Hawaii PAs Obtain Improvements in PA State Laws

Outdated 100% Chart Review Requirement Repealed

July 11, 2019

Rep. John Mizuno, Sen. Rosalyn Baker, Christina Starks, PA-C, David Ige Michael Robinson, Rep. Della Au Belatti
Left to right: Rep. John Mizuno, Chair of the House Health Committee; Sen. Rosalyn Baker, Chair of the Senate Commerce, Consumer Protection and Health Committee; Christina Starks, PA-C, HAPA President; Governor David Ige; Michael Robinson, Hawaii Pacific Health; Rep. Della Au Belatti.

On July 2, Hawaii Governor David Ige signed SB 1406 repealing the state’s outdated 100% chart review requirement and other changes to PA laws in Hawaii.

In brief, the new law makes several changes including the following:

  • Repeals the 100% chart review requirement
  • Allows chart review to be determined at the practice for PAs with more than one year of experience
  • PAs with less than one year of experience require 50% chart review for the first six months and 25% chart review for the second six months
  • Includes a “group of physicians” among those who may establish a work relationship with a PA

“Repealing 100% chart review for all PAs within seven days is a huge administrative burden that we’re happy to finally have removed from our state laws,” said Christina Starks, PA-C, President of the Hawaii Academy of PAs (HAPA).

AAPA is pleased to have been able to support HAPA’s advocacy efforts on this bill.

Although the 100% chart review requirement was repealed, the requirement for 100% chart co-signature for all controlled substance prescriptions remains in Hawaii’s Uniform Controlled Substances Act.

The bill became effective July 1, 2019. To view the full version of the bill and additional changes see the Hawaii Legislature’s website here.

For more information, contact Keisha Pitts, JD, director of state advocacy and outreach, at [email protected]

Additional Resources
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