HawaiiHB 18652025–2026 Regular Session (Year 2)House

RELATING TO STAFFING STANDARDS AT HEALTH CARE FACILITIES.

Sponsored By: Sean Quinlan (Democratic)

Filed

Summary

Requires each hospital to establish a Hospital Registered Nurse Staffing Committee by 9/1/2026. Requires the Staffing Committee to adopt and file a Staffing Committee Charter with the Department of Labor and Industrial Relations by 1/1/2027. Requires the Department to develop a Hospital Registered Nurse Staffing Plan Form by 1/1/2027. Requires each Staffing Committee to adopt and file a Staffing Plan, including minimum registered nurse staffing standards, with the Department by 7/1/2027, and annually thereafter. Requires hospitals to implement their Staffing Plan by 7/1/2027, and post the Staffing Plan and staffing schedules in publicly accessible areas. Requires Staffing Committees to receive, review, evaluate, and respond to reports and complaints regarding deviations from the Staffing Plan. Establishes a variance process allowing hospitals to temporarily deviate from their minimum registered nurse staffing standards. Establishes an enforcement framework to be administered by the Department, including review of Staffing Plans, complaint investigations, administrative appeals, and civil penalties for violations. Prohibits retaliation against certain persons who report staffing concerns or participate in enforcement proceedings. Increases the membership of the Center for Nursing Advisory Board to include three elected officers or governing board members of a labor organization representing registered nurses in the State. Requires the Center for Nursing to develop and maintain an online dashboard of staffing standards recommended by certain professional specialty organizations. Requires the Department to adopt rules. Appropriates funds.

DLIRCenter for NursingHospitalsHospital Registered Nurse Staffing CommitteeHospital Registered Nurse Staffing PlanNurse-to-Patient RatioCivil PenaltiesAppealsRulesAppropriationsHLT/LAB, JHA, FIN

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Sean Quinlan

    Democratic • House

Cosponsors

  • Terez Amato

    Democratic • House

  • Tina Nakada Grandinetti

    Democratic • House

  • Mark J. Hashem

    Democratic • House

  • Ikaika Hussey

    Democratic • House

  • Greggor Ilagan

    Democratic • House

  • Kirstin Kahaloa

    Democratic • House

  • Jeanne Kapela

    Democratic • House

  • Sue L. Keohokapu-Lee Loy

    Democratic • House

  • Darius K. Kila

    Democratic • House

  • Matthias Kusch

    Democratic • House

  • Nicole E. Lowen

    Democratic • House

  • Lisa Marten

    Democratic • House

  • Ikaika Olds

    Democratic • House

  • Amy A. Perruso

    Democratic • House

  • Mahina Poepoe

    Democratic • House

  • David A. Tarnas

    Democratic • House

  • Chris Todd

    Democratic • House

  • Justin H. Woodson

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Introduced and Pass First Reading.

    1/26/2026House
  2. Referred to HLT/LAB, JHA, FIN, referral sheet 2

    1/26/2026House
  3. Pending introduction.

    1/23/2026House

Bill Text

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