Hawaii

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

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

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

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)

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.

Full independent practice and prescriptive authority.

CNMs provide independent management of women’s health care, focusing particularly on pregnancy, childbirth, the postpartum period, care of the newborn, and the family planning and gynecological needs of women and practice in accordance with the standards for the practice of nurse midwifery of the American College of Nurse Midwives, unless otherwise indicated by the board.

If meeting all requirements of the board, CNMs have prescriptive authority to prescribe including Schedules II-V controlled substances. Hawaii Admin. Rules §16-89

Full independent practice and prescriptive authority.

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

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

Any health care provider, including NPs, who is licensed, certified or otherwise authorized by law to provide health care, may sign POLST forms. Hawaii Rev. Stat. §327K-2

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

Optometrists may only examine, diagnose and treat conditions of the visual system. Hawaii Rev. Stat. §459‑1

Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Hawaii Rev. Stat. §459‑7.4

Optometrists may not prescribe controlled substances. Hawaii Rev. Stat. §459‑7.4

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

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

Hawaii does not explicitly allow for the practice of teledentistry.

Hawaii has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.

Hawaii does not allow pharmacists to modify prescriptions.

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

Hawaii does not allow pharmacists to prescribe tobacco cessation aids.

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

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)

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