Hawaii 2023 Regular Session

Hawaii House Bill HB1427 Compare Versions

Only one version of the bill is available at this time.

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1	1	HOUSE OF REPRESENTATIVES H.B. NO. 1427 THIRTY-SECOND LEGISLATURE, 2023 STATE OF HAWAII A BILL FOR AN ACT relating to reproductive health care. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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3	3	HOUSE OF REPRESENTATIVES H.B. NO. 1427
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13	13	THIRTY-SECOND LEGISLATURE, 2023
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17	17	STATE OF HAWAII
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31	31	A BILL FOR AN ACT
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37	37	relating to reproductive health care.
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43	43	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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47	47	SECTION 1. The legislature finds that the people of Hawaii have a long tradition of protecting an individual's right to privacy and bodily autonomy independently of, and more broadly than, the federal constitution. In 1970, the State became the first state in the nation to decriminalize abortion with the enactment of Act 1, Session Laws of Hawaii 1970. In 1978, the 1978 Hawaii State Constitutional Convention proposed, and the electorate approved, an amendment to explicitly codify the right to privacy in article I, section 6 of the Hawaii State Constitution. In 2006, the legislature took one of its constitutionally required affirmative steps to implement the right to privacy by passing Act 35, Session Laws of Hawaii 2006, which established that the State shall not deny or interfere with a pregnant person's right to choose or obtain an abortion of a nonviable fetus or an abortion that is necessary to protect a pregnant person's life or health. Act 35 also removed the outdated requirement that individuals who seek an abortion be a Hawaii resident for at least ninety days. However, the legislature further finds that existing developments in the legal landscape threaten the State's policy to protect an individual's right to privacy and personal autonomy over their body within state boundaries. In June 2022, the Supreme Court of the United States held in Dobbs v. Jackson Women's Health Organization, 142 S.Ct. 2228 (2022), that the United States Constitution does not confer a right to an abortion. Dobbs overrules Roe v. Wade, 410 U.S. 113 (1973), and Planned Parenthood of Southeastern Pennsylvania v. Casey, 505 U.S. 833 (1992), and the nearly fifty years of federal precedent regarding reproductive rights. The impact of Dobbs has resulted in many states either banning or severely restricting access to abortion. Additionally, some states are pursuing laws or policies purporting to impose civil or criminal liability or professional discipline in connection with the provision or receipt of, or assistance with, reproductive health care services outside of these states' borders. It is the policy of this State that the rights of equality, liberty, and privacy guaranteed under article I, sections 3, 5, and 6, of the Hawaii State Constitution are fundamental rights and that include each individual's fundamental right to make reproductive health care decisions about one's own body and the right of each individual to decide whether to bear a child or obtain an abortion. Due to the shifting legal landscape regarding the right to privacy and an individual's bodily autonomy, the legislature finds it is imperative to reiterate and bolster the State's policy to affirm such protections and freedoms within the state boundaries. The governor initiated this process by issuing Executive Order 22-5 on October 11, 2022, which outlined the governor's policy to limit cooperation with other states in investigations, proceedings, or warrants involving the provision reproductive health care services in the State, if such provision is legal in the State. This Act codifies and expands on that policy. The purpose of this Act is to bolster the State's policy to protect an individual's right to privacy and bodily autonomy within the state boundaries. PART I SECTION 2. The Hawaii Revised Statutes is amended by adding a new chapter to be appropriately designated and to read as follows: "Chapter REPRODUCTIVE HEALTH CARE SERVICES § -1 Definitions. As used in this chapter, unless the context otherwise requires: "Person" includes an individual, a partnership, an association, a limited liability company, or a corporation. "Reproductive health care services" includes all medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy. § -2 Disclosures prohibited. (a) Except as provided in rules 504, 504.1, and 505.5 of the Hawaii rules of evidence and subsection (b), in any civil action or any proceeding preliminary thereto or in any probate, legislative, or administrative proceeding, no covered entity, as defined in title 45 Code of Federal Regulations section 160.103, shall disclose: (1) Any communication made to the covered entity, or any information obtained by the covered entity from a patient or the conservator, guardian, or other authorized legal representative of a patient relating to reproductive health care services that are permitted under the laws of this State; or (2) Any information obtained by personal examination of a patient relating to reproductive health care services that are permitted under the laws of this State, unless the patient or that patient's conservator, guardian, or other authorized legal representative explicitly consents to the disclosure in writing in the form of a release of protected health information compliant under the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, as amended. A covered entity shall inform the patient or the patient's conservator, guardian, or other authorized legal representative of the patient's right to withhold the written consent. (b) Written consent of the patient or the patient's conservator, guardian, or other authorized legal representative shall not be required for the disclosure of such communication or information: (1) If the records relate to a patient who is a plaintiff in a complaint pending before a court of competent jurisdiction alleging health care negligence and a request for records has been served on a named defendant in that litigation; (2) If the records are requested by a licensing authority, as defined in section 436B-2, and such request is made in connection with an investigation of a complaint to such licensing authority and such records are related to the complaint, unless such complaint is made solely on the basis that the licensee, acting within the licensee's scope of practice, provided reproductive health care services that are lawful in this State; (3) To the director of health for records of a patient of a covered entity in connection with an investigation of a complaint, if such records are related to the complaint; or (4) If child abuse, abuse of an individual who is sixty years of age or older, abuse of an individual who is physically disabled or incompetent, or abuse of an individual with intellectual disability is known or in good faith suspected. (c) Nothing in this section shall be construed to impede the lawful sharing of medical records as permitted by state or federal law or the rules of the court, except in the case of a subpoena commanding the production, copying, or inspection of medical records relating to reproductive health care services. § -3 Subpoenas; when allowed. Notwithstanding sections 624-27 and 624D-3 or any other law to the contrary, a court or clerk shall not order the issuance of a subpoena requested by an officer, appointed according to the laws or usages of another state or government, or by any court of the United States or of another state or government, in connection with an out-of-state proceeding relating to reproductive health care services legally performed in this State. § -4 Agencies prohibited from providing information or expending resources. (a) No agency, as defined in section 92F‑3, or employee, appointee, officer, official, or any other person acting on behalf of an agency shall provide any information or expend or use time, money, facilities, property, equipment, personnel, or other resources in furtherance of any interstate investigation or proceeding seeking to impose civil or criminal liability upon a person or entity for: (1) The provision, seeking, or receipt of or inquiring about reproductive health care services that are legal in this State; or (2) Assisting any person or entity providing, seeking, receiving, or responding to an inquiry about reproductive health care services that are legal in this State. (b) This section shall not apply to any investigation or proceeding where the conduct subject to potential liability under the investigation or proceeding would be subject to liability under the laws of this State if committed in