The following testimony was submitted by the Grassroot Institute of Hawaii for consideration by the Senate Committee on Commerce and Consumer Protection, and the Senate Committee on Ways and Means on March 1, 2023.
March 1, 2023
Conference Room 211
To: Senate Committee on Commerce and Consumer Protection
Sen. Jarrett Keohokalole, Chair
Sen. Carol Fukunaga, Vice Chair
Senate Committee on Ways and Means
Sen. Donovan Dela Cruz, Chair
Sen. Gilbert Keith-Agaran, Vice Chair
From: Grassroot Institute of Hawaii
Ted Kefalas, Director of Strategic Campaigns
RE: SB319 SD1 — RELATING TO THE RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT
Dear Chair and Committee Members:
The Grassroot Institute of Hawaii would like to offer its comments on SB319 SD1, which would create a working group to review the feasibility and possible consequences of Hawaii joining the Recognition of Emergency Medical Service Personnel Licensure Interstate Compact (REPLICA).
As we discuss in a new policy brief “How changing Hawaii’s licensing laws could improve healthcare access,” licensing compacts are one reform that might make it easier for Hawaii to attract and retain healthcare professionals.
“Joining multiple interstate compacts could be the simplest route to address the difficulties medical professionals face in moving to Hawaii.
“Most important, the compact approach has support from within the medical community,” the report states.
Numerous other states have adopted this compact and others, and the various compact commissions are more than happy to assist state regulators in the implementation phase.
At present, REPLICA includes 22 states, with approximately 325,000 compact providers. The successful implementation of REPLICA speaks to the safety and effectiveness of this approach to license reciprocity.
Even though this bill does not outright adopt REPLICA, we hope that the working group will examine the costs and benefits of joining the compact and that the Legislature might consider it again next session.
Thank you for the opportunity to submit our comments.
Director of Strategic Campaigns,
Grassroot Institute of Hawaii
 Malia Hill, “How changing Hawaii’s licensing laws could improve healthcare access,” Grassroot Institute of Hawaii, Feb. 2023.