CONFERENCE COMMITTEE REPORT NO. 129

                            Honolulu, Hawaii
                                            , 1999

                            RE:   H.B. No. 743
                                  H.D. 3
                                  S.D. 1
                                  C.D. 1




Honorable Calvin K.Y. Say
Speaker, House of Representatives
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 1999
State of Hawaii

Sir:

     Your Committee on Conference on the disagreeing vote of the
House of Representatives to the amendments proposed by the Senate
in H.B. No. 743, H.D. 3, S.D. 1, entitled:

    "A BILL FOR AN ACT RELATING TO ADVANCED PRACTICE REGISTERED
    NURSES,"

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 bill is to require coverage and
equitable reimbursement for services provided by advanced
practice registered nurses (APRNs) in all health insurance
policies, contracts, plans, and agreements, including workers'
compensation coverage.

     Your Committee on Conference has amended this bill by:

     (1) Requiring reimbursement by mutual benefit societies for
         health plan-covered services, rather than requiring
         coverage and reimbursement;

 
 
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     (2) Including the services provided by APRNs among the
         required coverages and reimbursements under accident and
         sickness insurance policies, rather than creating a new
         section in that chapter;

     (3) Including the services provided by APRNs in the
         definition of "medical care," "medical services," or
         "medical supplies" for purposes of the Workers'
         Compensation chapter, rather than including APRNs in the
         definition of "health care provider"; and

     (4) Making technical, nonsubstantive revisions for purposes
         of style and clarity.

     Your Committee on Conference is in accord with the intent
and purpose of H.B. No. 743, H.D. 3, S.D. 1, as amended herein,
and recommends that it pass Final Reading in the form attached
hereto as H.B. No. 743, H.D. 3, S.D. 1, C.D. 1.

                                   Respectfully submitted,

MANAGERS ON THE PART OF THE        MANAGERS ON THE PART OF THE
           SENATE                              HOUSE
                                   
                                   
                                   
______________________________     ______________________________
BRIAN T. TANIGUCHI, Co-Chair       ALEXANDER C. SANTIAGO,
                                   Co-Chair
                                   
                                   
______________________________     ______________________________
BRIAN KANNO, Co-Chair              RON MENOR, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
CAROL FUKUNAGA, Co-Chair           BRIAN Y. YAMANE, Co-Chair
                                   
                                   
                                   
______________________________     ______________________________
ANDREW LEVIN, Co-Chair             BERTHA C. KAWAKAMI, Member
                                   
                                   
                                   
______________________________     ______________________________
SUZANNE CHUN OAKLAND, Member       MARILYN B. LEE, Member

 
                            CONFERENCE COMMITTEE REPORT NO. 129
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______________________________     ______________________________
SAM SLOM, Member                   MARK MOSES, Member