this State. § -5 Prohibition on state action. The State shall not penalize, prosecute, or otherwise take adverse action against an individual based on their actual, potential, perceived, or alleged pregnancy outcomes. The State shall not penalize, prosecute, or otherwise take adverse action against a person for aiding or assisting a pregnant individual accessing reproductive health care services in accordance with the law and with the pregnant individual's voluntary consent. § -6 Denial of demands for surrender. (a) Notwithstanding any provision of chapter 832 to the contrary, the governor shall deny any demand made by the executive authority of any state for the surrender of any person charged with a crime under the laws of that state when the alleged crime involves the provision or receipt of, or assistance with, reproductive health care services, unless the acts forming the basis of the prosecution would also constitute a criminal offense in this State. (b) This section shall not apply if the person who is the subject of the demand for surrender was physically present in the requesting state at the time of the commission of the alleged crime and thereafter fled from that state. § -7 Laws contrary to the public policy of this State. (a) A law of another state authorizing a civil action or criminal prosecution based on any of the following is declared to be contrary to the public policy of this State: (1) Receiving or seeking reproductive health care services; (2) Performing reproductive health care services; (3) Engaging in conduct that assists or aids or abets the performance of or receipt of reproductive health care services; or (4) Attempting or intending to engage in or providing material support for (or any other theory of vicarious, attempt, joint, several or conspiracy liability derived therefrom) conduct described in paragraphs (1) to (3). (b) No law described in subsection (a) above shall be applied to a case or controversy heard in the courts of this State." SECTION 3. Section 836-2, Hawaii Revised Statutes, is amended to read as follows: "§836-2 Summoning witness in this State to testify in another state. If a judge of a court of record in any state which by its laws has made provision for commanding persons within that state to attend and testify in this State certifies under the seal of such court that there is a criminal prosecution pending in such court, or that a grand jury investigation has commenced or is about to commence, that a person being within this State is a material witness in such prosecution, or grand jury investigation, and that the person's presence will be required for a specified number of days, upon presentation of such certificate to any judge of a court of record in the judicial district in which such person is, such judge shall fix a time and place for a hearing, and shall make an order directing the witness to appear at a time and place certain for the hearing. If at a hearing the judge determines that the witness is material and necessary, that it will not cause undue hardship to the witness to be compelled to attend and testify in the prosecution or a grand jury investigation in the other state, and that the laws of the state in which the prosecution is pending, or grand jury investigation has commenced or is about to commence, and of any other state through which the witness may be required to pass by ordinary course of travel, will give to the witness protection from arrest and the service of civil and criminal process, the judge shall issue a summons, with a copy of the certificate attached, directing the witness to attend and testify in the court where the prosecution is pending, or where a grand jury investigation has commenced or is about to commence at a time and place specified in the summons[.], except that no judge shall issue a summons in a case where prosecution is pending, or where a grand jury investigation has commenced or is about to commence for a criminal violation of a law of such other state involving the provision or receipt of or assistance with reproductive health care services, as defined in section -1, that are legal in this State, unless the acts forming the basis of the prosecution or investigation would also constitute an offense in this State. In any such hearing the certificate shall be prima facie evidence of all the facts stated therein. If said certificate recommends that the witness be taken into immediate custody and delivered to an officer of the requesting state to assure the witness' attendance in the requesting state, such judge may, in lieu of notification of the hearing, direct that such witness be forthwith brought before the judge for said hearing; and the judge at the hearing being satisfied of the desirability of such custody and delivery, for which determination the certificate shall be prima facie proof of such desirability may, in lieu of issuing subpoena or summons, order that said witness be forthwith taken into custody and delivered to an officer of the requesting state. If the witness, who is summoned as above provided, after being paid or tendered by some properly authorized person a sum equivalent to the cost of round-trip air fare to the place where the prosecution is pending and $30 for each day, that the witness is required to travel and attend as a witness, fails without good cause to attend and testify as directed in the summons, the witness shall be punished in the manner provided for the punishment of any witness who disobeys a summons issued from a court of record in this State." PART II SECTION 4. Section 442-9, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows: "(a) In addition to any other actions authorized by law, the board shall refuse to issue or may order any license issued under this chapter to be revoked, suspended, limited, restricted, or placed under probation at any time in a proceeding before the board or fine a licensee for any cause authorized by law, including but not limited to the following: (1) Procuring or aiding or abetting in procuring [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State; (2) Employing what is popularly known as a "capper" or "steerer"; (3) Obtaining a fee on the assurance that a manifestly incurable disease can be permanently cured; (4) Wilfully betraying patient confidentiality; (5) Making any untruthful statement in advertising one's practice or business under this chapter; (6) False, fraudulent, or deceptive advertising; (7) Advertising directly or indirectly, or in substance upon any card, sign, newspaper advertisement, or other written or printed sign of advertisement that the holder of a license or the licensee's employer or employee will treat, cure, or attempt to treat or cure any venereal disease, or will treat or cure, or attempt to treat or cure, any person afflicted with any sexual disease, lost manhood, sexual weakness, or sexual disorder or any disease of the sexual organs; (8) Being habitually intemperate; (9) Habitually using any habit-forming drug, such as opium, or any of its derivatives, morphine, heroin, cocaine, or any other habit-forming drug; (10) The advertising of any means whereby the monthly periods of women can be regulated or the menses reestablished if suppressed; (11) Procuring a license through fraudulent misrepresentation or deceit; (12) Professional misconduct or gross carelessness or manifest incapability in the practice of chiropractic; (13) Violating section 453-2; and (14) Knowingly recording, registering, or filing, or offering for recordation, registration, or filing, with the department of commerce and consumer affairs any written statement which has been falsely made, completed, or altered, or in which a false entry has been made, or which contains a false statement or false information." SECTION 5. Section 453-8, Hawaii Revised Statutes, is amended by amending subsections (a), (b), and (c) to read as follows: "(a) In addition to any other actions authorized by law, any license to practice medicine and surgery may be revoked, limited, or suspended by the board at any time in a proceeding before the board, or may be denied, for any cause authorized by law, including but not limited to the following: (1) Procuring, or aiding or abetting in procuring, [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State; (2) Employing any person to solicit patients for one's self; (3) Engaging in false, fraudulent, or deceptive advertising, including but not limited to: (A) Making excessive claims of expertise in one or more medical specialty fields; (B) Assuring a permanent cure for an incurable disease; or (C) Making any untruthful and improbable statement in advertising one's medical or surgical practice or business; (4) Being habituated to the excessive use of drugs or alcohol; or being addicted to, dependent on, or a habitual user of a narcotic, barbiturate, amphetamine, hallucinogen, or other drug having similar effects; (5) Practicing medicine while the ability to practice is impaired by alcohol, drugs, physical