Testimony of the Board of Nursing Before the House Committee On
Testimony of the Board of Nursing Before the House Committee on Health, Human Services & Homelessness Friday, February 5, 2021 8:30 a.m. Via Videoconference On the following measure: H.B. 576, RELATING TO HEALTH CARE Chair Yamane and Members of the Committee: My name is Lee Ann Teshima, and I am the Executive Officer of the Board of Nursing (Board). The Board supports this bill to the extent that it authorizes advanced practice registered nurses (APRNs) to perform certain abortions, and it also requests amendments. The Board defers to the Hawaii Medical Board regarding the scope of practice for licensed physician assistants. The purpose of this bill is to authorize licensed physician assistants and advanced practice registered nurses to perform certain abortions. The Board supports expanding the APRN scope of practice in this manner. APRNs are recognized as primary care providers who may practice independently based on their practice specialty, including women’s health or as a certified nurse midwife. An APRN’s education and training include, but are not limited to, a graduate- level degree in nursing and national certification that is specific to the APRN’s practice specialty, in accordance with nationally recognized standards of practice. For the Committee’s information, the American Academy of Nurse Practitioners and the Guttmacher Institute both report that California, Colorado, Massachusetts, Maine, Montana, New Hampshire, Virginia, Vermont, and West Virginia allow certain advanced practice clinicians to independently provide medication or aspiration abortions. The Board notes that amending Hawaii Revised Statutes (HRS) chapter 453 will necessitate amending HRS chapter 457 (Nurses), to avoid uncertainty about which chapter controls and to ensure effective implementation of the proposed law.
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