Hawaii 2023 Regular Session

Hawaii Senate Bill SB1017 Compare Versions

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

Old	New	Differences
1	1	THE SENATE S.B. NO. 1017 THIRTY-SECOND LEGISLATURE, 2023 STATE OF HAWAII A BILL FOR AN ACT relating to health. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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3	3	THE SENATE S.B. NO. 1017
4	4	THIRTY-SECOND LEGISLATURE, 2023
5	5	STATE OF HAWAII
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7	7	THE SENATE
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9	9	S.B. NO.
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11	11	1017
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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 health.
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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. Section 327E-2, Hawaii Revised Statutes, is amended as follows: 1. By adding two new definitions to be appropriately inserted and to read: ""Electronic prescription" has the same meaning as in section 329.1. "Pharmacist" has the same meaning as in section 329.1." 2. By amending the definition of "health care" to read: ""Health care" means any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect an individual's physical or mental condition, including: (1) Selection and discharge of health-care providers and institutions; (2) Approval or disapproval of diagnostic tests, surgical procedures, programs of medication, and orders not to resuscitate; [and] (3) Direction to provide, withhold, or withdraw artificial nutrition and hydration; provided that withholding or withdrawing artificial nutrition or hydration is in accord with generally accepted health care standards applicable to health-case providers or institutions[.]; and (4) Refusal of the administration of any opioid medication." SECTION 2. Section 327E-9, Hawaii Revised Statutes, is amended to read as follows: "[[]§327E-9[]] Immunities. (a) A health-care provider or institution acting in good faith and in accordance with generally accepted health-care standards applicable to the health-care provider or institution shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for: (1) Complying with a health-care decision of a person apparently having authority to make a health-care decision for a patient, including a decision to withhold or withdraw health care; (2) Declining to comply with a health-care decision of a person based on a belief that the person then lacked authority; [or] (3) Complying with an advance health-care directive and assuming that the directive was valid when made and has not been revoked or terminated[.]; or (4) Revoking or overriding, in good faith, a voluntary non-opioid directive in an emergency situation. (b) An individual acting as agent, guardian, or surrogate under this chapter shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for health-care decisions made in good faith. (c) A prescription presented or electronically transmitted to a pharmacy shall be presumed valid for the purposes of this chapter and a pharmacist shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for dispensing a controlled substance in contradiction of a patient's advance health-care directive that refuses the offer or administration of any opioid medication." SECTION 3. Section 327E-16, Hawaii Revised Statutes, is amended to read as follows: "§327E-16 Optional form. The following sample form may be used to create an advance health-care directive. This form may be duplicated. This form may be modified to suit the needs of the person, or a completely different form may be used that contains the substance of the following form. "ADVANCE HEALTH-CARE DIRECTIVE Explanation You have the right to give instructions about your own health care. You also have the right to name someone else to make health-care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding the designation of your health-care provider. If you use this form, you may complete or modify all or any part of it. You are free to use a different form. Part 1 of this form is a power of attorney for health care. Part 1 lets you name another individual as agent to make health-care decisions for you if you become incapable of making your own decisions or if you want someone else to make those decisions for you now even though you are still capable. You may name an alternate agent to act for you if your first choice is not willing, able, or reasonably available to make decisions for you. Unless related to you, your agent may not be an owner, operator, or employee of a health-care institution where you are receiving care. Unless the form you sign limits the authority of your agent, your agent may make all health-care decisions for you. This form has a place for you to limit the authority of your agent. You need not limit the authority of your agent if you wish to rely on your agent for all health-care decisions that may have to be made. If you choose not to limit the authority of your agent, your agent will have the right to: (1) Consent or refuse consent to any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect a physical or mental condition; (2) Select or discharge health-care providers and institutions; (3) Approve or disapprove diagnostic tests, surgical procedures, programs of medication, and orders not to resuscitate; and (4) Direct the provision, withholding, or withdrawal of artificial nutrition and hydration and all other forms of health care. Part 2 of this form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, including the provision of artificial nutrition and hydration, as well as the provision of pain relief medication. Space is provided for you to add to the choices you have made or for you to write out any additional wishes. Part 3 of this form lets you give specific instructions with regard to the donation of organs at death. Part 4 of this form lets you designate a physician to have primary responsibility for your health care. After completing this form, sign and date