disability, or mental instability; (6) Procuring a license through fraud, misrepresentation, or deceit, or knowingly permitting an unlicensed person to perform activities requiring a license; (7) Professional misconduct, hazardous negligence causing bodily injury to another, or manifest incapacity in the practice of medicine or surgery; (8) Incompetence or multiple instances of negligence, including but not limited to the consistent use of medical service, which is inappropriate or unnecessary; (9) Conduct or practice contrary to recognized standards of ethics of the medical profession as adopted by the Hawaii Medical Association, the American Medical Association, the Hawaii Association of Osteopathic Physicians and Surgeons, or the American Osteopathic Association; (10) Violation of the conditions or limitations upon which a limited or temporary license is issued; (11) Revocation, suspension, or other disciplinary action by another state or federal agency of a license, certificate, or medical privilege[;], except if the revocation, suspension, or other disciplinary action was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; (12) Conviction, whether by nolo contendere or otherwise, of a penal offense substantially related to the qualifications, functions, or duties of a physician or osteopathic physician, notwithstanding any statutory provision to the contrary[;], except if the conviction was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; (13) Violation of chapter 329, the uniform controlled substances act, or any rule adopted thereunder except as provided in section 329-122; (14) Failure to report to the board, in writing, any disciplinary decision issued against the licensee or the applicant in another jurisdiction within thirty days after the disciplinary decision is issued; or (15) Submitting to or filing with the board any notice, statement, or other document required under this chapter, which is false or untrue or contains any material misstatement or omission of fact. (b) If disciplinary action related to the practice of medicine has been taken against the applicant by another state or federal agency, or if the applicant reveals a physical or mental condition that would constitute a violation under this section, then the board may impose one or more of the following requirements as a condition for licensure: (1) Physical and mental evaluation of the applicant by a licensed physician or osteopathic physician approved by the board; (2) Probation, including conditions of probation as requiring observation of the licensee by an appropriate group or society of licensed physicians, osteopathic physicians, or surgeons; (3) Limitation of the license by restricting the fields of practice in which the licensee may engage; (4) Further education or training or proof of performance competency; and (5) Limitation of the medical practice of the licensee in any reasonable manner to assure the safety and welfare of the consuming public[.]; provided that the board shall not impose as a condition for licensure any of the requirements pursuant to this subsection if the disciplinary action related to the practice of medicine taken against the applicant was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State. (c) Notwithstanding any other law to the contrary, the board may deny a license to any applicant who has been disciplined by another state or federal agency[.], except on the basis of discipline for the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State. Any final order of discipline taken pursuant to this subsection shall be a matter of public record." SECTION 6. Section 455-11, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows: "(a) In addition to any other actions authorized by law, the board shall have the power to deny, revoke, suspend, or refuse to renew any license to practice naturopathic medicine applied for or issued by the board in accordance with this chapter, and to fine or otherwise discipline a licensee for any cause authorized by law, including but not limited to the following: (1) Failing to meet or maintain the conditions and requirements necessary to qualify for the issuance of a license; (2) Procuring, or aiding or abetting in procuring, [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State; (3) Employing any person to solicit patients; (4) Obtaining a fee on the assurance that a manifestly incurable disease can be permanently cured; (5) Betraying a patient's confidence; (6) Making any untruthful and improbable statement in advertising one's naturopathic practice or business; (7) False, fraudulent, or deceptive advertising; (8) Being habituated to the excessive use of drugs or alcohol; or being addicted to, dependent on, or an habitual user of a narcotic, barbiturate, amphetamine, hallucinogen, or other drug having similar effects; (9) Practicing naturopathic medicine while the ability to practice is impaired by alcohol, drug, physical disability, or mental instability; (10) Procuring a license through fraud, misrepresentation, or deceit or knowingly permitting an unlicensed person to perform activities requiring a license; (11) Professional misconduct or gross carelessness or manifest incapacity in the practice of naturopathic medicine; (12) Conduct or practice contrary to recognized standard of ethics of the naturopathic profession; (13) Using medical service or treatment which is inappropriate or unnecessary; (14) Submitting to or filing with the board any notice, statement, or other document required under this chapter which is false or untrue or contains any material misstatement of fact, including any false certification of compliance with the continuing education requirement specified under section 455-8; (15) Failure to report to the board any disciplinary action taken against the licensee in another jurisdiction within thirty days after the disciplinary action becomes final; (16) Using the title "physician" without clearly identifying oneself as being a naturopathic physician; (17) Prescribing, administering, and dispensing naturopathic formulary that are not included in the formulary established by the board under section 455-6; and (18) Violation of any provision of this chapter or rules adopted under this chapter." SECTION 7. Section 457-12, Hawaii Revised Statutes, is amended by amending subsections (a) and (b) to read as follows: "(a) In addition to any other actions authorized by law, the board shall have the power to deny, revoke, limit, or suspend any license to practice nursing as a registered nurse or as a licensed practical nurse applied for or issued by the board in accordance with this chapter, and to fine or to otherwise discipline a licensee for any cause authorized by law, including but not limited to the following: (1) Fraud or deceit in procuring or attempting to procure a license to practice nursing as a registered nurse or as a licensed practical nurse; (2) Gross immorality; (3) Unfitness or incompetence by reason of negligence, habits, or other causes; (4) Habitual intemperance, addiction to, or dependency on alcohol or other habit-forming substances; (5) Mental incompetence; (6) Unprofessional conduct as defined by the board in accordance with its own rules; (7) Wilful or repeated violation of any of the provisions of this chapter or any rule adopted by the board; (8) Revocation, suspension, limitation, or other disciplinary action by another state of a nursing license[;], except if the revocation, suspension, limitation, or other disciplinary action by another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; (9) Conviction, whether by nolo contendere or otherwise, of a penal offense substantially related to the qualifications, functions, or duties of a nurse, notwithstanding any statutory provision to the contrary[;], except if the conviction was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; (10) Failure to report to the board any disciplinary action taken against the licensee in another jurisdiction within thirty days after the disciplinary action becomes final; (11) Submitting to or filing with the board any notice, statement, or other document required under this chapter, which is false or untrue or contains any material misstatement of fact, including a false attestation of compliance with continuing competency requirements; (12) Violation of the conditions or limitations upon which any license is issued; or (13) Violation of chapter 329, the uniform controlled substances act, or any rule adopted thereunder except as provided in section 329-122. (b) Notwithstanding any other law to the contrary, the board may deny a license to any applicant who has been disciplined by another state[.], except on the basis of discipline by another state for the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State. Any final order entered pursuant to this subsection shall be a matter of public record." SECTION 8. Section 457-12.5, Hawaii Revised Statutes, is amended as follows: 1. By amending subsection (a) to read: "(a) Upon receipt of evidence of revocation, suspension, or other disciplinary action against a licensee in another state, the board may issue an order imposing disciplinary action upon the licensee on the following conditions: (1) The board shall serve the licensee with a proposed order imposing disciplinary action as required by chapter 91; (2) The licensee shall have the right to request a hearing pursuant to chapter 91 to show cause why the action described in the proposed order should not be imposed; (3) Any request for a hearing shall be made in writing and filed with the board within twenty days after mailing of the proposed order to the licensee; and (4) If the licensee does not submit a written request for a hearing within twenty days after mailing of the proposed order, the board shall issue a final order imposing the disciplinary action described in the proposed order[.]; provided that the board shall not issue an order imposing disciplinary action upon the licensee if the revocation, suspension, or other disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State." 