURTHER RESOLVED that the Department of Commerce~~ and ~~Consumer Affairs may include in its analysis a comparison to other jurisdictions and whether those jurisdictions allow for similar expanded scopes of practice~~; and
	95	+	(7) Other medical care and services; and
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99		-	BE IT FURTHER RESOLVED that the ~~Department~~ of Commerce and Consumer Affairs is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2023; and
	99	+	BE IT FURTHER RESOLVED that the Auditor may include in its analysis a comparison to other jurisdictions and whether those jurisdictions allow for similar expanded scopes of practice; and
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103		-	BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Director of Commerce and Consumer Affairs, Chairperson of the Hawaii Medical Board, and Chairperson of the State Board of Nursing.
	103	+	BE IT FURTHER RESOLVED that the Auditor is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2023; and
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	107	+	BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Auditor, Chairperson of the Hawaii Medical Board, and Chairperson of the State Board of Nursing.
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	115	+	OFFERED BY: _____________________________
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	119	+	OFFERED BY:
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	121	+	_____________________________
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111	127		Report Title:
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113		-	~~Department of Commerce and Consumer Affairs~~; Analysis; Scope of Practice; Advanced Practice Registered Nurses; Physician Assistants
	129	+	Auditor; Analysis; Scope of Practice; Advanced Practice Registered Nurses; Physician Assistants