HOUSE OF REPRESENTATIVES	H.C.R. NO.	100
THIRTY-SECOND LEGISLATURE, 2023
STATE OF HAWAII

HOUSE CONCURRENT

RESOLUTION

REQUESTING THE AUDITOR TO CONDUCT AN ANALYSIS REGARDING THE SCOPE OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS.

WHEREAS, this body recognizes that there is a physician shortage in the State, which often makes it challenging for rural communities to access health care; and

WHEREAS, advanced practice registered nurses and physician assistants are vital health care professionals who are capable of filling in some of the gaps in access to health care in the State; and

WHEREAS, various measures have been introduced during the past regular sessions of the Legislature that have proposed expanding the scope of practice for advanced practice registered nurses and physician assistants; and

WHEREAS, there is a need to clearly distinguish the scope of practice of advanced practice registered nurses and physician assistants and determine the appropriate scope of practice for each of these professions in the State to better complement the work of physicians; now, therefore,

BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2023, the Senate concurring, that the Auditor is requested to conduct an analysis regarding the scope of practice for advanced practice registered nurses and physician assistants; and

BE IT FURTHER RESOLVED that the Auditor is requested to analyze whether each scope of practice should be expanded in certain areas of medical care and services, including:

(1) School-based health services;

(2) Medical care for minors related to human immunodeficiency virus;

(3) Abortion care;

(4) The records review process for prescriptions of controlled substances;

(5) Clinical Laboratory Improvement Amendments waived tests; and

(6) Medical aid in dying; and

BE IT FURTHER RESOLVED that the Auditor may include in the Auditor's analysis a comparison to other jurisdictions and whether those jurisdictions allow for similar expanded scopes of practice; and

BE IT FURTHER RESOLVED that the Auditor is requested to submit a report of the Auditor's findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2024; and

BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Auditor, Chairperson of the Hawaii Medical Board, and Chairperson of the State Board of Nursing.

OFFERED BY:

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Report Title:

Auditor; Analysis; Scope of Practice; Advanced Practice Registered Nurses; Physician Assistants