2. By amending subsection (c) to read: "(c) A licensee against whom the board has issued a proposed order under this section shall be prohibited from practicing in this State until the board issues a final order if: (1) The licensee was the subject of disciplinary action in another state[;], except where the disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; and (2) The disciplinary action in the other state prohibits the licensee from practicing in that state." SECTION 9. Section 461-21.5, Hawaii Revised Statutes, is amended as follows: 1. By amending subsection (a) to read: "(a) Upon receipt of evidence of revocation, suspension, or other disciplinary action against a licensee by another state or federal agency, the board may issue an order imposing disciplinary action upon the licensee on the following conditions: (1) The board shall serve the licensee with a proposed order imposing disciplinary action as required by chapter 91; (2) The licensee shall have the right to request a hearing pursuant to chapter 91 to show cause why the action described in the proposed order should not be imposed; (3) Any request for a hearing shall be made in writing and filed with the board within twenty days after mailing of the proposed order to the licensee; and (4) If the licensee does not submit a written request for a hearing within twenty days after mailing of the proposed order, the board shall issue a final order imposing the disciplinary action described in the proposed order[.]; provided that the board shall not issue an order imposing disciplinary action upon the licensee if the revocation, suspension, or other disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State." 2. By amending subsection (c) to read: "(c) A licensee against whom the board has issued a proposed order under this section shall be prohibited from practicing in this State until the board issues a final order if: (1) The licensee was the subject of disciplinary action by another state[;], except where the disciplinary action against a licensee by another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; and (2) The disciplinary action by another state prohibits the licensee from practicing in that state." PART III SECTION 10. Chapter 636C, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows: "§636C- Enforcement of foreign penal civil actions relating to protected reproductive health care services. (a) No judgment or other order arising from a foreign penal civil action or other penal law banning, restricting, burdening, punishing, penalizing, or otherwise interfering with the provision of protected reproductive health care services shall be enforced in this State. (b) As used in this section: "Foreign penal civil action" means an action authorized by the law of a state, or of any municipality or other governmental entity within a state, other than this State, the essential character and effect of which is to punish an offense against the public justice of that state, municipality, or other governmental entity. "Protected reproductive health care services" means medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or termination of a pregnancy, that are protected under the Hawaii State Constitution or otherwise lawful under the laws of this State or that would be constitutionally protected or otherwise lawful if performed within this State." PART IV SECTION 11. If any provision of this Act, or the application thereof to any person or circumstance, is held invalid, the invalidity does not affect other provisions or applications of the Act that can be given effect without the invalid provision or application, and to this end the provisions of this Act are severable. SECTION 12. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 13. This Act shall take effect upon its approval; provided that the amendments made to section 457-12(a), Hawaii Revised Statutes, by section 7 of this Act shall not be repealed when that section is reenacted on June 30, 2023, pursuant to section 6 of Act 66, Session Laws of Hawaii 2017. INTRODUCED BY: _____________________________
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49	49	SECTION 1. The legislature finds that the people of Hawaii have a long tradition of protecting an individual's right to privacy and bodily autonomy independently of, and more broadly than, the federal constitution. In 1970, the State became the first state in the nation to decriminalize abortion with the enactment of Act 1, Session Laws of Hawaii 1970. In 1978, the 1978 Hawaii State Constitutional Convention proposed, and the electorate approved, an amendment to explicitly codify the right to privacy in article I, section 6 of the Hawaii State Constitution. In 2006, the legislature took one of its constitutionally required affirmative steps to implement the right to privacy by passing Act 35, Session Laws of Hawaii 2006, which established that the State shall not deny or interfere with a pregnant person's right to choose or obtain an abortion of a nonviable fetus or an abortion that is necessary to protect a pregnant person's life or health. Act 35 also removed the outdated requirement that individuals who seek an abortion be a Hawaii resident for at least ninety days.
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51	51	However, the legislature further finds that existing developments in the legal landscape threaten the State's policy to protect an individual's right to privacy and personal autonomy over their body within state boundaries. In June 2022, the Supreme Court of the United States held in Dobbs v. Jackson Women's Health Organization, 142 S.Ct. 2228 (2022), that the United States Constitution does not confer a right to an abortion. Dobbs overrules Roe v. Wade, 410 U.S. 113 (1973), and Planned Parenthood of Southeastern Pennsylvania v. Casey, 505 U.S. 833 (1992), and the nearly fifty years of federal precedent regarding reproductive rights. The impact of Dobbs has resulted in many states either banning or severely restricting access to abortion. Additionally, some states are pursuing laws or policies purporting to impose civil or criminal liability or professional discipline in connection with the provision or receipt of, or assistance with, reproductive health care services outside of these states' borders.
52	52
53	53	It is the policy of this State that the rights of equality, liberty, and privacy guaranteed under article I, sections 3, 5, and 6, of the Hawaii State Constitution are fundamental rights and that include each individual's fundamental right to make reproductive health care decisions about one's own body and the right of each individual to decide whether to bear a child or obtain an abortion. Due to the shifting legal landscape regarding the right to privacy and an individual's bodily autonomy, the legislature finds it is imperative to reiterate and bolster the State's policy to affirm such protections and freedoms within the state boundaries. The governor initiated this process by issuing Executive Order 22-5 on October 11, 2022, which outlined the governor's policy to limit cooperation with other states in investigations, proceedings, or warrants involving the provision reproductive health care services in the State, if such provision is legal in the State. This Act codifies and expands on that policy.
54	54
55	55	The purpose of this Act is to bolster the State's policy to protect an individual's right to privacy and bodily autonomy within the state boundaries.
56	56
57	57	PART I
58	58
59	59	SECTION 2. The Hawaii Revised Statutes is amended by adding a new chapter to be appropriately designated and to read as follows:
60	60
61	61	"Chapter
62	62
63	63	REPRODUCTIVE HEALTH CARE SERVICES
64	64
65	65	§ -1 Definitions. As used in this chapter, unless the context otherwise requires:
66	66
67	67	"Person" includes an individual, a partnership, an association, a limited liability company, or a corporation.
