STAND. COM. REP. NO.  959-14

 

Honolulu, Hawaii

                , 2014

 

RE:   S.B. No. 2227

      H.D. 1

 

 

 

 

Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Seventh State Legislature

Regular Session of 2014

State of Hawaii

 

Sir:

 

     Your Committee on Health, to which was referred S.B. No. 2227 entitled:

 

"A BILL FOR AN ACT RELATING TO PROVIDER ORDERS FOR LIFE-SUSTAINING TREATMENT,"

 

begs leave to report as follows:

 

     The purpose of this measure is to enhance patient access to orders for life-sustaining treatment by expanding the range of persons authorized to sign orders for life-sustaining treatment to include advanced practice registered nurses.  This includes clarifying amendments that:

 

     (1)  Update references for "physician orders for life-sustaining treatment" to now refer to "provider orders for life-sustaining treatment"; and

 

     (2)  Conform terms used to describe who may sign a provider order for life-sustaining treatment.

 

     The Executive Office on Aging; UH Manoa Nursing; The Queen's Health Systems; Hawaii State Center for Nursing; Healthcare Association of Hawaii; Hawaii Association of Health Plans; Hospice Hawaii; Hawaii Pacific Health; Hawaii Medical Service Association; Hawaii Medical Association; American Association of Nurse Practitioners; Hawaii Association of Professional Nurses; and several individuals testified in support of this measure.  The Department of Health; Kokua Mau; and a few individuals provided comments.

 

     Your Committee has amended this measure by changing its effective date to July 1, 2050, to encourage further discussion.

 

     As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 2227, as amended herein, and recommends that it pass Second Reading in the form attached hereto as S.B. No. 2227, H.D. 1, and be referred to the Committee on Consumer Protection & Commerce.

 

Respectfully submitted on behalf of the members of the Committee on Health,

 

 

 

 

____________________________

DELLA AU BELATTI, Chair