STAND. COM. REP. NO.  333-10

Honolulu, Hawaii

                , 2010

RE:   H.B. No. 1847

      H.D. 1

Honorable Calvin K.Y. Say

Speaker, House of Representatives

Twenty-Fifth State Legislature

Regular Session of 2010

State of Hawaii

Sir:

     Your Committee on Health, to which was referred H.B. No. 1847 entitled:

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

begs leave to report as follows:

     The purpose of this bill is to update the nursing scope of practice and standards by:

     (1)  Defining the practice of nursing;

     (2)  Requiring the Board of Nursing to adopt the National Council of State Boards of Nursing Model Nursing Practice Act and Model Nursing Administrative Rules;

     (3)  Delineating the scope of practice for registered nurses, licensed practical nurses, and advanced practice registered nurses (APRN);

     (4)  Authorizing registered nurses to delegate certain tasks to other personnel; and

     (5)  Repealing Hawaii Administrative Rules pertaining to APRN's prescriptive authority.

     The Organ Donor Center of Hawaii, University of Hawaii System, and many concerned individuals testified in support of this bill.  The Board of Nursing supported this measure with amendments.  The Department of Public Safety offered comments.

     Your Committee has amended this bill by:

     (1)  Removing the dispensing of drugs from the scope of practice for an APRN;

     (2)  Specifying that, for purposes of the Uniform Controlled Substances Act:

          (A)  APRNs are not authorized to request, receive, or sign for professional controlled substance samples; and

          (B)  Physicians must possess a valid Federal Controlled Substance registration;

          and

     (3)  Making technical, nonsubstantive amendments for clarity, consistency, and style.

     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. 1847, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 1847, 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,

____________________________

RYAN I. YAMANE, Chair