68	68
69	69	"Reproductive health care services" includes all medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy.
70	70
71	71	§ -2 Disclosures prohibited. (a) Except as provided in rules 504, 504.1, and 505.5 of the Hawaii rules of evidence and subsection (b), in any civil action or any proceeding preliminary thereto or in any probate, legislative, or administrative proceeding, no covered entity, as defined in title 45 Code of Federal Regulations section 160.103, shall disclose:
72	72
73	73	(1) Any communication made to the covered entity, or any information obtained by the covered entity from a patient or the conservator, guardian, or other authorized legal representative of a patient relating to reproductive health care services that are permitted under the laws of this State; or
74	74
75	75	(2) Any information obtained by personal examination of a patient relating to reproductive health care services that are permitted under the laws of this State,
76	76
77	77	unless the patient or that patient's conservator, guardian, or other authorized legal representative explicitly consents to the disclosure in writing in the form of a release of protected health information compliant under the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, as amended. A covered entity shall inform the patient or the patient's conservator, guardian, or other authorized legal representative of the patient's right to withhold the written consent.
78	78
79	79	(b) Written consent of the patient or the patient's conservator, guardian, or other authorized legal representative shall not be required for the disclosure of such communication or information:
80	80
81	81	(1) If the records relate to a patient who is a plaintiff in a complaint pending before a court of competent jurisdiction alleging health care negligence and a request for records has been served on a named defendant in that litigation;
82	82
83	83	(2) If the records are requested by a licensing authority, as defined in section 436B-2, and such request is made in connection with an investigation of a complaint to such licensing authority and such records are related to the complaint, unless such complaint is made solely on the basis that the licensee, acting within the licensee's scope of practice, provided reproductive health care services that are lawful in this State;
84	84
85	85	(3) To the director of health for records of a patient of a covered entity in connection with an investigation of a complaint, if such records are related to the complaint; or
86	86
87	87	(4) If child abuse, abuse of an individual who is sixty years of age or older, abuse of an individual who is physically disabled or incompetent, or abuse of an individual with intellectual disability is known or in good faith suspected.
88	88
89	89	(c) Nothing in this section shall be construed to impede the lawful sharing of medical records as permitted by state or federal law or the rules of the court, except in the case of a subpoena commanding the production, copying, or inspection of medical records relating to reproductive health care services.
90	90
91	91	§ -3 Subpoenas; when allowed. Notwithstanding sections 624-27 and 624D-3 or any other law to the contrary, a court or clerk shall not order the issuance of a subpoena requested by an officer, appointed according to the laws or usages of another state or government, or by any court of the United States or of another state or government, in connection with an out-of-state proceeding relating to reproductive health care services legally performed in this State.
92	92
93	93	§ -4 Agencies prohibited from providing information or expending resources. (a) No agency, as defined in section 92F‑3, or employee, appointee, officer, official, or any other person acting on behalf of an agency shall provide any information or expend or use time, money, facilities, property, equipment, personnel, or other resources in furtherance of any interstate investigation or proceeding seeking to impose civil or criminal liability upon a person or entity for:
94	94
95	95	(1) The provision, seeking, or receipt of or inquiring about reproductive health care services that are legal in this State; or
96	96
97	97	(2) Assisting any person or entity providing, seeking, receiving, or responding to an inquiry about reproductive health care services that are legal in this State.
98	98
99	99	(b) This section shall not apply to any investigation or proceeding where the conduct subject to potential liability under the investigation or proceeding would be subject to liability under the laws of this State if committed in this State.
100	100
101	101	§ -5 Prohibition on state action. The State shall not penalize, prosecute, or otherwise take adverse action against an individual based on their actual, potential, perceived, or alleged pregnancy outcomes. The State shall not penalize, prosecute, or otherwise take adverse action against a person for aiding or assisting a pregnant individual accessing reproductive health care services in accordance with the law and with the pregnant individual's voluntary consent.
102	102
103	103	§ -6 Denial of demands for surrender. (a) Notwithstanding any provision of chapter 832 to the contrary, the governor shall deny any demand made by the executive authority of any state for the surrender of any person charged with a crime under the laws of that state when the alleged crime involves the provision or receipt of, or assistance with, reproductive health care services, unless the acts forming the basis of the prosecution would also constitute a criminal offense in this State.
104	104
105	105	(b) This section shall not apply if the person who is the subject of the demand for surrender was physically present in the requesting state at the time of the commission of the alleged crime and thereafter fled from that state.
106	106
107	107	§ -7 Laws contrary to the public policy of this State. (a) A law of another state authorizing a civil action or criminal prosecution based on any of the following is declared to be contrary to the public policy of this State:
108	108
109	109	(1) Receiving or seeking reproductive health care services;
110	110
111	111	(2) Performing reproductive health care services;
112	112
113	113	(3) Engaging in conduct that assists or aids or abets the performance of or receipt of reproductive health care services; or
114	114
115	115	(4) Attempting or intending to engage in or providing material support for (or any other theory of vicarious, attempt, joint, several or conspiracy liability derived therefrom) conduct described in paragraphs (1) to (3).
116	116
117	117	(b) No law described in subsection (a) above shall be applied to a case or controversy heard in the courts of this State."
118	118
119	119	SECTION 3. Section 836-2, Hawaii Revised Statutes, is amended to read as follows:
120	120
121	121	"§836-2 Summoning witness in this State to testify in another state. If a judge of a court of record in any state which by its laws has made provision for commanding persons within that state to attend and testify in this State certifies under the seal of such court that there is a criminal prosecution pending in such court, or that a grand jury investigation has commenced or is about to commence, that a person being within this State is a material witness in such prosecution, or grand jury investigation, and that the person's presence will be required for a specified number of days, upon presentation of such certificate to any judge of a court of record in the judicial district in which such person is, such judge shall fix a time and place for a hearing, and shall make an order directing the witness to appear at a time and place certain for the hearing.
122	122
123	123	If at a hearing the judge determines that the witness is material and necessary, that it will not cause undue hardship to the witness to be compelled to attend and testify in the prosecution or a grand jury investigation in the other state, and that the laws of the state in which the prosecution is pending, or grand jury investigation has commenced or is about to commence, and of any other state through which the witness may be required to pass by ordinary course of travel, will give to the witness protection from arrest and the service of civil and criminal process, the judge shall issue a summons, with a copy of the certificate attached, directing the witness to attend and testify in the court where the prosecution is pending, or where a grand jury investigation has commenced or is about to commence at a time and place specified in the summons[.], except that no judge shall issue a summons in a case where prosecution is pending, or where a grand jury investigation has commenced or is about to commence for a criminal violation of a law of such other state involving the provision or receipt of or assistance with reproductive health care services, as defined in section -1, that are legal in this State, unless the acts forming the basis of the prosecution or investigation would also constitute an offense in this State. In any such hearing the certificate shall be prima facie evidence of all the facts stated therein.
