REQUESTING THE CENTER FOR NURSING TO COMPILE A COMPREHENSIVE LIST OF RECOMMENDED SAFE PATIENT STAFFING RATIOS FOR ALL NURSING SPECIALTIES AND SUBSPECIALTIES ACROSS ALL HEALTH CARE SETTINGS AND TO MAINTAIN A REPOSITORY FOR THIS INFORMATION.
This Senate Concurrent Resolution requests the Hawaii State Center for Nursing to conduct a study compiling recommended safe patient staffing ratios for various hospital units and healthcare settings. The study will use existing state bills as a framework and incorporate guidelines from major professional nursing organizations, including those specializing in critical care, emergency, pediatric, and psychiatric nursing. The Center for Nursing is asked to submit findings and recommendations to the Legislature and Department of Health by early 2027, with the goal of providing data to help healthcare facilities implement safer staffing levels.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House Passage
Governor
Introduced Mar 16, 2026
Last action Apr 10, 2026
Maddy AI version diff · 1 comparison
What changed between versions
SCR119
→
SCR119_SD1
·
4 edits
MODERATE
The bill was revised to broaden its scope from a single study to the creation of a permanent public repository for safe staffing ratios. The requestor was changed from the 'Hawaii State Center for Nursing' to the 'Center for Nursing,' and the specific requirement to use House Bill 1865 and Senate Bill 2763 as a framework was removed to allow for a more comprehensive collection of standards from various sources. The deadline for submission was shortened from twenty days before the 2027 session to simply being available by that date.
Scope change
The bill's scope expanded from a one-time study of specific hospital units to a comprehensive, ongoing repository covering all nursing specialties and healthcare settings.
REQUIREMENT
The specific mandate to use House Bill 1865 and Senate Bill 2763 as the foundational framework for the study was removed, allowing the Center to compile a broader list without being restricted to those specific bills.
The request was expanded from conducting a study to compiling a comprehensive list and maintaining a permanent repository of recommended staffing ratios for all specialties.
TIMELINE
The deadline for the output was changed from submitting a study twenty days before the 2027 session to simply making the repository publicly available by that date.
TECHNICAL
The entity requesting the action was updated from 'Hawaii State Center for Nursing' to 'Center for Nursing'.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
9
Key actions
4
Committee
5
Apr 10, 2026
Committee
Referred to HLT, FIN, referral sheet 28
lower
Apr 9, 2026
Introduced
Received from Senate (Sen. Com. No. 482) in amended form (SD 1).
lower
Apr 9, 2026
Upper · Passed
Report and Resolution Adopted, as amended (SD 1). Transmitted to House.
upper
Apr 8, 2026
Upper · Passed
Reported from HHS (Stand. Com. Rep. No. 3484) with recommendation of adoption, as amended (SD 1).
upper
Mar 30, 2026
Upper · Passed
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Keohokalole.
upper
Mar 27, 2026
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 03-30-26 1:07PM; Conference Room 225 & Videoconference.
upper
Mar 19, 2026
Committee
Referred to HHS.
upper
Mar 16, 2026
Introduced
Offered.
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Jarrett Keohokalole
DDemocratic
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