THE SENATE                           S.C.R. NO.            188
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            
                                                             
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                    SENATE  CONCURRENT
                        RESOLUTION
  REQUESTING THE DEPARTMENT OF HUMAN RESOURCES DEVELOPMENT TO
    CREATE A JOB CLASSIFICATION FOR ADVANCED PRACTICE
    REGISTERED NURSES.



 1        WHEREAS, nurses perform critically important functions in
 2   the State's health care system; and
 3   
 4        WHEREAS, advanced degrees enable nurses to perform a wide
 5   range of responsibilities as primary care providers who can
 6   effectively respond to the dynamic changes in the health care
 7   system as clinical nurse specialists, nurse practitioners, or
 8   nurse midwives; and
 9   
10        WHEREAS, the Bureau of Labor estimated several years ago
11   that employment of registered nurses will grow by more than
12   twenty per cent between 1994-2004; and
13   
14        WHEREAS, in evolving integrated health care networks,
15   nurses will likely rotate among different settings, placing a
16   premium on those nurses with advanced degrees since employment
17   in hospitals will grow more slowly than in other health-related
18   sectors; and
19   
20        WHEREAS, nurses with advanced degrees can bill third party
21   insurers for the care they provide, thereby increasing the
22   amount of insurance reimbursements received by the State; and
23   
24        WHEREAS, the State of Hawaii must take appropriate
25   personnel actions by creating a job classification for advanced
26   practice registered nurses within the State system; now,
27   therefore,
28   
29        BE IT RESOLVED by the Senate of the Twentieth Legislature
30   of the State of Hawaii, Regular Session of 1999, the House of
31   Representatives concurring, that the Department of Human
32   Resources Development is requested to create a job
33   classification for advanced practice registered nurses; and
34   
35        BE IT FURTHER RESOLVED that the Department of Human
36   Resources Development submit a report of actions taken to

 
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                                  S.C.R. NO.            188
                                                        
                                                        

 
 1   create a job classification for advanced practice registered
 2   nurses to the Legislature no later than twenty days before the
 3   convening of the Regular Session of 2000; and
 4   
 5        BE IT FURTHER RESOLVED that a certified copy of this
 6   Concurrent Resolution be transmitted to the Director of Human
 7   Resources Development.
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11                         OFFERED BY:  ____________________________