the form at the end and have the form witnessed by one of the two alternative methods listed below. Give a copy of the signed and completed form to your physician, to any other health-care providers you may have, to any health-care institution at which you are receiving care, and to any health-care agents you have named. You should talk to the person you have named as agent to make sure that he or she understands your wishes and is willing to take the responsibility. You have the right to revoke this advance health-care directive or replace this form at any time. PART 1 DURABLE POWER OF ATTORNEY FOR HEALTH-CARE DECISIONS (1) DESIGNATION OF AGENT: I designate the following individual as my agent to make health-care decisions for me: _______________________________________________ (name of individual you choose as agent) _______________________________________________ (address) (city) (state) (zip code) _______________________________________________ (home phone) (work phone) OPTIONAL: If I revoke my agent's authority or if my agent is not willing, able, or reasonably available to make a health-care decision for me, I designate as my first alternate agent: _______________________________________________ (name of individual you choose as first alternate agent) _______________________________________________ (address) (city) (state) (zip code) _______________________________________________ (home phone) (work phone) OPTIONAL: If I revoke the authority of my agent and first alternate agent or if neither is willing, able, or reasonably available to make a health-care decision for me, I designate as my second alternate agent: _______________________________________________ (name of individual you choose as second alternate agent) _______________________________________________ (address) (city) (state) (zip code) _______________________________________________ (home phone) (work phone) (2) AGENT'S AUTHORITY: My agent is authorized to make all health-care decisions for me, including decisions to provide, withhold, or withdraw artificial nutrition and hydration, and all other forms of health care to keep me alive, except as I state here: _______________________________________________ _______________________________________________ _______________________________________________ (Add additional sheets if needed.) (3) WHEN AGENT'S AUTHORITY BECOMES EFFECTIVE: My agent's authority becomes effective when my primary physician determines that I am unable to make my own health-care decisions unless I mark the following box. If I mark this box [ ], my agent's authority to make health-care decisions for me takes effect immediately. (4) AGENT'S OBLIGATION: My agent shall make health-care decisions for me in accordance with this power of attorney for health care, any instructions I give in Part 2 of this form, and my other wishes to the extent known to my agent. To the extent my wishes are unknown, my agent shall make health-care decisions for me in accordance with what my agent determines to be in my best interest. In determining my best interest, my agent shall consider my personal values to the extent known to my agent. (5) NOMINATION OF GUARDIAN: If a guardian needs to be appointed for me by a court, I nominate the agent designated in this form. If that agent is not willing, able, or reasonably available to act as guardian, I nominate the alternate agents whom I have named, in the order designated. PART 2 INSTRUCTIONS FOR HEALTH CARE If you are satisfied to allow your agent to determine what is best for you in making end-of-life decisions, you need not fill out this part of the form. If you do fill out this part of the form, you may strike any wording you do not want. (6) END-OF-LIFE DECISIONS: I direct that my health-care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choice I have marked below: (Check only one box.) [ ] (a) Choice Not To Prolong Life I do not want my life to be prolonged if (i) I have an incurable and irreversible condition that will result in my death within a relatively short time, (ii) I become unconscious and, to a reasonable degree of medical certainty, I will not regain consciousness, or (iii) the likely risks and burdens of treatment would outweigh the expected benefits, OR [ ] (b) Choice To Prolong Life I want my life to be prolonged as long as possible within the limits of generally accepted health-care standards. (7) ARTIFICIAL NUTRITION AND HYDRATION: Artificial nutrition and hydration [must] shall be provided, withheld or withdrawn in accordance with the choice I have made in paragraph (6) unless I mark the following box. If I mark this box [ ], artificial nutrition and hydration [must] shall be provided regardless of my condition and regardless of the choice I have made in paragraph (6). (8) RELIEF FROM PAIN: If I mark this box [ ], I direct that treatment to alleviate pain or discomfort should be provided to me even if it hastens my death. (9) VOLUNTARY NON-OPIOID OPTION: If I mark this box [ ], I refuse at my own insistence the offer or administration of any opioid medications. [(9)] (10) OTHER WISHES: (If you do not agree with any of the optional choices above and wish to write your own, or if you wish to add to the instructions you have given above, you may do so here.) I direct that: _______________________________________________ _______________________________________________ (Add additional sheets if needed.) PART 3 DONATION OF ORGANS AT DEATH (OPTIONAL) [(10)] (11) Upon my death: (mark applicable box) [ ] (a) I give any needed organs, tissues, or parts, OR [ ] (b) I give the following organs, tissues, or parts only __________________________________________ [ ] (c) My gift is for the following purposes (strike any of the following you do not want) (i) Transplant (ii) Therapy (iii) Research (iv) Education PART 4 PRIMARY PHYSICIAN (OPTIONAL) [(11)] (12) I designate the following physician as my primary physician: _______________________________________________ (name of physician) _______________________________________________ (address) (city) (state) (zip code) _______________________________________________ (phone) OPTIONAL: If the physician I have designated above is not willing, able, or reasonably available to act as my primary physician, I designate the following physician as my primary physician: _______________________________________________ (name of physician) _______________________________________________ (address) (city) (state) (zip code) _______________________________________________ (phone) [(12)] (13) EFFECT OF COPY: A copy of this form has the same effect as the original. [(13)] (14) SIGNATURES: Sign and date the form here: ________________________ __________________ (date) (sign your name) ________________________ __________________ (address) (print your name) ________________________ (city) (state) [(14)] (15) WITNESSES: This power of attorney will not be valid for making health-care decisions unless it is either (a) signed by two qualified adult witnesses who are personally known to you and who are present when you sign or acknowledge your signature; or (b) acknowledged before a notary public in the State. ALTERNATIVE NO. 1 Witness I declare under penalty of false swearing pursuant to section 710-1062, Hawaii Revised Statutes, that the principal is personally known to me, that the principal signed or acknowledged this power of attorney in my presence, that the principal appears to be of sound mind and under no duress, fraud, or undue influence, that I am not the person appointed as agent by this document, and that I am not a health-care provider, nor an employee of a health-care provider or facility. I am not related to the principal by blood, marriage, or adoption, and to the best of my knowledge, I am not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law. ________________________ __________________ (date) (signature of witness) ________________________ __________________ (address) (printed name of witness) ________________________ (city) (state) Witness I declare under penalty of false swearing pursuant to section 710-1062, Hawaii Revised Statutes, that the principal is personally known to me, that the principal signed or acknowledged this power of attorney in my presence, that the principal appears to be of sound mind and under no duress, fraud, or undue influence, that I am not the person appointed as agent by this document, and that I am not a health-care provider, nor an employee of a health-care provider or facility. ________________________ __________________ (date) (signature of witness) ________________________ __________________ (address) (printed name of witness) ________________________ (city) (state) ALTERNATIVE NO. 2 State of Hawaii County of ________________ On this _____________ day of _______________, in the year _______, before me, __________________ (insert name of notary public) appeared _________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this instrument, and acknowledged that he or she executed it. Notary Seal ____________________________ (Signature of Notary Public)" SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 5. This Act shall take effect upon its approval. INTRODUCED BY: _____________________________
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49	49	SECTION 1. Section 327E-2, Hawaii Revised Statutes, is amended as follows:
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51	51	1. By adding two new definitions to be appropriately inserted and to read:
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53	53	""Electronic prescription" has the same meaning as in section 329.1.
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55	55	"Pharmacist" has the same meaning as in section 329.1."
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57	57	2. By amending the definition of "health care" to read:
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59	59	""Health care" means any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect an individual's physical or mental condition, including:
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61	61	(1) Selection and discharge of health-care providers and institutions;
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63	63	(2) Approval or disapproval of diagnostic tests, surgical procedures, programs of medication, and orders not to resuscitate; [and]
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65	65	(3) Direction to provide, withhold, or withdraw artificial nutrition and hydration; provided that withholding or withdrawing artificial nutrition or hydration is in accord with generally accepted health care standards applicable to health-case providers or institutions[.]; and
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67	67	(4) Refusal of the administration of any opioid medication."
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69	69	SECTION 2. Section 327E-9, Hawaii Revised Statutes, is amended to read as follows:
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71	71	"[[]§327E-9[]] Immunities. (a) A health-care provider or institution acting in good faith and in accordance with generally accepted health-care standards applicable to the health-care provider or institution shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for:
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73	73	(1) Complying with a health-care decision of a person apparently having authority to make a health-care decision for a patient, including a decision to withhold or withdraw health care;
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75	75	(2) Declining to comply with a health-care decision of a person based on a belief that the person then lacked authority; [or]
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77	77	(3) Complying with an advance health-care directive and assuming that the directive was valid when made and has not been revoked or terminated[.]; or
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79	79	(4) Revoking or overriding, in good faith, a voluntary non-opioid directive in an emergency situation.
