State flag Hawaii Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

Hawaii credentials one type of addiction counselor. A Certified Substance Abuse Counselor requires a high school diploma, 270 hours of relevant education and 6,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor’s degree needs 2,000 hours). Hawaii Admin. Rules §11-177.1 and Hawaii Department of Health, Alcohol and Drug Abuse Division

Licensed Professional Counselor Ability to Diagnose

A licensed mental health counselor may provide professional counseling services to individuals, families, or groups. Services may include the assessment, diagnosis, and treatment of, and counseling for, mental and emotional disorders, substance abuse and conduct disorders defined in the approved diagnostic and statistical manual for mental disorders. Hawaii Rev. Stat. §453D-1

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 16 NPs in Hawaii have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or experience an NP in Hawaii may obtain a federal waiver to dispense buprenorphine-containing products. Hawaii Admin. Rules §16-89-122

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 2 PAs in Hawaii have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Hawaii may prescribe Schedule III-V controlled substances as delegated by a supervising physician. With proper training or appropriate experience a PA in Hawaii can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Hawaii Admin. Rules §16-85-49(8)

Peer Support Specialist Certification or Credentialing Authority

The certification standards and procedures for peer specialists are developed and administered by the state’s Adult Mental Health Division Office of Consumer Affairs. The standards include requirements for peer specialist qualifications, core competencies, training and examination, renewal, revocation and supervision.

Practice Authority

NPs may practice independently from physicians and practice under licensure authority of the State Board of Nursing. Hawaii Admin. Rules §16-89-2

Prescriptive Authority

NPs are authorized to independently prescribe prescription drugs and Schedules II-V controlled substances. Medical devices may be prescribed if within the NP’s specialty. Hawaii Admin. Rules §16-89-122

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. A health insurance company may recognize a participating NP as a primary care provider if a patient’s insurance policy requires the selection of a primary care provider. Hawaii Rev. Stat. §431:10A-125

Dental Hygienists with Direct Access

Hawaii does not allow dental hygienists to practice with direct access.

Dental Therapists

Statute does not identify dental therapists as an oral health provider.

Practice of Teledentistry

Hawaii does not explicitly allow for the practice of teledentistry.

Prescription Adaptation

Hawaii does not allow pharmacists to modify prescriptions.

Prescription of Hormonal Contraceptives

A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Hawaii Rev. Stat. §461

Prescription of Tobacco Cessation Aids

Hawaii does not allow pharmacists to prescribe tobacco cessation aids.

Supervision Requirements

The supervising physician determines supervision requirements on-site. The PA may be utilized in any setting authorized by the physician. There must be adequate means of communication between PA and supervising physician. Hawaii Admin. Rules §16-85-49

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs, devices and Schedules III-V controlled substances if delegated by the supervising physician. Schedule II controlled substances may only be prescribed in inpatient hospital settings if delegated by the supervising physician. Hawaii Admin. Rules §16-85-49(8)

Scope of Practice Determination

The supervising physician determines of PA’s scope of practice in a written document developed on-site. Hawaii Admin. Rules §16-85-49.1

Hawaii SOP Legislation

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