STAND. COM. REP. NO. 2426

Honolulu, Hawaii

RE: S.B. No. 2187

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-First State Legislature

Regular Session of 2022

State of Hawaii

Sir:

Your Committees on Education and Health, to which was referred S.B. No. 2187 entitled:

"A BILL FOR AN ACT RELATING TO SCHOOL-BASED HEALTH SERVICES,"

beg leave to report as follows:

The purpose and intent of this measure is to:

(1) Include advanced practice registered nurses with prescriptive authority in the list of health care professionals authorized to administer medication to public school students; and

(2) Require administration of the medication to be approved by the Department of Health or other on-campus, school-based, health care provider pursuant to a written agreement with the Department of Education.

Your Committees received testimony in support of this measure from the Department of Health; State Council on Developmental Disabilities; University of Hawai‘i System; Hawai‘i State Center for Nursing; Hilopa‘a Family to Family, Inc.; Hawai‘i Primary Care Association; and five individuals. Your Committees received testimony in opposition to this measure from one individual. Your Committees received comments on this measure from the Department of Education.

Your Committees find that there are limitations on what medications can be administered by certain professionals at public schools. Your Committees additionally find that there are a growing number of agreements between school campuses and health providers to implement school-based health services during school hours. These providers, including advanced practice registered nurses with prescriptive authority, are already on school campuses and are well-positioned to direct the administration of medication during the school day.

Your Committees further find, however, that the existing list of health care professionals authorized to administer medication to students on public school campuses does not include advanced practice registered nurses with prescriptive authority.

Accordingly, this measure will streamline and facilitate the process for the administration of prescribed medications on school campuses by expanding the list of health care professionals authorized to administer such medication to include advanced practice registered nurses with prescriptive authority.

Your Committees have amended this measure by replacing the term "aides" with "assistants" to conform with current usage, as noted in testimony.

As affirmed by the records of votes of the members of your Committees on Education and Health that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 2187, as amended herein, and recommend that it pass Second Reading in the form attached hereto as S.B. No. 2187, S.D. 1, and be referred to your Committee on Commerce and Consumer Protection.

Respectfully submitted on behalf of the members of the Committees on Education and Health,

________________________________ JARRETT KEOHOKALOLE, Chair

________________________________ MICHELLE N. KIDANI, Chair