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81	81	(b) An individual acting as agent, guardian, or surrogate under this chapter shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for health-care decisions made in good faith.
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83	83	(c) A prescription presented or electronically transmitted to a pharmacy shall be presumed valid for the purposes of this chapter and a pharmacist shall not be subject to civil or criminal liability or to discipline for unprofessional conduct for dispensing a controlled substance in contradiction of a patient's advance health-care directive that refuses the offer or administration of any opioid medication."
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85	85	SECTION 3. Section 327E-16, Hawaii Revised Statutes, is amended to read as follows:
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87	87	"§327E-16 Optional form. The following sample form may be used to create an advance health-care directive. This form may be duplicated. This form may be modified to suit the needs of the person, or a completely different form may be used that contains the substance of the following form.
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91	91	"ADVANCE HEALTH-CARE DIRECTIVE
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95	95	Explanation
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99	99	You have the right to give instructions about your own health care. You also have the right to name someone else to make health-care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding the designation of your health-care provider. If you use this form, you may complete or modify all or any part of it. You are free to use a different form.
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101	101	Part 1 of this form is a power of attorney for health care. Part 1 lets you name another individual as agent to make health-care decisions for you if you become incapable of making your own decisions or if you want someone else to make those decisions for you now even though you are still capable. You may name an alternate agent to act for you if your first choice is not willing, able, or reasonably available to make decisions for you. Unless related to you, your agent may not be an owner, operator, or employee of a health-care institution where you are receiving care.
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103	103	Unless the form you sign limits the authority of your agent, your agent may make all health-care decisions for you. This form has a place for you to limit the authority of your agent. You need not limit the authority of your agent if you wish to rely on your agent for all health-care decisions that may have to be made. If you choose not to limit the authority of your agent, your agent will have the right to:
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105	105	(1) Consent or refuse consent to any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect a physical or mental condition;
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107	107	(2) Select or discharge health-care providers and institutions;
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109	109	(3) Approve or disapprove diagnostic tests, surgical procedures, programs of medication, and orders not to resuscitate; and
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111	111	(4) Direct the provision, withholding, or withdrawal of artificial nutrition and hydration and all other forms of health care.
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113	113	Part 2 of this form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, including the provision of artificial nutrition and hydration, as well as the provision of pain relief medication. Space is provided for you to add to the choices you have made or for you to write out any additional wishes.
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115	115	Part 3 of this form lets you give specific instructions with regard to the donation of organs at death.
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117	117	Part 4 of this form lets you designate a physician to have primary responsibility for your health care.
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119	119	After completing this form, sign and date the form at the end and have the form witnessed by one of the two alternative methods listed below. Give a copy of the signed and completed form to your physician, to any other health-care providers you may have, to any health-care institution at which you are receiving care, and to any health-care agents you have named. You should talk to the person you have named as agent to make sure that he or she understands your wishes and is willing to take the responsibility.
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121	121	You have the right to revoke this advance health-care directive or replace this form at any time.
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125	125	PART 1
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127	127	DURABLE POWER OF ATTORNEY FOR HEALTH-CARE DECISIONS
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131	131	(1) DESIGNATION OF AGENT: I designate the following individual as my agent to make health-care decisions for me:
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135	135	_______________________________________________
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137	137	(name of individual you choose as agent)
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141	141	_______________________________________________
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143	143	(address) (city) (state) (zip code)
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147	147	_______________________________________________
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149	149	(home phone) (work phone)
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153	153	OPTIONAL: If I revoke my agent's authority or if my agent is not willing, able, or reasonably available to make a health-care decision for me, I designate as my first alternate agent:
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157	157	_______________________________________________
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159	159	(name of individual you choose as first alternate agent)
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163	163	_______________________________________________
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165	165	(address) (city) (state) (zip code)
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169	169	_______________________________________________
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171	171	(home phone) (work phone)
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175	175	OPTIONAL: If I revoke the authority of my agent and first alternate agent or if neither is willing, able, or reasonably available to make a health-care decision for me, I designate as my second alternate agent:
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179	179	_______________________________________________
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181	181	(name of individual you choose as second alternate agent)
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185	185	_______________________________________________
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187	187	(address) (city) (state) (zip code)
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191	191	_______________________________________________
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193	193	(home phone) (work phone)
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197	197	(2) AGENT'S AUTHORITY: My agent is authorized to make all health-care decisions for me, including decisions to provide, withhold, or withdraw artificial nutrition and hydration, and all other forms of health care to keep me alive, except as I state here:
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201	201	_______________________________________________
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205	205	_______________________________________________
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209	209	_______________________________________________
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211	211	(Add additional sheets if needed.)
