Bill Text: HI HB79 | 2013 | Regular Session | Introduced
Bill Title: Advanced Practice Registered Nurse; Education Requirements
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Passed) 2013-04-19 - Act 019, 4/18/2013 (Gov. Msg. No. 1119). [HB79 Detail]
Download: Hawaii-2013-HB79-Introduced.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
79 |
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TWENTY-SEVENTH LEGISLATURE, 2013 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to ADVANCED PRACTICE REGISTERED NURSES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that forty-eight national nursing organizations and the state boards on nursing in the nation recognize the National Council of State Boards of Nursing consensus model for advanced practice registered nurse regulation: licensure, accreditation, certification, and education (consensus model). This model defines scopes of advanced practice registered nurse practice, provides an advanced practice registered nurse regulatory model, and presents strategies for implementation to ensure nationally uniform standards of advanced practice registered nurse practice.
The legislature passed barrier-breaking measures (Act 169, Session Laws of Hawaii 2009; Act 57, Session Laws of Hawaii 2010; and Act 110, Session Laws of Hawaii 2011) which included amendments to provisions relating to nurse and advanced practice registered nurse licensure, certification, and education components, as well as accreditation standards for professional nursing programs, which are part of the consensus model.
The consensus model recommends advanced practice registered nurses have an accredited graduate-level education program preparing the nurse for one of the four recognized advanced practice registered nurse roles (certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioner) which would include a master's degree in nursing or doctor of nursing practice and other clinical doctorates in nursing recognized by the Hawaii state board of nursing.
However, the legislature finds that currently only nurses who have master's degrees in nursing can be recognized as advanced practice registered nurses in Hawaii. This precludes nurses who earn their doctor of nursing practice or other clinical doctorates in nursing recognized by the Hawaii state board of nursing and directly impacts doctor of nursing practice graduates of the University of Hawaii at Manoa school of nursing and dental hygiene and University of Hawaii at Hilo school of nursing. Similarly, other states' advanced practice registered nurses with doctor of nursing practice degrees are precluded from being recognized as advanced practice registered nurses in Hawaii.
In 2012, the National Council of State Boards of Nursing reported that all states except Hawaii and West Virginia accept a graduate degree instead of a master's degree provision in their laws for advanced practice registered nurse licensure and certification. West Virginia has since passed legislation to change its state practice act to reflect "graduate" degree in nursing instead of "master's" degree as a requirement for advanced practice registered nurse licensure.
The purpose of this Act is to add language to existing law to recognize the National Council of State Boards of Nursing consensus model for advanced practice registered nurse regulation and to change the degree requirement for advanced practice registered nurse recognition from a master's degree in nursing to a graduate degree in nursing.
SECTION 2. Section 457-8.5, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a)
[Effective October 1, 2009, the] The board shall recognize the
standards set forth in the National Council of State Boards of Nursing
consensus model for advanced practice registered nurse regulation: licensure,
accreditation, certification, and education and shall grant recognition as
an advanced practice registered nurse to a nurse who has:
(1) A current, unencumbered license as a registered nurse in this State;
(2) An unencumbered license as a registered nurse in all other states in which the nurse has a current and active license;
(3) An unencumbered recognition as an advanced practice registered nurse or similar designation in all other states in which the nurse has a current and active recognition as an advanced practice registered nurse;
(4) Completed an accredited graduate-level education
program [leading to a master's degree as a] preparing the nurse for
one of the following recognized advanced practice registered nurse roles: certified
registered nurse anesthetist, a nurse midwife, a clinical nurse specialist, or
a nurse practitioner;
(5) A current, unencumbered certification of having passed a national certification examination that measures role and population-focused competencies and is recognized by the board;
(6) Maintained continued competencies through recertification in role and population-focused competencies through a national certification program recognized by the board;
(7) Acquired advanced clinical knowledge and skills preparing the nurse to provide direct care to patients through a significant educational and practical concentration on the direct care of patients;
(8) Demonstrated a greater breadth of knowledge, a greater synthesis of data, greater complexity of skills and interventions, and greater role autonomy than demonstrated by a registered nurse;
(9) Been educationally prepared to assume responsibility and accountability for health promotion and maintenance and to assess, diagnose, and manage patient problems through the use and prescription of pharmacologic and non-pharmacologic interventions;
(10) Acquired clinical experience of sufficient depth and breadth to reflect the intended license; and
(11) Paid the appropriate fees."
SECTION 3. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 4. This Act shall take effect upon its approval.
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INTRODUCED BY: |
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Report Title:
Health; Licensed Practical Nurse; Registered Nurse; Physician Assistant; Consensus Model
Description:
Amends section 457-8.5(a), Hawaii Revised Statutes, by recognizing the National Council of State Boards of Nursing's advanced practice registered nurse consensus model and clarifies language relating to advanced practice registered nurse educational requirements consistent with that consensus model.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