124	124
125	125	If said certificate recommends that the witness be taken into immediate custody and delivered to an officer of the requesting state to assure the witness' attendance in the requesting state, such judge may, in lieu of notification of the hearing, direct that such witness be forthwith brought before the judge for said hearing; and the judge at the hearing being satisfied of the desirability of such custody and delivery, for which determination the certificate shall be prima facie proof of such desirability may, in lieu of issuing subpoena or summons, order that said witness be forthwith taken into custody and delivered to an officer of the requesting state.
126	126
127	127	If the witness, who is summoned as above provided, after being paid or tendered by some properly authorized person a sum equivalent to the cost of round-trip air fare to the place where the prosecution is pending and $30 for each day, that the witness is required to travel and attend as a witness, fails without good cause to attend and testify as directed in the summons, the witness shall be punished in the manner provided for the punishment of any witness who disobeys a summons issued from a court of record in this State."
128	128
129	129	PART II
130	130
131	131	SECTION 4. Section 442-9, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
132	132
133	133	"(a) In addition to any other actions authorized by law, the board shall refuse to issue or may order any license issued under this chapter to be revoked, suspended, limited, restricted, or placed under probation at any time in a proceeding before the board or fine a licensee for any cause authorized by law, including but not limited to the following:
134	134
135	135	(1) Procuring or aiding or abetting in procuring [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State;
136	136
137	137	(2) Employing what is popularly known as a "capper" or "steerer";
138	138
139	139	(3) Obtaining a fee on the assurance that a manifestly incurable disease can be permanently cured;
140	140
141	141	(4) Wilfully betraying patient confidentiality;
142	142
143	143	(5) Making any untruthful statement in advertising one's practice or business under this chapter;
144	144
145	145	(6) False, fraudulent, or deceptive advertising;
146	146
147	147	(7) Advertising directly or indirectly, or in substance upon any card, sign, newspaper advertisement, or other written or printed sign of advertisement that the holder of a license or the licensee's employer or employee will treat, cure, or attempt to treat or cure any venereal disease, or will treat or cure, or attempt to treat or cure, any person afflicted with any sexual disease, lost manhood, sexual weakness, or sexual disorder or any disease of the sexual organs;
148	148
149	149	(8) Being habitually intemperate;
150	150
151	151	(9) Habitually using any habit-forming drug, such as opium, or any of its derivatives, morphine, heroin, cocaine, or any other habit-forming drug;
152	152
153	153	(10) The advertising of any means whereby the monthly periods of women can be regulated or the menses reestablished if suppressed;
154	154
155	155	(11) Procuring a license through fraudulent misrepresentation or deceit;
156	156
157	157	(12) Professional misconduct or gross carelessness or manifest incapability in the practice of chiropractic;
158	158
159	159	(13) Violating section 453-2; and
160	160
161	161	(14) Knowingly recording, registering, or filing, or offering for recordation, registration, or filing, with the department of commerce and consumer affairs any written statement which has been falsely made, completed, or altered, or in which a false entry has been made, or which contains a false statement or false information."
162	162
163	163	SECTION 5. Section 453-8, Hawaii Revised Statutes, is amended by amending subsections (a), (b), and (c) to read as follows:
164	164
165	165	"(a) In addition to any other actions authorized by law, any license to practice medicine and surgery may be revoked, limited, or suspended by the board at any time in a proceeding before the board, or may be denied, for any cause authorized by law, including but not limited to the following:
166	166
167	167	(1) Procuring, or aiding or abetting in procuring, [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State;
168	168
169	169	(2) Employing any person to solicit patients for one's self;
170	170
171	171	(3) Engaging in false, fraudulent, or deceptive advertising, including but not limited to:
172	172
173	173	(A) Making excessive claims of expertise in one or more medical specialty fields;
174	174
175	175	(B) Assuring a permanent cure for an incurable disease; or
176	176
177	177	(C) Making any untruthful and improbable statement in advertising one's medical or surgical practice or business;
178	178
179	179	(4) Being habituated to the excessive use of drugs or alcohol; or being addicted to, dependent on, or a habitual user of a narcotic, barbiturate, amphetamine, hallucinogen, or other drug having similar effects;
180	180
181	181	(5) Practicing medicine while the ability to practice is impaired by alcohol, drugs, physical disability, or mental instability;
182	182
183	183	(6) Procuring a license through fraud, misrepresentation, or deceit, or knowingly permitting an unlicensed person to perform activities requiring a license;
184	184
185	185	(7) Professional misconduct, hazardous negligence causing bodily injury to another, or manifest incapacity in the practice of medicine or surgery;
186	186
187	187	(8) Incompetence or multiple instances of negligence, including but not limited to the consistent use of medical service, which is inappropriate or unnecessary;
188	188
189	189	(9) Conduct or practice contrary to recognized standards of ethics of the medical profession as adopted by the Hawaii Medical Association, the American Medical Association, the Hawaii Association of Osteopathic Physicians and Surgeons, or the American Osteopathic Association;
190	190
191	191	(10) Violation of the conditions or limitations upon which a limited or temporary license is issued;
192	192
193	193	(11) Revocation, suspension, or other disciplinary action by another state or federal agency of a license, certificate, or medical privilege[;], except if the revocation, suspension, or other disciplinary action was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State;
194	194
195	195	(12) Conviction, whether by nolo contendere or otherwise, of a penal offense substantially related to the qualifications, functions, or duties of a physician or osteopathic physician, notwithstanding any statutory provision to the contrary[;], except if the conviction was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State;
196	196
197	197	(13) Violation of chapter 329, the uniform controlled substances act, or any rule adopted thereunder except as provided in section 329-122;
198	198
199	199	(14) Failure to report to the board, in writing, any disciplinary decision issued against the licensee or the applicant in another jurisdiction within thirty days after the disciplinary decision is issued; or
200	200
201	201	(15) Submitting to or filing with the board any notice, statement, or other document required under this chapter, which is false or untrue or contains any material misstatement or omission of fact.
