A number of new laws took effect starting Jan. 1.
At least four of those laws are related to medicine — with two intended to facilitate the licensing of physicians and nurses, which are in short supply in Hawaii.
Act 112, from a bill introduced in 2023 by state Sen. Joy San Buenaventura, a Puna Democrat, makes Hawaii a part of the Interstate Medical Licensure Compact. That affiliation will make it easier for licensed physicians coming to Hawaii from other states.
The IMLC currently includes 40 states, including Hawaii, plus the District of Columbia and Guam, and three additional states have introduced legislation to join.
“The interstate compact is one of the bills that (Hawaii Medical Service Association), Kaiser, and the military were all hoping would pass, because it will help them recruit more medical providers to Hawaii,” San Buenaventura told the Tribune-Herald while the Legislature was in session last year. “We also know there are doctors here in Hawaii that are retirees who would be more than willing to work part time, but don’t want to go through the effort of having to get re-licensed and re-credentialed.”
The state estimates Hawaii has a shortage of 768 physicians statewide, a 21% deficit. Hawaii Island’s physician shortfall is estimated at 40%.
Act 95, another new law, allows out-of-state licensed registered nurses and practical nurses who hold a multi-state license issued by another state, territory or country to apply for a temporary work permit simultaneously with an application for a license to practice in Hawaii.
The act was one of 22 health care measures signed into law by Gov. Josh Green, a physician, on June 27 last year.
Using federal Health Resources and Service Administration methodology, Hawaii this year is estimated to face a deficit of around 3,311 registered nurses alone, representing a 28% shortfall in the nursing workforce statewide. Big Island hospitals, including Hilo Benioff Medical Center, have turned to travel nurses to close the gap.
Act 91 authorizes minors who are at least 14 years old to consent to medical care and services for sexually transmitted infections, pregnancy and family planning services, including the prevention of sexually transmitted infections (STIs). It requires confidentiality policies and practices for insurers and health care providers.
The law, part of governor’s legislative package introduced by Sen. President Ron Kouchi, closes what’s been described as a critical gap in minor access to medical services related to STIs, including HIV. For decades, Hawaii law has permitted minors aged 14 to 17 to independently consent to medical care for the treatment of STIs but not for prevention.
Act 91 will permit minors 14 to 17 who are at risk for exposure to STIs to consent to medical care for the prevention of STIs. There is now medication that can be taken by an individual at risk for HIV in order to prevent infection.
On Facebook, the state Department of Health said it “encourages minors to involve a parent or guardian in seeking medical care to prevent STIs.”
“However, often minors who could benefit from this medical care do not involve parents or guardians out of fear of disclosing their sexual behavior or sexual orientation,” the post continues. “Act 91 will allow more teens to access medical care to help keep them safe.”
And Act 104 allows licensed pharmacists to administer vaccines to persons 3 years of age or older without a prescription from a doctor, if certain requirements are met.
Also taking effect on New Year’s Day are laws that: establishes kalo, the Hawaiian word for taro, as the state plant; expands the definition of “beer” to include alcoholic seltzers; requires lobbyists’ expenditures statements to include the identity of the legislative or administrative action that was commented on, supported by, or opposed by the person filing the statement; requires state legislators to include the names of lobbyists with whom the legislator has a relationship; requires public meeting notices to inform testifiers how to provide remote oral testimony allowing the testifier, upon request, to be visible to board members and other meeting participants; establishes judicial procedures to prevent and remedy abusive litigation; requires motion picture and other media productions to provide evidence of reasonable efforts to comply with all applicable requirements to qualify for the income tax credit; and expands the transient accommodations tax law to include certain shelters and vehicles with sleeping accommodations.
Email John Burnett at jburnett@hawaiitribune-herald.com.
