STAND. COM. REP. NO. 1275_______

                                 Honolulu, Hawaii
                                                   , 1999

                                 RE: H.R. No. 13
                                     H.D. 2




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

Sir:

     Your Committees on Higher Education and Consumer Protection
and Commerce, to which was referred H.R. No. 13, H.D. 1,
entitled: 

     "HOUSE RESOLUTION URGING MORE PUBLIC EDUCATION ABOUT CHOICES
     AVAILABLE TO THOSE WHO ARE SEVERELY ILL, AND URGING THE
     INCLUSION OF CARE OF THE DYING IN THE EDUCATION OF
     HEALTHCARE PROFESSIONALS,"

beg leave to report as follows:

     The purpose of this resolution is to increase awareness of
the choices available to the severely ill and urge increased
professional education about death and dying.

     The Hawaii Nurses' Association, the Commission on Persons
with Disabilities, and the Hawaii Catholic Conference testified
in support of the measure.  The Executive Office on Aging and the
Hawaii Medical Association testified in support of the intent of
the measure.  The American Cancer Society and the University of
Hawaii at Manoa School of Nursing commented on the measure.

     Your Committees have amended this resolution by:

     (1)  Deleting the statement that the American Cancer Society
          and the American Heart Association are among health
          agencies that ignore death as a frequent consequence of
          illness;


 
 
 
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     (2)  Providing that "some" health agencies that allege that
          such agencies ignore death as a frequent consequent of
          illness;

     (3)  Providing that "some" healthcare providers have made
          only minimal efforts in their institutional marketing
          campaigns to educate the public about death;

     (4)  "Urging," rather than requiring, the media to engage in
          extensive public service campaigns to improve public
          awareness of the need for planning for a dignified
          death;

     (5)  "Urging," rather than requiring, healthcare
          professionals to:

          (a)  Include educational programs on the care of the
               dying; and

          (b)  Use a portion of their marketing budgets to
               publicize the use of hospices and increase
               awareness of the inevitability of death.

     As affirmed by the records of votes of the members of your
Committees on Higher Education and Consumer Protection and
Commerce that are attached to this report, your Committees concur
with the intent and purpose of H.R. No. 13, H.D. 1, as amended
herein, and recommend its adoption in the form attached hereto as
H.R. No. 13, H.D. 2.

                                   Respectfully submitted on
                                   behalf of the members of the
                                   Committees on Higher Education
                                   and Consumer Protection and
                                   Commerce,

                                   
                                   
                                   
                                   
______________________________     ______________________________
RON MENOR, Chair                   DAVID MORIHARA, Chair