CONFERENCE COMMITTEE REP. NO. 135-14
Honolulu, Hawaii
, 2014
RE: S.B. No. 2478
H.D. 2
C.D. 1
Honorable Donna Mercado Kim
President of the Senate
Twenty-Seventh State Legislature
Regular Session of 2014
State of Hawaii
Honorable Joseph M. Souki
Speaker, House of Representatives
Twenty-Seventh State Legislature
Regular Session of 2014
State of Hawaii
Madam and Sir:
Your Committee on Conference on the disagreeing vote of the Senate to the amendments proposed by the House of Representatives in S.B. No. 2478, H.D. 2, entitled:
"A BILL FOR AN ACT RELATING TO HEALTH,"
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:
(1) Update the scope of practice for chiropractic to reflect standards, practices, and terminology accepted by the National Board of Chiropractic Examiners; and
(2) Limit employer liability for chiropractic treatment under the Workers' Compensation Law.
Your Committee on Conference finds that this measure updates the scope of practice for chiropractic in conformity to the standards of practice accepted by the National Board of Chiropractic Examiners. This measure therefore enables the scope of practice for chiropractors in Hawaii to reflect standards of care, practices, and terminology that are aligned with nationally recognized practice parameters and will enable chiropractic licensees to keep abreast with advances in health care and the chiropractic profession.
Your Committee on Conference notes that because this measure is intended to focus on scope of practice for chiropractic, provisions in this measure relating to Hawaii's Workers' Compensation Law should be removed.
Your Committee on Conference has amended this measure by:
(1) Deleting language that specified the number of treatments and treatment cost rate and number of x-rays and x-ray cost rate allowed under the Workers' Compensation Law for chiropractic treatment;
(2) Clarifying that chiropractic is the system of specific adjustment or manipulation of the joints and tissues, including by the application of physiotherapeutic methods;
(3) Clarifying that the scope of chiropractic shall be limited to those diagnostic and treatment services and procedures that have been taught by a chiropractic college accredited by an accrediting organization recognized by the United States Department of Education and approved by the Board of Chiropractic Examiners;
(4) Clarifying the treatments that chiropractic licensees may use to examine, analyze, and diagnose the human body;
(5) Specifying that chiropractic licensees may use the methods of examination for diagnosis and analysis taught by a chiropractic college accredited by an accrediting organization recognized by the United States Department of Education and approved by the Board of Chiropractic Examiners;
(6) Prohibiting a person who has not complied with the requirements of chapter 442, Hawaii Revised Statutes, from using the title "chiropractic physician" to suggest that the person is engaged in the practice of chiropractic, and removing the prohibition on the use of the term "physician" by a chiropractic licensee;
(7) Inserting an effective date of upon approval; and
(8) 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. 2478, H.D. 2, as amended herein, and recommends that it pass Final Reading in the form attached hereto as S.B. No. 2478, H.D. 2, C.D. 1.
Respectfully submitted on behalf of the managers:
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ON THE PART OF THE HOUSE |
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ON THE PART OF THE SENATE |
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____________________________ DELLA AU BELATTI, Co-Chair |
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____________________________ ROSALYN H. BAKER, Chair |
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____________________________ ANGUS L.K. MCKELVEY, Co-Chair |
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____________________________ DEE MORIKAWA, Co-Chair |
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