HI HB1575

Expands physician assistant scope of practice in Hawaii by allowing them to issue disability parking permits, sign death/fetal death certificates, issue birth certificate amendments, certify temporary disability benefits, and sign occupational therapy orders.

Changes medical records review requirements for physician assistants prescribing controlled substances from reviewing all prescriptions to reviewing a representative sample of records within 30 days.

Requires supervising physicians to review at least 50% of controlled substance prescriptions in medical record samples for physician assistants with less than one year experience.

Allows supervising physicians to establish practice-specific medical record review guidelines rather than using one standardized process.

Updates pharmacy practice definitions to recognize physician assistants as authorized providers in collaborative drug therapy protocols and emergency contraception agreements.