Informing the Legislature that on May 2, 2025, the following bill became law without the Governor's signature: HB1194 HD2 SD3 (ACT 028).

This bill (HB 1194, now Act 028) makes Hawaii's midwifery licensing regulations permanent, preventing their expiration on June 30, 2025. It establishes formal licensure requirements for certified midwives, clarifies their scope of practice (including the ability to prescribe medications), and sets continuing education standards. The law explicitly states that licensed midwifery practice does not include Native Hawaiian traditional and customary practices, while affirming that cultural practices can still be incorporated. It also adds peer review, data reporting, and medical record retention requirements for midwives.