Bill Text: HI SB3122 | 2024 | Regular Session | Amended
Bill Title: Relating To Public Health Standing Orders.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Enrolled) 2024-04-19 - Enrolled to Governor. [SB3122 Detail]
Download: Hawaii-2024-SB3122-Amended.html
|
THE SENATE |
S.B. NO. |
3122 |
|
THIRTY-SECOND LEGISLATURE, 2024 |
S.D. 1 |
|
|
STATE OF HAWAII |
|
|
|
|
|
|
|
|
||
|
|
||
A BILL FOR AN ACT
RELATING TO PUBLIC HEALTH STANDING ORDERS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature also finds that Hawaii's well-documented physician shortage may restrict patient access to preventative care, resulting in sub-optimal outcomes, increased costs, and decreased quality of life. Population-based care can help reduce provider administrative burdens while increasing access to evidence-based clinical preventive services. Secondary prevention is the provision of a clinical preventive service to screen for a condition in an asymptomatic individual, such as mammography to screen for breast cancer. Public health standing orders may help reduce barriers to receiving secondary prevention services.
Standing orders are already used in routine, urgent, or emergency settings upon the occurrence of certain clinical events that take place on an individual patient basis or a population health event. An example of a routine individual patient standing order is certain vaccine administrations, which are evidence-based practices that authorize nurses, pharmacists, and other health care providers to assess a client's immunization status and administer vaccinations according to a protocol. Emergency population health crises are also supported by standing orders, specifically for mass prophylaxis following a bioterrorism incident that are activated only when the director of health declares a state of emergency due to a specific bioterrorism incident.
Accordingly, the purpose of this Act is to effectuate public health standing orders with regard to evidence-based health care screenings that have received the highest recommendations from the United States Preventive Services Task Force to reduce barriers to access and expand population health-based interventions.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to part II to be appropriately designated and to read as follows:
"§321- Public health standing orders; screening. (a) The director of health may issue public health standing orders authorizing patients who are eighteen years of age or older to receive evidence-based items or services that have in effect a rating of A or B in the current recommendations of the United States Preventive Services Task Force, as defined by the Affordable Care Act Public Law 111-148, section 4106, without patient-specific orders from a licensed health care provider.
(b) The director of health shall annually review
the items or services that have in effect a rating of A or B as recommended by
the United States Preventive Services Task Force and amend public health
standing orders as necessary.
(c) The duration of public health standing orders
issued pursuant to this section shall remain in effect until repealed by the
director of health.
(d) The director of health shall post public
health standing orders on the department's
website in an easily accessible manner.
(e) The entity providing the items or services
pursuant to the public health standing order shall request from the patient the
name of the patient's primary care provider and
shall make good faith efforts to transmit the results of the screening to the
primary care provider or other licensed health care provider identified by the
patient.
(f) The entity providing the items or services shall
provide any results to the patient in writing.
The results shall:
(1) Be written in plain language;
(2) Clearly indicate if the result is
normal, abnormal, or undetermined; and
(3) Provide instructions for follow up
with a health care provider, as appropriate.
For
purposes of this section "licensed health care
provider" means physicians and
osteopathic physicians licensed under chapter 453, physician assistants
licensed under chapter 453, and advanced practice registered nurses licensed
under chapter 457."
SECTION 3. New statutory material is underscored.
SECTION 4. This Act shall take effect on December 31, 2050.
Report Title:
Public Health Standing Orders; United States Preventive Services Task Force; Screenings
Description:
Authorizes the Director of Health to issue public health standing orders for patients to self-refer to certain health care screening services. Takes effect 12/31/2050. (SD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