202	202
203	203	(b) If disciplinary action related to the practice of medicine has been taken against the applicant by another state or federal agency, or if the applicant reveals a physical or mental condition that would constitute a violation under this section, then the board may impose one or more of the following requirements as a condition for licensure:
204	204
205	205	(1) Physical and mental evaluation of the applicant by a licensed physician or osteopathic physician approved by the board;
206	206
207	207	(2) Probation, including conditions of probation as requiring observation of the licensee by an appropriate group or society of licensed physicians, osteopathic physicians, or surgeons;
208	208
209	209	(3) Limitation of the license by restricting the fields of practice in which the licensee may engage;
210	210
211	211	(4) Further education or training or proof of performance competency; and
212	212
213	213	(5) Limitation of the medical practice of the licensee in any reasonable manner to assure the safety and welfare of the consuming public[.];
214	214
215	215	provided that the board shall not impose as a condition for licensure any of the requirements pursuant to this subsection if the disciplinary action related to the practice of medicine taken against the applicant was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State.
216	216
217	217	(c) Notwithstanding any other law to the contrary, the board may deny a license to any applicant who has been disciplined by another state or federal agency[.], except on the basis of discipline for the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State. Any final order of discipline taken pursuant to this subsection shall be a matter of public record."
218	218
219	219	SECTION 6. Section 455-11, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
220	220
221	221	"(a) In addition to any other actions authorized by law, the board shall have the power to deny, revoke, suspend, or refuse to renew any license to practice naturopathic medicine applied for or issued by the board in accordance with this chapter, and to fine or otherwise discipline a licensee for any cause authorized by law, including but not limited to the following:
222	222
223	223	(1) Failing to meet or maintain the conditions and requirements necessary to qualify for the issuance of a license;
224	224
225	225	(2) Procuring, or aiding or abetting in procuring, [a criminal] an abortion[;] that is unlawful under the laws of this State or that would be unlawful under the laws of this State if performed within this State;
226	226
227	227	(3) Employing any person to solicit patients;
228	228
229	229	(4) Obtaining a fee on the assurance that a manifestly incurable disease can be permanently cured;
230	230
231	231	(5) Betraying a patient's confidence;
232	232
233	233	(6) Making any untruthful and improbable statement in advertising one's naturopathic practice or business;
234	234
235	235	(7) False, fraudulent, or deceptive advertising;
236	236
237	237	(8) Being habituated to the excessive use of drugs or alcohol; or being addicted to, dependent on, or an habitual user of a narcotic, barbiturate, amphetamine, hallucinogen, or other drug having similar effects;
238	238
239	239	(9) Practicing naturopathic medicine while the ability to practice is impaired by alcohol, drug, physical disability, or mental instability;
240	240
241	241	(10) Procuring a license through fraud, misrepresentation, or deceit or knowingly permitting an unlicensed person to perform activities requiring a license;
242	242
243	243	(11) Professional misconduct or gross carelessness or manifest incapacity in the practice of naturopathic medicine;
244	244
245	245	(12) Conduct or practice contrary to recognized standard of ethics of the naturopathic profession;
246	246
247	247	(13) Using medical service or treatment which is inappropriate or unnecessary;
248	248
249	249	(14) Submitting to or filing with the board any notice, statement, or other document required under this chapter which is false or untrue or contains any material misstatement of fact, including any false certification of compliance with the continuing education requirement specified under section 455-8;
250	250
251	251	(15) Failure to report to the board any disciplinary action taken against the licensee in another jurisdiction within thirty days after the disciplinary action becomes final;
252	252
253	253	(16) Using the title "physician" without clearly identifying oneself as being a naturopathic physician;
254	254
255	255	(17) Prescribing, administering, and dispensing naturopathic formulary that are not included in the formulary established by the board under section 455-6; and
256	256
257	257	(18) Violation of any provision of this chapter or rules adopted under this chapter."
258	258
259	259	SECTION 7. Section 457-12, Hawaii Revised Statutes, is amended by amending subsections (a) and (b) to read as follows:
260	260
261	261	"(a) In addition to any other actions authorized by law, the board shall have the power to deny, revoke, limit, or suspend any license to practice nursing as a registered nurse or as a licensed practical nurse applied for or issued by the board in accordance with this chapter, and to fine or to otherwise discipline a licensee for any cause authorized by law, including but not limited to the following:
262	262
263	263	(1) Fraud or deceit in procuring or attempting to procure a license to practice nursing as a registered nurse or as a licensed practical nurse;
264	264
265	265	(2) Gross immorality;
266	266
267	267	(3) Unfitness or incompetence by reason of negligence, habits, or other causes;
268	268
269	269	(4) Habitual intemperance, addiction to, or dependency on alcohol or other habit-forming substances;
270	270
271	271	(5) Mental incompetence;
272	272
273	273	(6) Unprofessional conduct as defined by the board in accordance with its own rules;
274	274
275	275	(7) Wilful or repeated violation of any of the provisions of this chapter or any rule adopted by the board;
276	276
277	277	(8) Revocation, suspension, limitation, or other disciplinary action by another state of a nursing license[;], except if the revocation, suspension, limitation, or other disciplinary action by another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State;
278	278
279	279	(9) Conviction, whether by nolo contendere or otherwise, of a penal offense substantially related to the qualifications, functions, or duties of a nurse, notwithstanding any statutory provision to the contrary[;], except if the conviction was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State;
280	280
281	281	(10) Failure to report to the board any disciplinary action taken against the licensee in another jurisdiction within thirty days after the disciplinary action becomes final;
282	282
283	283	(11) Submitting to or filing with the board any notice, statement, or other document required under this chapter, which is false or untrue or contains any material misstatement of fact, including a false attestation of compliance with continuing competency requirements;
284	284
285	285	(12) Violation of the conditions or limitations upon which any license is issued; or
286	286
287	287	(13) Violation of chapter 329, the uniform controlled substances act, or any rule adopted thereunder except as provided in section 329-122.
288	288
289	289	(b) Notwithstanding any other law to the contrary, the board may deny a license to any applicant who has been disciplined by another state[.], except on the basis of discipline by another state for the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State. Any final order entered pursuant to this subsection shall be a matter of public record."
290	290
291	291	SECTION 8. Section 457-12.5, Hawaii Revised Statutes, is amended as follows:
292	292
293	293	1. By amending subsection (a) to read:
294	294
295	295	"(a) Upon receipt of evidence of revocation, suspension, or other disciplinary action against a licensee in another state, the board may issue an order imposing disciplinary action upon the licensee on the following conditions:
296	296
297	297	(1) The board shall serve the licensee with a proposed order imposing disciplinary action as required by chapter 91;
298	298
299	299	(2) The licensee shall have the right to request a hearing pursuant to chapter 91 to show cause why the action described in the proposed order should not be imposed;
300	300
301	301	(3) Any request for a hearing shall be made in writing and filed with the board within twenty days after mailing of the proposed order to the licensee; and
302	302
303	303	(4) If the licensee does not submit a written request for a hearing within twenty days after mailing of the proposed order, the board shall issue a final order imposing the disciplinary action described in the proposed order[.];
304	304
305	305	provided that the board shall not issue an order imposing disciplinary action upon the licensee if the revocation, suspension, or other disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State."
