STAND. COM. REP. NO. 1400

                                   Honolulu, Hawaii
                                                     , 1999

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




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

Sir:

     Your Committee on Ways and Means, to which was referred H.B.
No. 743, H.D. 3, S.D. 1, entitled:

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

begs leave to report as follows:

     The purpose of this bill is to require health-related
insurance policies and like entities to provide coverage for
services rendered by advanced practice registered nurses.

     Specifically, this measure requires such coverage under
accident and sickness policies, mutual benefit society contracts,
workers' compensation policies, motor vehicle insurance policies,
and health maintenance organization plans.

     Your Committee finds that recent legislation authorized
certification status to advanced practice registered nurses and
furthermore granted them prescriptive authority.  Your Committee
further finds that requiring insurance policies to cover the
services of these nurses will provide greater substance to their
certification status and powers.  Your Committee also believes
that coverage for advanced practice registered nurse services
will ultimately lower the cost of health-related insurance while
maintaining a high quality of health care services.


 
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                                   STAND. COM. REP. NO. 1400
                                   Page 2


     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 is in accord with the intent and purpose of H.B. No.
743, H.D. 3, S.D. 1, and recommends that it pass Third Reading.

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



                                 ________________________________
                                 CAROL FUKUNAGA, Co-Chair



                                 ________________________________
                                 ANDREW LEVIN, Co-Chair

 
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