STAND. COM. REP. NO. 755________

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.B. No. 461
                                     H.D. 1




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

Sir:

     Your Committee on Finance, to which was referred H.B. No.
461 entitled: 

     "A BILL FOR AN ACT RELATING TO MEDICAL DECISIONS,"

begs leave to report as follows:

     The purpose of this bill is to provide for the display of
advance health care directives on drivers' licenses and state
identification cards.

     The Executive Office on Aging, the Hawaii Medical
Association, and the Healthcare Association of Hawaii testified
in support of this bill.  The State Attorney General and the
Hawaii Nurses' Association commented on this bill.

     Your Committee has amended this bill by:

     (1)  Requiring the consent of the relevant individual when
          displaying any advance health directive information on
          a drivers' license or state identification card; and

     (2)  Making technical, nonsubstantive changes for style,
          clarity, and consistency.

     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.
461, as amended herein, and recommends that it pass Third Reading
in the form attached hereto as H.B. No. 461, H.D. 1.

 
 
                                 STAND. COM. REP. NO. 755________
                                 Page 2

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



                                   ______________________________
                                   DWIGHT Y. TAKAMINE, Chair