STAND. COM. REP. NO. 916

Honolulu, Hawaii

RE: S.B. No. 807

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

Sir:

Your Committee on Judiciary, to which was referred S.B. No. 807, S.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO THE ELECTRONIC PRESCRIPTION ACCOUNTABILITY SYSTEM,"

begs leave to report as follows:

The purpose and intent of this measure is to:

(1) Specify that a health care provider shall not be required to consult the electronic prescription accountability system when a patient is in an inpatient setting, in post-operative care, or has a terminal disease and is receiving hospice or other palliative care; and

(2) Clarify that an informed consent agreement is not required for patients whose prescription will be directly administered under the supervision of a health care provider.

Your Committee received testimony in support of this measure from the Department of Health; Hawaii Health Systems Corporation; The Queen's Health Systems; Healthcare Association of Hawaii; Ohana Pacific Management Company, Inc.; O‘ahu County Committee on Legislative Priorities of the Democratic Party of Hawai‘i; Hawaii Medical Association; and Kaiser Permanente Hawai‘i. Your Committee received comments on this measure from the Hawaii Association for Justice and Drug Policy Forum of Hawaii.

Your Committee finds that this measure aligns with the prescriber education and pain management practice objectives of the Hawaii Opioid Action Plan of January 2019. Your Committee further finds that the proposed exemptions in this measure promote balance and faster relief for patients who are hospitalized or in hospice. Your Committee also finds that these proposed exemptions are not expected to impact the prescription drug monitoring program, which collects data on prescriptions dispensed in outpatient settings, such as doctor's offices and local pharmacies.

As affirmed by the record of votes of the members of your Committee on Judiciary that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 807, S.D. 1, and recommends that it pass Third Reading.

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

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KARL RHOADS, Chair