STAND. COM. REP. NO. 287

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.B. No. 461
                                     




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Health, to which was referred H.B. No. 461
entitled: 

     "A BILL FOR AN ACT RELATING TO MEDICAL DECISIONS,"

begs leave to report as follows:

     The purpose of this measure is to provide for the display of
advance health care directives on drivers' licenses and state
(civil) identification cards.  

     Your Committee received testimony in support from the Hawaii
Medical Association and the Hawaii Nurses Association.  The State
Attorney General testified in support, but raised concern of the
additional costs that may be incurred. 

     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 H.B. No.
461 and recommends that it pass Second Reading and be referred to
the Committee on Transportation.

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



                                   ______________________________
                                   ALEXANDER C. SANTIAGO, Chair