STAND. COM. REP. NO.  890

 

Honolulu, Hawaii

                , 2015

 

RE:   H.B. No. 253

      H.D. 2

 

 

 

 

Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Eighth State Legislature

Regular Session of 2015

State of Hawaii

 

Sir:

 

     Your Committee on Consumer Protection & Commerce, to which was referred H.B. No. 253, H.D. 1, entitled:

 

"A BILL FOR AN ACT RELATING TO VACCINATIONS,"

 

begs leave to report as follows:

 

     The purpose of this measure is to expand the role of certain health care professionals by:

 

     (1)  Authorizing pharmacists to administer vaccines to persons between 14 and 17 years of age who have a prescription from a collaborating physician or advanced practice registered nurse; and

 

     (2)  Increasing the authority of advanced practice registered nurses to do certain health care procedures and services.

 

     Walgreen Co., and a few individuals testified in support of this measure.  The American Academy of Pediatrics and numerous individuals testified in opposition to this measure.  The Department of Health, Board of Nursing, Board of Pharmacy, and several individuals provided comments on this measure.

 


     Your Committee notes that the testimony in opposition to this measure centered around the term "collaborative physician" when it should have referred to a patient's "medical home."  Your Committee also finds that expanding the authority of advanced practice registered nurses to perform certain health care procedures and services goes beyond the scope of this measure's title and could render the measure unconstitutional. 

 

After careful consideration, your Committee has amended this measure by:

 

     (1)  Removing the reference that allows a pharmacist to administer a vaccine pursuant to a valid prescription issued by the person's primary care physician or collaborating physician, or advanced practice registered nurse;

 

     (2)  Restoring the reference to a patient's "medical home," which is defined in section 461-11.4(e), Hawaii Revised Statutes;

 

     (3)  Removing the expansion of the authority of advanced practice registered nurses to perform certain health care procedures and services; and

 

     (4)  Changing its effective date to July 1, 2112, to encourage further discussion.

 

     As affirmed by the record of votes of the members of your Committee on Consumer Protection & Commerce that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 253, H.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as H.B. No. 253, H.D. 2.

 

Respectfully submitted on behalf of the members of the Committee on Consumer Protection & Commerce,

 

 

 

 

____________________________

ANGUS L.K. McKELVEY, Chair