STAND. COM. REP. NO. 3450

                                   Honolulu, Hawaii
                                                     , 2000

                                   RE:  S.C.R. No. 30
                                        S.D. 2




Honorable Norman Mizuguchi
President of the Senate
Twentieth State Legislature
Regular Session of 2000
State of Hawaii

Sir:

     Your Committee on Ways and Means, to which was referred
S.C.R. No. 30, S.D. 1, entitled:

     "SENATE CONCURRENT RESOLUTION URGING THE HAWAII NURSES'
     ASSOCIATION AND THE HEALTHCARE ASSOCIATION OF HAWAII TO
     BEGIN DISCUSSIONS TO IDENTIFY PROBLEMS AND PROVIDE SOLUTIONS
     FOR ACUTE-CARE ISSUES RELATING TO PATIENT SAFETY, NURSING
     CARE, AND THE POTENTIAL NURSING SHORTAGE,"

begs leave to report as follows:

     The purpose of this concurrent resolution is to urge the
Hawaii Nurses' Association and the Healthcare Association of
Hawaii to begin discussions on acute-care issues relating to
patient safety, nursing care, and the potential nursing shortage.

     Your Committee finds that Hawaii's healthcare system is
undergoing a dramatic transformation in patient management,
healthcare financing, and the delivery of healthcare services.
These changes, coupled with the deregulation of the healthcare
industry have resulted in unprecedented competition and
consolidation among healthcare providers.  Your Committee,
however, is concerned that these changes may compromise patient
safety and adequacy of care.  Therefore, your Committee supports
the discussions provided by this concurrent resolution to provide
the Legislature with the necessary information and guidance to
ensure that Hawaii residents continue to have access to safe,
dependable, and quality healthcare services.

 
a                                                     SCR30 SD2
 
 
                                   STAND. COM. REP. NO. 3450
                                   Page 2


     Your Committee has amended the concurrent resolution by
requesting the Hawaii Nurses' Association and the Healthcare
Association of Hawaii to consult with public and private sector
nurses in their discussions pursuant to this concurrent
resolution.

     As affirmed by the record of votes of the members of your
Committee on Ways and Means that is attached to this report, your
Committee concurs with the intent and purpose of S.C.R. No. 30,
S.D. 1, as amended herein, and recommends its adoption in the
form attached hereto as S.C.R. No. 30, S.D. 2.

                                 Respectfully submitted on behalf
                                 of the members of the Committee
                                 on Ways and Means,



                                 ________________________________
                                 CAROL FUKUNAGA, Co-Chair



                                 ________________________________
                                 ANDREW LEVIN, Co-Chair

 
a                                                     SCR30 SD2