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.
Impact
The amendment to the administrative rules carries significant implications for the treatment of APRNs in the state’s medical and labor frameworks. By clarifying that their compensation should be on par with services recognized under the Medicare Fee Schedule, the bill seeks to eliminate ambiguity concerning the fees they are entitled to receive. This change is crucial not only for APRNs but also for the patients they serve, as it enhances the financial viability of APRN-led care models in Hawaii. The bill emphasizes the importance of advanced practice roles in current healthcare delivery and aims to align compensation structures accordingly.
Summary
HCR81 requests the Director of Labor and Industrial Relations to amend Hawaii Administrative Rules (HAR), specifically title 12, chapter 15, to clarify aspects regarding compensation for advanced practice registered nurses (APRNs) under the State's Workers' Compensation Law. The resolution seeks to ensure that APRNs, who serve as primary care providers and have a broader scope of practice than registered nurses, receive compensation distinct from that of registered nurses. The proposed adjustment would entitle APRNs to receive one hundred percent of the fees authorized under the Medicare Fee Schedule, aiming to formally recognize their contributions and role within the healthcare system.
Contention
Some points of contention may arise regarding the distinction between APRNs and registered nurses, as current rules do not adequately separate their compensation structures. Critics might argue that differentiating compensation could unfairly elevate APRN roles over other nursing staff. However, supporters maintain that recognizing the unique qualifications and responsibilities of APRNs is necessary to reflect the evolving healthcare landscape and to ensure equitable compensation practices. Ultimately, the discussions around this resolution underscore the need for clear regulatory frameworks that adapt to changing healthcare provider roles.
Same As
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.
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.
Requesting The Department Of Labor And Industrial Relations To Analyze The Available Data On Hawaii Workers' Compensation Cases Relating To Death Benefits For The Past Ten Years And Obtain Any Additional Data From The Hawaii Insurers Council Or Any Other State Or Federal Source To Recommend Any Updates To The Workers' Compensation Law.