Representative Jon Riki Karamatsu
May 5, 2009 (59th Day)
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.