Welcome to the Hawaii Academy of Physician Assistants
HAPA is the Hawaii state chapter of the
The American Academy
of Physician Assistants (AAPA)
which represents PAs on the
Membership includes Physician Assistants
Physician Assistant students, as well as
supporters of the profession.
|HAPA News Updates|
THE NEW RULES CHANGE REGARDING SCHEDULE II
DRUG PRESCRIBING AND SUPERVISION BECAME
EFFECTIVE 4/16/2015 AND THE FORM IS AVAILABLE AS
OF 4/20/2015 FROM THE NED OFFICE.
PAs CANNOT PRESCRIBE OR DISPENSE SCHEDULE II DRUGS UNTIL YOU RESUBMIT THE NED FORM CHECKING OFF SCHEDULE 2 AND 2N,
(Your Federal DEA license must match)
If you need to change your Federal DEA license to include 2 and 2N medications, log in to the DEA registration change page and add the 2 and 2N categories. You will have to submit this to the NED with your application changes. It takes about 4-5 business days to get this in the mail, but you can print a duplicate certificate as soon as it is available from the DEA “print duplicate page”.
HAVE YOUR SUPERVISING PHYSICIAN SIGN THE FORM AND THEN SUBMIT IT TO THE NED OFFICE. YOU CAN EXPEDITE THIS IF YOU LIKE BY TAKING THE SIGNED FORM DIRECTLY TO THE NED OFFICE ON KOAPAKA STREET. YOU WILL BE ABLE TO GET THE LICENSE THE SAME DAY. IF YOU ALREADY HAD INPATIENT SCHEDULE II DRUG PRIVILEGES, THE NED WILL NOT ISSUE A NEW LICENSE, BUT WILL REGISTER YOU FOR SCHEDULE II PRESCRIPTIVE PRIVILEGES. YOUR LICENSE ALREADY SAYS ADMINISTER AND PRESCRIBE.
Please follow this link to find the official notice from the Hawaii Medical Board and
to find the new NED application.
HAPA has been advised by one provider that his schedule II prescription was rejected by the pharmacy on 04/24/2015.
HAPA WAS ADVISED THIS AM BY NED THAT PHARMACIES HAVE BEEN CALLING THE NED TO CONFIRM WHETHER A PROVIDER IS AUTHORIZED TO PRESCRIBE. THERE HAS BEEN NO NOTIFICATION TO PHARMACIES AS TO WHICH PROVIDERS ARE AUTHORIZED TO PRESCRIBE SCHEDULE II DRUGS.
PROVIDERS MAY FIND IT USEFUL TO FAX A COPY OF THEIR DEA LICENSES AND A COPY OF THE HAWAII MEDICAL BOARD NOTIFICATION TO PHARMACIES THAT THEY USE REGULARLY. PHARMACIES CAN THEN UPDATE THEIR DATABASES WITH YOUR DEA INFORMATION.
WE ARE STILL UNCERTAIN IF AN EMAIL BLAST WAS SENT TO PHARMACIES ADVISING THEM OF THE RULES CHANGE.
This link takes you to the amended HAR 16-85-49. You have to scroll to page 49 of the document to find the amendments.
Thanks to the advocacy efforts of AAPA and its members, PAs won a significant victory when the Medicare reauthorization legislation was signed into law by President Obama on April 16. This represents the most significant Medicare reform in decades and long sought-after improvements to PA practice. LEARN MORE »
Online Registration for the 27th Annual Aloha Medical Conference is now available.
You can also click the Conferences Tab on the Main Menu above for more informatiion.
Minutes (January 2015) have been posted for member viewing. Please visit the Minutes menu on the website.
The University of Hawaii Report to the 2015 Legislature on the Hawaii Physician Workforce Assessment Project has been published. Some may find this report interesting with regard to shortages and solutions.
It is interesting how infrequently Advanced Practice Providers are mentioned either with regard to the number of providers practicing in Hawaii or in their ability to help fill provider shortages.
The AAPA has assembled a Model Law Committee to review and revise language for model legislation. The conclusions will be presented to the House of Delegates at the annual AAPA conference this spring for consideration. The question under consideration is whether PAs should continue as dependent health care providers under the supervision of physicians or whether language should be changed to support a collaborative relationship with physicians, removing language requiring physicians to assume full responsibility for PAs and removing delegatory language. It will be interesting to see how the AAPA approaches this issue in the future.
SB 790 (POLST) bill was held by Consumer Protection in the Senate and SB 805 (removing the sunset provision) was held by CPN in the House after passing the Senate committees and crossing over. We will have to revisit these next legislative session.
Key aspects of the fee schedule rule impacting PAs include:
A new CMS policy to allow patients who are treated exclusively by PAs to be assigned to accountable care organizations under Medicare’s shared savings program.Increased employment flexibility for PAs who deliver care in certified rural health clinics, allowing PAs to work as independent contractors as long as at least one authorized professional is a W-2 employee of the clinic.
Inclusion of PAs as covered medical professionals for performing Medicare’s newly added telemedicine services and for chronic care management service.
If you are not a hospital based PA, you may not have needed Federal Schedule II drug authorization. You will need to get it before requesting a change to the Hawaii State NED. Do not delay. If you do not have Federal Schedule II drug privileges, start the process today.
Please join or renew your membership and support HAPA in 2015. HAPA has been representing PAs in Hawaii for over 25 years! We have Secure Online Membership registration and payment. HAPA dues are among the lowest in the country at $50/year. We haven't raised our dues in 20 years, because we want to encourage membership. HAPA is an all volunteer organization.
Situations, like the one that Hawaii PAs are faced with now re: schedule II drugs, are just one reason to support HAPA, but HAPA needs your support even when things are going well.
HAPA has represented Hawaii PAs for over 25 years and has been instrumental in working with the community, physicians, legislators and the Hawaii Medical Board in protecting PAs scope of practice and moving the profession forward with changing times. Additionally we are the State Constituent Organization working in partnership with the AAPA. The Partnership in State Advocacy has given a national voice and support of the national organization, which adds credibility to our concerns. Please support HAPA through membership
|The 27th Annual Aloha Medical Conference takes place 10/26-10/30/2015.
For hotel reservations at the Sheraton Waikiki book herebook here. We look forward to seeing you here for 25 hours of Cat I CME on the beaches of Waikiki. For conference registration click here.
See you at the conference.
The Sheraton group rate is $245/night plus 13.9 % room tax and $20 resort fee. (Includes parking)
PO Box 30355
Collette Kuntz, PA-C
HAPA President Elect
For general information contact:
Conference Committee Chair