STAND. COM. REP. NO. 1666-22

Honolulu, Hawaii

, 2022

RE: H.R. No. 139

H.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-First State Legislature

Regular Session of 2022

State of Hawaii

Sir:

Your Committee on Health, Human Services, & Homelessness, to which was referred H.R. No. 139 entitled:

"HOUSE RESOLUTION REQUESTING THE AUDITOR TO CONDUCT AN ANALYSIS REGARDING THE SCOPES OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS,"

begs leave to report as follows:

The purpose of this measure is to request the Auditor to conduct an analysis regarding the scopes of practice for advanced practice registered nurses and physician assistants.

Your Committee received testimony in support of this measure from the Disability and Communication Access Board. Your Committee received comments on this measure from the Office of the Auditor, Hawaii Medical Board, Board of Nursing, Hawai‘i State Center for Nursing, and Healthcare Association of Hawaii.

Your Committee finds that there is a need to clearly distinguish the scopes of practice of advanced practice registered nurses and physician assistants and to determine the appropriate scope of practice for each of these professions in the State to better complement the work of physicians.

Your Committee notes that the intent of this measure is not to limit the scopes of practice of advanced practice registered nurses and physician assistants but rather to review existing laws to identify areas in which the scopes of practice for advanced practice registered nurses and physician assistants might be expanded.

Your Committee has amended this measure by:

(1) Requesting that the Department of Commerce and Consumer Affairs conduct the analysis, rather than the Auditor;

(2) Narrowing the scope of the analysis;

(3) Transmitting a certified copy of this measure to the Director of Commerce and Consumer Affairs, rather than the Auditor;

(4) Amending its title in accordance with its amended purpose; and

(5) Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.

As affirmed by the record of votes of the members of your Committee on Health, Human Services, & Homelessness that is attached to this report, your Committee concurs with the intent and purpose of H.R. No. 139, as amended herein, and recommends its adoption in the form attached hereto as H.R. No. 139, H.D. 1.

Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,

____________________________

RYAN I. YAMANE, Chair