# Hawaii SB 424: RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES.

Hawaii SB 424, RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by AQUINO; status failed, last action 2025-12-08 (Carried over to 2026 Regular Session.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB424-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 424
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES.
- Status: failed
- Chamber: Senate
- Introduced: 2025-01-16
- Last action: 2025-12-08, Carried over to 2026 Regular Session.
- Sponsor: AQUINO
- Cosponsors: 0
- Subjects: DLIR, Health, Hospitals, Work Environment, Registered Nurses, Minimum Staffing Standard, Staffing Committee, Staffing Plan, Complaints, Penalties, Appeals, Appropriations, LBT/HHS, WAM/JDC
- Touches household money: no
- Economic provisions PRIA read: 0

## 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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: AQUINO

## Actions (4)

- 2025-12-08: Carried over to 2026 Regular Session.
- 2025-01-21: Referred to LBT/HHS, WAM/JDC. (Senate)
- 2025-01-16: Introduced. (Senate)
- 2025-01-16: Passed First Reading. (Senate)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB424_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB424_.pdf)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 1973: RELATING TO HEALTH. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB424_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB424_.pdf)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026)
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- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB424-2026 (as of 2026-11-01).