HawaiiSB 4242025–2026 Regular Session (Year 2)Senate

RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES.

Sponsored By: Henry J.C. Aquino (Democratic)

In Committee

Summary

Establish certain minimum registered nurse-to-patient ratios for hospitals. Establishes a process to obtain a variance from the minimum registered nurse staffing standards. Requires hospitals to establish hospital registered nurse staffing committees by 9/1/2025 to develop and adopt registered nurse staffing plans. Requires the staffing committees to submit a charter to the Department of Labor and Industrial Relations. Beginning 7/1/2026, requires hospitals to submit their registered nurse staffing plan on an annual basis, and implement the staffing plan. Establishes a complaint and appeals process and penalties. Appropriates funds.

DLIRHealthHospitalsWork EnvironmentRegistered NursesMinimum Staffing StandardStaffing CommitteeStaffing PlanComplaintsPenaltiesAppealsAppropriationsLBT/HHS, WAM/JDC

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Henry J.C. Aquino

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Carried over to 2026 Regular Session.

    12/8/2025
  2. Referred to LBT/HHS, WAM/JDC.

    1/21/2025Senate
  3. Introduced.

    1/16/2025Senate
  4. Passed First Reading.

    1/16/2025Senate

Bill Text

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