Hawaii Passes APRN Model Language
You have probably heard that Hawaii has passed an act relating to nursing practice. SB2163 became Act 057 on April 26th of this year when Governor Lingle signed it into law. APNA Executive Director Nick Croce wrote to our friend Wailua Brandman and asked for his reaction. Here is what he had to say:
"For the last two years, as the President of Hawai'i Association of Professional Nurses, it has been my focus to somehow get the phrase 'Licensed Independent Practitioner' into the law in Hawai'i for APRNs, so I have been using the term freely, putting that energy 'out into the air.' We have cultivated a wonderful working relationship with both Representative Marilyn Lee (an RN) and Senator Roslyn Baker, and they have worked very smoothly together as well. I believe that they deserve so much credit for the enactment of ACT 169 and 057. They have really been our champions. Our Board of Nursing is predominately APRNs and that helped a lot as we fashioned the bills that would become law; the Executive Officer of the BON, Kathy Yokouchi, was tireless in her efforts to get these changes through, and well connected to the supports we needed from across the country. The APRNs from across our own community came together to debate the issues and come to consensus on what we wanted to see in the bills and in our rules and statutes. It was, indeed, a community coming together and standing together to make this happen. And now I am grateful to say that in Hawai'i we are LIPs at last."
According to Wailua, this Act will immediately repeal the collegial relationship for prescribing legend drugs and will also repeal the administrative rules regulating APRN prescribing as soon as these new proposed rules are adopted by the Board of Nursing in a couple of months. These current rules must be repealed because they prohibit the prescribing of controlled substances, while Hawaii's Act 169 which was passed last year authorized APRNs to write for controlled substances. The new rules will mandate a collaborative relationship with a physician in the same specialty ONLY for controlled substances. APRNs will continue to be independent prescribers for legend medications. Act 057 also clarifies the RN delegation and the scopes of practice for LPN, RN and APRN. It aligns Hawaii's NPA with the Model NPA of the NCSBN, and its HAR with the Model AR of the NCSBN, while maintaining the Hawaii BON's authority to diverge or reject any portion of the models which do not
fit Hawaii's professional culture.