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215	215	(3) WHEN AGENT'S AUTHORITY BECOMES EFFECTIVE: My agent's authority becomes effective when my primary physician determines that I am unable to make my own health-care decisions unless I mark the following box. If I mark this box [ ], my agent's authority to make health-care decisions for me takes effect immediately.
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217	217	(4) AGENT'S OBLIGATION: My agent shall make health-care decisions for me in accordance with this power of attorney for health care, any instructions I give in Part 2 of this form, and my other wishes to the extent known to my agent. To the extent my wishes are unknown, my agent shall make health-care decisions for me in accordance with what my agent determines to be in my best interest. In determining my best interest, my agent shall consider my personal values to the extent known to my agent.
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219	219	(5) NOMINATION OF GUARDIAN: If a guardian needs to be appointed for me by a court, I nominate the agent designated in this form. If that agent is not willing, able, or reasonably available to act as guardian, I nominate the alternate agents whom I have named, in the order designated.
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223	223	PART 2
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225	225	INSTRUCTIONS FOR HEALTH CARE
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229	229	If you are satisfied to allow your agent to determine what is best for you in making end-of-life decisions, you need not fill out this part of the form. If you do fill out this part of the form, you may strike any wording you do not want.
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231	231	(6) END-OF-LIFE DECISIONS: I direct that my health-care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choice I have marked below: (Check only one box.)
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233	233	[ ] (a) Choice Not To Prolong Life
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235	235	I do not want my life to be prolonged if (i) I have an incurable and irreversible condition that will result in my death within a relatively short time, (ii) I become unconscious and, to a reasonable degree of medical certainty, I will not regain consciousness, or (iii) the likely risks and burdens of treatment would outweigh the expected benefits, OR
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237	237	[ ] (b) Choice To Prolong Life
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239	239	I want my life to be prolonged as long as possible within the limits of generally accepted health-care standards.
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241	241	(7) ARTIFICIAL NUTRITION AND HYDRATION: Artificial nutrition and hydration [must] shall be provided, withheld or withdrawn in accordance with the choice I have made in paragraph (6) unless I mark the following box. If I mark this box [ ], artificial nutrition and hydration [must] shall be provided regardless of my condition and regardless of the choice I have made in paragraph (6).
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243	243	(8) RELIEF FROM PAIN: If I mark this box [ ], I direct that treatment to alleviate pain or discomfort should be provided to me even if it hastens my death.
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245	245	(9) VOLUNTARY NON-OPIOID OPTION: If I mark this box [ ], I refuse at my own insistence the offer or administration of any opioid medications.
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247	247	[(9)] (10) OTHER WISHES: (If you do not agree with any of the optional choices above and wish to write your own, or if you wish to add to the instructions you have given above, you may do so here.) I direct that:
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251	251	_______________________________________________
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255	255	_______________________________________________
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257	257	(Add additional sheets if needed.)
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261	261	PART 3
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263	263	DONATION OF ORGANS AT DEATH
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265	265	(OPTIONAL)
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269	269	[(10)] (11) Upon my death: (mark applicable box)
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271	271	[ ] (a) I give any needed organs, tissues, or parts,
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273	273	OR
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275	275	[ ] (b) I give the following organs, tissues, or parts only
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277	277	__________________________________________
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279	279	[ ] (c) My gift is for the following purposes (strike any of the following you do not want)
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281	281	(i) Transplant
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283	283	(ii) Therapy
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285	285	(iii) Research
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287	287	(iv) Education
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291	291	PART 4
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293	293	PRIMARY PHYSICIAN
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295	295	(OPTIONAL)
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299	299	[(11)] (12) I designate the following physician as my primary physician:
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303	303	_______________________________________________
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305	305	(name of physician)
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309	309	_______________________________________________
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311	311	(address) (city) (state) (zip code)
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315	315	_______________________________________________
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317	317	(phone)
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321	321	OPTIONAL: If the physician I have designated above is not willing, able, or reasonably available to act as my primary physician, I designate the following physician as my primary physician:
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325	325	_______________________________________________
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327	327	(name of physician)
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331	331	_______________________________________________
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333	333	(address) (city) (state) (zip code)
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337	337	_______________________________________________
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339	339	(phone)
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343	343	[(12)] (13) EFFECT OF COPY: A copy of this form has the same effect as the original.