306	306
307	307	2. By amending subsection (c) to read:
308	308
309	309	"(c) A licensee against whom the board has issued a proposed order under this section shall be prohibited from practicing in this State until the board issues a final order if:
310	310
311	311	(1) The licensee was the subject of disciplinary action in another state[;], except where the disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; and
312	312
313	313	(2) The disciplinary action in the other state prohibits the licensee from practicing in that state."
314	314
315	315	SECTION 9. Section 461-21.5, Hawaii Revised Statutes, is amended as follows:
316	316
317	317	1. By amending subsection (a) to read:
318	318
319	319	"(a) Upon receipt of evidence of revocation, suspension, or other disciplinary action against a licensee by another state or federal agency, the board may issue an order imposing disciplinary action upon the licensee on the following conditions:
320	320
321	321	(1) The board shall serve the licensee with a proposed order imposing disciplinary action as required by chapter 91;
322	322
323	323	(2) The licensee shall have the right to request a hearing pursuant to chapter 91 to show cause why the action described in the proposed order should not be imposed;
324	324
325	325	(3) Any request for a hearing shall be made in writing and filed with the board within twenty days after mailing of the proposed order to the licensee; and
326	326
327	327	(4) If the licensee does not submit a written request for a hearing within twenty days after mailing of the proposed order, the board shall issue a final order imposing the disciplinary action described in the proposed order[.];
328	328
329	329	provided that the board shall not issue an order imposing disciplinary action upon the licensee if the revocation, suspension, or other disciplinary action against a licensee in another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State."
330	330
331	331	2. By amending subsection (c) to read:
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333	333	"(c) A licensee against whom the board has issued a proposed order under this section shall be prohibited from practicing in this State until the board issues a final order if:
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335	335	(1) The licensee was the subject of disciplinary action by another state[;], except where the disciplinary action against a licensee by another state was based on the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or the termination of a pregnancy so long as the provision or assistance in receipt or provision of such services was in accordance with the laws of this State or would have been in accordance with the laws of this State if it occurred within this State; and
336	336
337	337	(2) The disciplinary action by another state prohibits the licensee from practicing in that state."
338	338
339	339	PART III
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341	341	SECTION 10. Chapter 636C, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
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343	343	"§636C- Enforcement of foreign penal civil actions relating to protected reproductive health care services. (a) No judgment or other order arising from a foreign penal civil action or other penal law banning, restricting, burdening, punishing, penalizing, or otherwise interfering with the provision of protected reproductive health care services shall be enforced in this State.
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345	345	(b) As used in this section:
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347	347	"Foreign penal civil action" means an action authorized by the law of a state, or of any municipality or other governmental entity within a state, other than this State, the essential character and effect of which is to punish an offense against the public justice of that state, municipality, or other governmental entity.
348	348
349	349	"Protected reproductive health care services" means medical, surgical, pharmaceutical, counseling, or referral services relating to the human reproductive system, including but not limited to services relating to pregnancy, contraception, or termination of a pregnancy, that are protected under the Hawaii State Constitution or otherwise lawful under the laws of this State or that would be constitutionally protected or otherwise lawful if performed within this State."
350	350
351	351	PART IV
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353	353	SECTION 11. If any provision of this Act, or the application thereof to any person or circumstance, is held invalid, the invalidity does not affect other provisions or applications of the Act that can be given effect without the invalid provision or application, and to this end the provisions of this Act are severable.
354	354
355	355	SECTION 12. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
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357	357	SECTION 13. This Act shall take effect upon its approval; provided that the amendments made to section 457-12(a), Hawaii Revised Statutes, by section 7 of this Act shall not be repealed when that section is reenacted on June 30, 2023, pursuant to section 6 of Act 66, Session Laws of Hawaii 2017.
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359	359
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361	361	INTRODUCED BY: _____________________________
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363	363	INTRODUCED BY:
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365	365	_____________________________
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371	371	Report Title: Reproductive Health Care Services; Disclosures; Subpoenas; Agencies; Licensing Authorities; Disciplinary Action; Investigations; Proceedings Description: Prohibits a covered entity from disclosing communication or information relating to reproductive health care services. Prohibits the issuance of a subpoena in connection with an out-of-state proceeding relating to reproductive health care services legally performed in the State. Prohibits agencies from providing information or expending resources in the furtherance of interstate investigations or proceedings relating to reproductive health care services. Prohibits the State from penalizing, prosecuting, or otherwise taking adverse action based on pregnancy outcomes or aiding or assisting a pregnant individual with accessing reproductive health care services. Requires the governor to deny any demand for surrender of a person charged with a crime involving reproductive health care services unless the conduct constitutes a crime in the State. Enumerates laws contrary to public policy and prohibits their application as rules of decision in the courts. Prohibits the issuance of a summons for persons to testify in another state with regard to lawful reproductive health care services. Clarifies under various licensing statutes that the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services related to the human reproductive system cannot form a basis for disciplinary action. Prohibits the enforcement of a judgment or order arising from a foreign penal civil action or other penal law with respect to reproductive health care services. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
372	372
373	373
374	374
375	375
376	376
377	377	Report Title:
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379	379	Reproductive Health Care Services; Disclosures; Subpoenas; Agencies; Licensing Authorities; Disciplinary Action; Investigations; Proceedings
380	380
381	381
382	382
383	383	Description:
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385	385	Prohibits a covered entity from disclosing communication or information relating to reproductive health care services. Prohibits the issuance of a subpoena in connection with an out-of-state proceeding relating to reproductive health care services legally performed in the State. Prohibits agencies from providing information or expending resources in the furtherance of interstate investigations or proceedings relating to reproductive health care services. Prohibits the State from penalizing, prosecuting, or otherwise taking adverse action based on pregnancy outcomes or aiding or assisting a pregnant individual with accessing reproductive health care services. Requires the governor to deny any demand for surrender of a person charged with a crime involving reproductive health care services unless the conduct constitutes a crime in the State. Enumerates laws contrary to public policy and prohibits their application as rules of decision in the courts. Prohibits the issuance of a summons for persons to testify in another state with regard to lawful reproductive health care services. Clarifies under various licensing statutes that the provision or assistance in receipt or provision of medical, surgical, pharmaceutical, counseling, or referral services related to the human reproductive system cannot form a basis for disciplinary action. Prohibits the enforcement of a judgment or order arising from a foreign penal civil action or other penal law with respect to reproductive health care services.
386	386
387	387
388	388
389	389
390	390
391	391
392	392
393	393	The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.