Hawaii 2023 Regular Session

Hawaii House Bill HR107

Introduced
3/10/23  
Refer
3/15/23  
Report Pass
3/31/23  
Refer
3/31/23  
Report Pass
4/5/23  

Caption

Requesting The Legislative Reference Bureau To Conduct An Analysis Regarding The Scope Of Practice For Advanced Practice Registered Nurses And Physician Assistants.

Impact

If enacted, the analysis mandated by H.R. 107 could lead to a clearer delineation of the specific roles and responsibilities assigned to APRNs and PAs. The bill suggests that these roles may need to expand into several facets of patient care, including school-based health services, HIV care for minors, abortion care, and more. This examination could enhance healthcare delivery in Hawaii, particularly in underserved areas, and ease the burden on physicians by allowing APRNs and PAs to operate more autonomously.

Summary

H.R. 107, introduced in the Thirty-Second Legislature of Hawaii, requests the Legislative Reference Bureau to conduct an analysis regarding the scope of practice for advanced practice registered nurses (APRNs) and physician assistants (PAs). The resolution arises from the recognized physician shortage in the state, particularly affecting rural areas where healthcare access is often limited. By examining the roles of APRNs and PAs, the bill aims to address gaps in healthcare provision, allowing these professionals to fill significant roles in patient care.

Sentiment

The sentiment surrounding H.R. 107 appears to be generally positive among healthcare professionals and advocates who recognize the critical need to leverage the skills of APRNs and PAs. However, there may be some concerns regarding the adequacy of training and the implications of expanding their scope of practice, especially in sensitive areas like abortion and medical aid in dying. The potential for reform in this area is seen as essential given the ongoing challenges in accessing quality healthcare in the state.

Contention

Notable points of contention surrounding the bill may include the debate over how far the scope of practice for APRNs and PAs should extend. Questions may arise about whether these practitioners have the necessary training to take on expanded responsibilities, particularly in complex medical situations. Additionally, the discussion surrounding abortion care and medical aid in dying could provoke divergent views based on personal beliefs and ethical considerations within the healthcare community and the broader public.

Companion Bills

HI HCR100

Same As Requesting The Legislative Reference Bureau To Conduct An Analysis Regarding The Scope Of Practice For Advanced Practice Registered Nurses And Physician Assistants.

Previously Filed As

HI HR167

Requesting The Legislative Reference Bureau To Conduct A Study On Best Practices For Nurse Staffing In Healthcare Facilities.

HI HCR187

Requesting The Legislative Reference Bureau To Conduct A Study On Best Practices For Nurse Staffing In Health Care Facilities.

HI HB1451

Relating To Advanced Practice Registered Nurses.

HI HR66

Requesting The Director Of Labor And Industrial Relations To Amend Title 12, Chapter 15, Hawaii Administrative Rules, To Clarify That Compensation For Advanced Practice Registered Nurses Under The State's Workers' Compensation Law Is Distinct From Compensation For Registered Nurses And Shall Be One Hundred Percent Of The Fees Authorized Under The Medicare Fee Schedule.

HI HCR81

Requesting The Director Of Labor And Industrial Relations To Amend Title 12, Chapter 15, Hawaii Administrative Rules, To Clarify That Compensation For Advanced Practice Registered Nurses Under The State's Workers' Compensation Law Is Distinct From Compensation For Registered Nurses And Shall Be One Hundred Percent Of The Fees Authorized Under The Medicare Fee Schedule.

HI SB321

Relating To The Advanced Practice Registered Nurse Compact.

HI HR162

Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.

HI HR202

Requesting The Legislative Reference Bureau To Conduct A Study To Examine The Implementation And Standards Of Various Sexual Health Education Policies Within The Department Of Education.

HI HCR182

Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.

HI HB1042

Relating To The Practice Of Behavior Analysis.

Similar Bills

LA HB702

Provides with respect to the practice of physician assistants

HI SB61

Relating To Associate Physicians.

HI SB61

Relating To Associate Physicians.

CO SB083

Physician Assistant Collaboration Requirements

TN SB2136

AN ACT to amend Tennessee Code Annotated, Title 55; Title 63 and Title 68, relative to healthcare providers.

TN HB2318

AN ACT to amend Tennessee Code Annotated, Title 55; Title 63 and Title 68, relative to healthcare providers.

TN HB1311

AN ACT to amend Tennessee Code Annotated, Title 49; Title 63 and Title 68, relative to graduate physicians.

TN SB0937

AN ACT to amend Tennessee Code Annotated, Title 49; Title 63 and Title 68, relative to graduate physicians.