SR 112 Hawaii Senate · 2026 Regular Session

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 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 standards from major professional nursing organizations such as the American Association of Critical-Care Nurses and the Society of Pediatric Nurses. The Center is asked to submit findings and recommendations to the Legislature and Department of Health by late 2026, with results published on an online dashboard. The resolution also urges healthcare facilities to consider implementing the compiled staffing standards to improve patient safety and nurse retention.

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 May 12, 2026

Maddy AI version diff · 1 comparison

What changed between versions

SR112 → SR112_SD1 · 5 edits

MODERATE

The bill was amended to shift its focus from requesting a study to mandating the creation and maintenance of a public repository for safe staffing ratios. The scope was expanded to cover all nursing specialties and healthcare settings, and the specific requirement to use House Bill 1865 and Senate Bill 2763 as a framework was removed. The deadline for submission was shortened to 20 days before the 2027 session, and the bill was reclassified from a House Concurrent Resolution to a Senate Concurrent Resolution.

Scope change

The bill's scope was expanded from a specific study on hospital units to a comprehensive repository covering all nursing specialties and healthcare settings.

REQUIREMENT

Changed the primary action from conducting a study to compiling a list and maintaining a public repository of staffing ratios.

Removed the requirement to use House Bill 1865 and Senate Bill 2763 as the foundational framework for the study.

TIMELINE

Shortened the deadline for making the repository available to 20 days prior to the convening of the 2027 Regular Session.

SCOPE

Expanded the scope to include all nursing specialties and subspecialties across all healthcare settings.

TECHNICAL

Changed the bill type from House Concurrent Resolution to Senate Concurrent Resolution and updated sponsor information.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 9, 2026

Upper · Passed

Report and Resolution Adopted, as amended (SD 1).

upper

Apr 8, 2026

Upper · Passed

Reported from HHS (Stand. Com. Rep. No. 3485) 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