Adv. Practice Reg. Nurses

Includes advanced practice registered nurses as providers under
workers' compensation, no-fault, and prepaid healthcare plans.
(HB743 HD1)

HOUSE OF REPRESENTATIVES                H.B. NO.           H.D. 1
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            

                   A  BILL  FOR  AN  ACT



 1      SECTION 1.  Chapter 431, Hawaii Revised Statutes, is amended
 2 by adding a new section to article 10A to be appropriately
 3 designated and to read as follows:
 4      "431:10A-     Coverage and reimbursement for services of
 5 advanced practice registered nurses.  Each policy of accident and
 6 sickness insurance issued or renewed in this State, each employer
 7 group health policy, contract, plan, or agreement issued or
 8 renewed in this State, all health insurance policies issued or
 9 renewed in this State, all policies providing family coverages as
10 defined in section 431:10A-103, and all policies providing
11 reciprocal beneficiary family coverage as defined in section
12 431:10A-601, shall contain a provision for coverage and equitable
13 reimbursement for services of advanced practice registered nurses
14 as recognized in section 457-8.5."
15      SECTION 2.  Chapter 432:1, Hawaii Revised Statutes, is
16 amended by adding a new section to be appropriately designated
17 and to read as follows:
18      "432:1-     Coverage and reimbursement for services of
19 advanced practice registered nurses.  All individual and group

Page 2                                                     743
                                     H.B. NO.           H.D. 1

 1 hospital and medical service plan contracts and medical service
 2 corporation contracts under this chapter shall provide reasonable
 3 reimbursement for health plan covered services provided by
 4 advanced practice registered nurses as recognized in section 457-
 5 8.5."
 6      SECTION 3.  Section 386-1, Hawaii Revised Statutes, is
 7 amended by amending the definition of "health care provider" to
 8 read as follows:
 9      ""Health care provider" means a person qualified by the
10 director to render health care and service and who has a license
11 for the practice of:
12      (1)  Medicine under chapter 453;
13      (2)  Dentistry under chapter 448;
14      (3)  Chiropractic under chapter 442;
15      (4)  Osteopathy under chapter 460;
16      (5)  Naturopathy under chapter 455;
17      (6)  Optometry under chapter 459;
18      (7)  Podiatry under chapter 463E; [and]
19      (8)  Psychology under chapter 465[.]; and
20      (9)  Advanced practice registered nursing under section
21           457-8.5."
22      SECTION 4.  Section 386-27, Hawaii Revised Statutes, is
23 amended by amending subsection (a) to read as follows:

Page 3                                                     743
                                     H.B. NO.           H.D. 1

 1      "(a)  All health care providers rendering health care and
 2 services under this chapter shall be qualified by the director
 3 and shall remain qualified by satisfying the requirements
 4 established in this section.  The director shall qualify any
 5 person initially who has a license for the practice of:
 6      (1)  Medicine under chapter 453;
 7      (2)  Dentistry under chapter 448;
 8      (3)  Chiropractic under chapter 442;
 9      (4)  Osteopathy under chapter 460;
10      (5)  Naturopathy under chapter 455;
11      (6)  Optometry under chapter 459;
12      (7)  Podiatry under chapter 463E; [or]
13      (8)  Psychology under chapter 465[.]; or
14      (9)  Advanced practice registered nursing under section
15           457-8.5."
16      SECTION 5.  Section 431:10C-103.5, Hawaii Revised Statutes,
17 is amended by amending subsection (a) to read as follows:
18      "(a)  Personal injury protection benefits, with respect to
19 any accidental harm, means all appropriate and reasonable
20 treatment and expenses necessarily incurred as a result of the
21 accidental harm and which are substantially comparable to the
22 requirements for prepaid health care plans, including medical,
23 hospital, surgical, professional, nursing, dental, optometric,

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                                     H.B. NO.           H.D. 1

 1 chiropractic, ambulance, prosthetic services, products and
 2 accommodations furnished, x-ray, psychiatric, physical therapy
 3 pursuant to prescription by a medical doctor, occupational
 4 therapy, rehabilitation, advanced practice nursing as recognized
 5 in section 457-8.5, and therapeutic massage by a licensed massage
 6 therapist when prescribed by a medical doctor."
 7      SECTION 6.  Section 432D-23, Hawaii Revised Statutes, is
 8 amended to read as follows:
 9      "[[]432D-23[]]  Required provisions and benefits.
10 Notwithstanding any provision of law to the contrary, each
11 policy, contract, plan, or agreement issued in the State after
12 January 1, 1995, by health maintenance organizations pursuant to
13 this chapter, shall include benefits provided in sections
14 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116,
15 431:10A-116.5, [and] 431:10A-116.6, 431:10A-   , and chapter
16 431M."
17      SECTION 7.  Statutory material to be repealed is bracketed.
18 New statutory material is underscored.
19      SECTION 8.  This Act shall take effect upon its approval.