CONFERENCE COMMITTEE REP. NO. 35-14

Honolulu, Hawaii

                 , 2014

RE:    H.B. No. 2052

       H.D. 2

       S.D. 2

       C.D. 1

Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Seventh State Legislature

Regular Session of 2014

State of Hawaii

Honorable Donna Mercado Kim

President of the Senate

Twenty-Seventh State Legislature

Regular Session of 2014

State of Hawaii

Sir and Madam:

     Your Committee on Conference on the disagreeing vote of the House of Representatives to the amendments proposed by the Senate in H.B. No. 2052, H.D. 2, S.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO PROVIDER ORDERS FOR LIFE-SUSTAINING TREATMENT,"

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 increase access to provider orders for life-sustaining treatment (POLST) by:

(1)  Updating references from "physician orders for life-sustaining treatment" to "provider orders for life-sustaining treatment" throughout Chapter 327K, Hawaii Revised Statutes, to accurately reflect that physicians are not the only primary care providers who may sign a POLST form on behalf of a patient;

(2)  Expanding health care provider signatory authority to include advanced practice registered nurses; and

(3)  Correcting inconsistencies over terms used to describe who may sign a POLST form on behalf of a patient.

     Your Committee on Conference has amended this measure by changing its effective date to July 1, 2014.

     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 H.B. No. 2052, H.D. 2, S.D. 2, as amended herein, and recommends that it pass Final Reading in the form attached hereto as H.B. No. 2052, H.D. 2, S.D. 2, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE SENATE

ON THE PART OF THE HOUSE

____________________________ JOSH GREEN, Chair	____________________________ DELLA AU BELATTI, Co-Chair
____________________________ CLAYTON HEE, Co-Chair	____________________________ ANGUS L.K. MCKELVEY, Co-Chair
	____________________________ KARL RHOADS, Co-Chair