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345	345	[(13)] (14) SIGNATURES: Sign and date the form here:
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349	349	________________________ __________________
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351	351	(date) (sign your name)
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355	355	________________________ __________________
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357	357	(address) (print your name)
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363	363	________________________
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365	365	(city) (state)
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369	369	[(14)] (15) WITNESSES: This power of attorney will not be valid for making health-care decisions unless it is either (a) signed by two qualified adult witnesses who are personally known to you and who are present when you sign or acknowledge your signature; or (b) acknowledged before a notary public in the State.
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373	373	ALTERNATIVE NO. 1
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377	377	Witness
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379	379	I declare under penalty of false swearing pursuant to section 710-1062, Hawaii Revised Statutes, that the principal is personally known to me, that the principal signed or acknowledged this power of attorney in my presence, that the principal appears to be of sound mind and under no duress, fraud, or undue influence, that I am not the person appointed as agent by this document, and that I am not a health-care provider, nor an employee of a health-care provider or facility. I am not related to the principal by blood, marriage, or adoption, and to the best of my knowledge, I am not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law.
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381	381
382	382
383	383	________________________ __________________
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385	385	(date) (signature of witness)
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388	388
389	389	________________________ __________________
390	390
391	391	(address) (printed name of witness)
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395	395	________________________
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397	397	(city) (state)
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399	399
400	400
401	401	Witness
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403	403	I declare under penalty of false swearing pursuant to section 710-1062, Hawaii Revised Statutes, that the principal is personally known to me, that the principal signed or acknowledged this power of attorney in my presence, that the principal appears to be of sound mind and under no duress, fraud, or undue influence, that I am not the person appointed as agent by this document, and that I am not a health-care provider, nor an employee of a health-care provider or facility.
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406	406
407	407	________________________ __________________
408	408
409	409	(date) (signature of witness)
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411	411
412	412
413	413	________________________ __________________
414	414
415	415	(address) (printed name of witness)
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417	417
418	418
419	419	________________________
420	420
421	421	(city) (state)
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423	423
424	424
425	425	ALTERNATIVE NO. 2
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427	427
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429	429	State of Hawaii
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431	431	County of ________________
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433	433	On this _____________ day of _______________, in the year _______, before me, __________________ (insert name of notary public) appeared _________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this instrument, and acknowledged that he or she executed it.
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438	438
439	439	Notary Seal
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441	441
442	442
443	443	____________________________
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445	445	(Signature of Notary Public)"
446	446
447	447	SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
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449	449
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451	451	SECTION 5. This Act shall take effect upon its approval.
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453	453
454	454
455	455	INTRODUCED BY: _____________________________
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457	457	INTRODUCED BY:
458	458
459	459	_____________________________
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461	461
462	462
463	463
464	464
465	465	Report Title: Advance Health-Care Directive; Voluntary Non-Opioid Option Description: Adds a voluntary non-opioid option to the sample advance health-care directive form. Establishes that a prescription presented or electronically transmitted to a pharmacy shall be presumed valid and grants pharmacists immunity from civil, criminal, and professional liability for dispensing an opioid in contravention of a patient's non-opioid directive. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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470	470
471	471	Report Title:
472	472
473	473	Advance Health-Care Directive; Voluntary Non-Opioid Option
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476	476
477	477	Description:
478	478
479	479	Adds a voluntary non-opioid option to the sample advance health-care directive form. Establishes that a prescription presented or electronically transmitted to a pharmacy shall be presumed valid and grants pharmacists immunity from civil, criminal, and professional liability for dispensing an opioid in contravention of a patient's non-opioid directive.
480	480
481	481
482	482
483	483
484	484
485	485
486	486
487	487	The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.