STAND. COM. REP. NO. 834________

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.B. No. 743
                                     H.D. 3

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


     Your Committee on Finance, to which was referred H.B. No.
743, H.D. 2, entitled: 


begs leave to report as follows:

     The purpose of this bill is to increase access to safe and
cost-effective health care by including advanced practice
registered nurses (APRN) as providers of health care under
workers compensation, no-fault, and prepaid health care plans.

     The Department of Health, the Hawaii Nurses' Association,
the Hawaii Insurers Council, the Hawaii Chapter of the American
Psychiatric Nurses Association, Hawaii Certified Nurse-Midwives,
Kaiser Permanente, and several individuals testified in support
of this measure.  The Hawaii Medical Service Association
commented on this measure.

     Your Committee has amended this measure by:

     (1)  Clarifying that health plans are responsible for
          providing reimbursement for covered benefits and
          services of a plan only, and not all services that any
          provider might make available;

                                 STAND. COM. REP. NO. 834________
                                 Page 2

     (2)  Deleting references to section 457-2, Hawaii Revised
          Statutes, as defining APRN since the title is self

     (3)  Placing services provided by an APRN in a separate item
          as they relate to personal injury benefits in section
          431:10C-103.5 as these services are unrelated to
          therapy, rehabilitation, and therapeutic massage and
          are not required to be prescribed by a doctor; and

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

     As affirmed by the record of votes of the members of your
Committee on Finance that is attached to this report, your
Committee is in accord with the intent and purpose of H.B. No.
743, H.D. 2, as amended herein, and recommends that it pass Third
Reading in the form attached hereto as H.B. No. 743, H.D. 3.

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

                                   DWIGHT Y. TAKAMINE, Chair