This House Resolution requests the Hawaii State Center for Nursing to compile a comprehensive list of recommended safe patient staffing ratios for all nursing specialties across healthcare settings and maintain a public repository of this information. The bill directs the center to make this repository available to the public no later than twenty days before the start of the 2027 legislative session. It also urges healthcare facilities to consider implementing these recommended staffing standards. The resolution is based on findings that safe staffing levels improve patient outcomes and support nurse retention, and it directs copies of the measure to state health officials and hospital executives.
This bill asks the City and County of Honolulu and the Statewide Office on Homelessness and Housing Solutions to create a strategic plan for addressing homelessness and behavioral health needs on the Waianae Coast. The plan must include an analysis of emergency response times, hospital usage for psychiatric crises, available crisis beds, service gaps, and coordination between outreach teams and first responders. It also requires evaluating the feasibility of a regional crisis stabilization center and identifying any legal or budget changes needed to improve outcomes. Community-based service providers must be involved in developing the plan, which will be reported to the Legislature by March 2027.
This Senate Resolution asks the Governor's Senior Advisor for Mental Health and the Justice System to create a plan for increasing bed availability at the Hawaii State Hospital for mentally ill criminal defendants and individuals recently released from the facility. The request stems from concerns that the hospital is currently at full capacity, with most patients being evaluated for fitness to stand trial, which limits options for those needing treatment within the criminal justice system. The resolution directs the advisor to develop a strategy for creating shelter placements for these specific populations and to submit a report with findings and potential new legislation to the Legislature by early 2027. This measure does not authorize funding or mandate immediate policy changes but serves as a formal request for planning and coordination among state agencies.
Exempts certain positions in the Developmental Disabilities Division of the Department of Health and Hawaii State Hospital from civil service. Authorizes the Director of Health to appoint two additional associate administrators and two project managers for the Hawaii State Hospital or a secure psychiatric rehabilitation facility.
Exempts from the general excise tax, gross receipts from the sale of hearing aids received by a hospital, infirmary, medical clinic, health care facility, pharmacy, or a practitioner licensed to administer drugs to an individual. Effective 1/30/2050. Implementation effective 1/1/2027. (SD1)
Appropriates funds to the Department of Health for the Adult Mental Health Inpatient Program to secure contracts for the provision of forty psychiatric beds annually for the Hawaii State Hospital. Requires the Department of Health to include line-item funding for the Adult Mental Health Inpatient Program in its annual budget request beginning with fiscal year 2027-2028 to secure contracts for the provision of psychiatric beds for the Hawaii State Hospital.
Exempts from the general excise tax, gross receipts from the sale of hearing aids received by a hospital, infirmary, medical clinic, health care facility, pharmacy, or a practitioner licensed to administer drugs to an individual. Effective 7/1/3000. (HD1)
Requires the Department of Health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization approved by the Centers for Medicare and Medicaid Services. (CD1)
Requires each hospital to establish a Hospital Registered Nurse Staffing Committee by 9/1/2026. Requires the Staffing Committee to adopt and file a Staffing Committee Charter with the Department of Labor and Industrial Relations by 1/1/2027. Requires the Department to develop a Hospital Registered Nurse Staffing Plan Form by 1/1/2027. Requires each Staffing Committee to adopt and file a Staffing Plan, including minimum registered nurse staffing standards, with the Department by 7/1/2027, and annually thereafter. Requires hospitals to implement their Staffing Plan by 7/1/2027, and post the Staffing Plan and staffing schedules in publicly accessible areas. Requires Staffing Committees to receive, review, evaluate, and respond to reports and complaints regarding deviations from the Staffing Plan. Establishes a variance process allowing hospitals to temporarily deviate from their minimum registered nurse staffing standards. Establishes an enforcement framework to be administered by the Department, including review of Staffing Plans, complaint investigations, administrative appeals, and civil penalties for violations. Prohibits retaliation against certain persons who report staffing concerns or participate in enforcement proceedings. Increases the membership of the Center for Nursing Advisory Board to include three elected officers or governing board members of a labor organization representing registered nurses in the State. Requires the Center for Nursing to develop and maintain an online dashboard of staffing standards recommended by certain professional specialty organizations. Requires the Department to adopt rules. Appropriates funds.
Requires any hospital licensed by the Department of Health that has an operating room to adopt and implement policies to prevent exposure to surgical smoke. Effective 7/1/3000. (HD1)
