CONFERENCE COMMITTEE REP. NO. 28

Honolulu, Hawaii

, 2023

RE: S.B. No. 473

S.D. 1

H.D. 2

C.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Second State Legislature

Regular Session of 2023

State of Hawaii

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-Second State Legislature

Regular Session of 2023

State of Hawaii

Sirs:

Your Committee on Conference on the disagreeing vote of the Senate to the amendments proposed by the House of Representatives in S.B. No. 473, S.D. 1, H.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO THE PRACTICE OF PHARMACY,"

having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.

The purpose of this measure is to exempt manufacturers, wholesale distributors, manufacturers engaged in direct distribution to qualified persons, and third-party logistics providers of home dialysate drugs or devices from the license, registration, and permit requirements for pharmacies, under certain conditions.

Your Committee on Conference finds that home dialysis is the best option for treating kidney failure whenever possible, due to its greater scheduling flexibility, fewer food restrictions, and better outcomes. Due to its isolated location, it is crucial for the State to have a supply chain with sufficient and immediate inventory within the State to ensure that home dialysis patients receive timely delivery of needed drugs, medical devices, and other supplies. This measure will promote greater access to home dialysate drugs and devices for patients in the State.

Your Committee on Conference has amended this measure by:

(1) Making it effective upon its approval; and

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

As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of S.B. No. 473, S.D. 1, H.D. 2, as amended herein, and recommends that it pass Final Reading in the form attached hereto as S.B. No. 473, S.D. 1, H.D. 2, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE HOUSE

ON THE PART OF THE SENATE

____________________________ DELLA AU BELATTI Co-Chair	____________________________ MAILE S.L. SHIMABUKURO Chair
____________________________ MARK M. NAKASHIMA Co-Chair	____________________________ JARRETT KEOHOKALOLE Co-Chair