H.B. No. 1378, H.D. 2, S.D. 2, C.D. 1: Relating to Advanced Practice Registered Nurses

Representative Jon Riki Karamatsu

Final Reading

May 5, 2009 (59th Day)

Written Remarks

Conf. Comm. Rep. No. 129

H.B. No. 1378, H.D. 2, S.D. 2, C.D. 1

Relating to Advanced Practice Registered Nurses 

          Mr. Speaker, I rise in opposition of House Bill 1378, House Draft 2, Senate Draft 2, Conference Draft 1.

          This bill would allow Advanced Practice Registered Nurses to open clinics as primary care providers and expand their medical authority without any physician oversight.  Under joint and several liability, physicians will face greater liability costs.  Earlier this legislative session, we had a number of bills aimed at reducing liability  costs for Hawaii’s physicians by adjusting our tort laws, creating incentives to reduce liability insurance costs, and forming a task force to implement a statewide health information technology system to reduce errors and omissions, all of which had a great discussion, but are not before us today.  I oppose this measure because it will take us in the opposite direction by increasing the liability costs for our physicians.  Thank you.



Filed under Uncategorized

2 responses to “H.B. No. 1378, H.D. 2, S.D. 2, C.D. 1: Relating to Advanced Practice Registered Nurses

  1. Jen (almost RN)

    Mr. Karamatsu,

    You seem to be misinformed about the quality of care provided by advanced practice registered nurses. Advanced practice RN’s have patient outcomes that are at least as positive as those of physicians, provide better patient education, and have greater patient satisfaction. Registered nurses are not physician’s hand-maidens; they are educated professionals worthy of respect for the patient care they provide. How exactly is that a detriment to physician liability?


  2. Bryan RN

    Thank you Jen for your comment. Advanced Practice Registered Nurses (APRNs) have been shown to provide holistic care for patients. APRNs have been used all over North America to serve rural communities, where Medical Doctors (MDs) are scarce. Allowing APRNs to be primary care providers to these populations would benefit them greatly.


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