STAND

STAND. COM. REP. NO.2946

Honolulu, Hawaii

, 2002

RE: H.B. No. 1842

H.D. 1

S.D. 1

Honorable Robert Bunda

President of the Senate

Twenty-First State Legislature

Regular Session of 2002

State of Hawaii

Sir:

Your Committee on Health and Human Services, to which was referred H.B. No. 1842, H.D. 1, entitled:

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

begs leave to report as follows:

The purpose of this measure is to redefine the scope of pharmaceutical practice to allow pharmacists to provide services in a broader range of settings.

Testimony in support of this measure was submitted by Department of Health, Hawaii Pharmacists' Association, Healthcare Association of Hawaii, Hawaii Medical Service Association, and Longs Drugs. The Board of Pharmacy submitted testimony with comments and suggested amendments.

Your Committee finds that this measure recognizes the dynamic nature of the health care environment by broadening the scope of practice for pharmacists who are adequately trained and competent to practice outside of pharmacies and acute care hospitals. Your Committee further finds that this measure will enable pharmacists to provide consultation, information, and education to patients and health care professionals, and thereby reduce the risk of adverse drug reaction through early detection and monitoring for positive medication outcomes. Your Committee notes that this measure does not provide pharmacists with prescriptive authority.

Upon further consideration, your Committee has amended this measure by replacing it with S.B. 2087, S.D.2, thereby adopting changes agreed to by the Hawaii Pharmacists' Association and Hawaii Medical Association. As amended, this measure:

(1) Clarifies that a pharmacist must have appropriate training recognized by the Board of Pharmacy in order to administer drugs;

(2) Requires a pharmacist who administers immunizations by injection to have appropriate training recognized by the Board of Pharmacy, and limits the administration of injections to adults; and

(3) Provides that a pharmacist may only initiate or adjust a patient's drug regimen if authorized by written instructions from the patient's licensed medical doctor.

Your Committee also made technical, nonsubstantive changes to reflect preferred drafting style.

As affirmed by the record of votes of the members of your Committee on Health and Human Services that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 1842, H.D. 1, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 1842, H.D. 1, S.D. 1, and be referred to the Committee on Commerce, Consumer Protection and Housing.

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

		____________________________ DAVID MATSUURA, Chair