Hawaii Senate Bill SB3122

Hawaii 2024 Regular Session

• Introduced: 1/24/24
• Refer: 1/26/24
• Report Pass: 2/14/24
• Report Pass: 3/1/24
• Refer: 2/14/24
• Engrossed: 3/5/24
• Refer: 3/7/24
• Report Pass: 3/20/24
• Refer: 3/20/24
• Report Pass: 4/5/24
• Enrolled: 4/19/24
• Chaptered: 6/28/24
• Passed: 6/28/24

Caption

Relating To Public Health Standing Orders.

Impact

The legislation is positioned to amend Chapter 321 of the Hawaii Revised Statutes by creating a framework for the issuance and management of public health standing orders. This framework will include annual reviews of services eligible for standing orders, which must meet A or B grades as per the United States Preventive Services Task Force recommendations. The establishment of such orders could significantly reduce barriers to receiving preventive services, particularly in areas where access to healthcare is limited due to a physician shortage.

Summary

SB3122, titled 'Relating to Public Health Standing Orders', aims to enhance access to preventive health care services by allowing patients aged eighteen and older to self-refer to certain screenings without needing a specific order from a licensed health care provider. The bill seeks to address the limitations posed by Hawaii's physician shortage which can restrict patient access to important preventive services, as highlighted in the findings presented. By authorizing public health standing orders issued by the Director of Health, the bill intends to facilitate timely and evidence-based health interventions for the benefit of the population.

Sentiment

Discussion surrounding SB3122 is generally supportive, with many legislators recognizing the importance of reducing healthcare barriers and increasing access to preventive services. However, there may be concerns regarding the potential for out-of-pocket expenses associated with these services, as patients may need to navigate insurance complexities. The sentiment is reflective of a growing acknowledgment of the need for improved public health strategies in Hawaii, particularly in the context of resource constraints.

Contention

While the bill has garnered support for its intent to improve public health outcomes, it also raises points of contention regarding the extent of autonomy given to non-physicians in administering preventive screenings. There are concerns about adequate patient information regarding potential costs and the necessity for communication with primary care providers. The bill’s success hinges on the effective establishment of the Public Health Standing Orders Working Group, which will play a crucial role in guiding its implementation while also addressing the need for oversight and community input.