HCR 105 Hawaii House · 2026 Regular Session

REQUESTING THE CENTER FOR NURSING TO COMPILE A COMPREHENSIVE LIST OF RECOMMENDED SAFE PATIENT STAFFING STRATEGIES AND RATIOS FOR ALL NURSING SPECIALTIES AND SUBSPECIALTIES ACROSS ALL HEALTH CARE SETTINGS, AND TO MAINTAIN A REPOSITORY FOR THIS INFORMATION.

This bill requests the Hawaii State Center for Nursing to compile and maintain a public list of recommended safe patient staffing ratios for all nursing specialties across various healthcare settings. The measure aims to address concerns about nurse workload and patient safety by gathering existing standards from other states and industry recommendations rather than setting new legal requirements. Healthcare facilities are urged to consider these compiled ratios when determining staffing levels, and the information will be made publicly available before the 2027 legislative session. The resolution focuses on creating a centralized resource to inform decision-making by providers, policymakers, and the public about staffing standards.

Bill status passed both 4 of 5 stages cleared

Introduction

Mar 2026

Committee Review

Apr 2026

House Passage

May 2026

Senate Passage

Apr 2026

Governor

Introduced Mar 16, 2026 Last action May 8, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

HCR105_HD1 → HCR105_SD1 · 4 edits

MODERATE

The bill was revised to broaden the request from the Center for Nursing, changing the focus from compiling a list of specific 'safe patient staffing ratios' to a more flexible list of 'safe patient staffing strategies and ratios.' This change allows the Center to consider a wider range of safety approaches rather than being limited to strict numerical ratios. Additionally, the bill was updated to refer to the 'Center for Nursing' instead of the 'Hawaii State Center for Nursing,' likely to align with recent organizational name changes.

Scope change

The scope of the requested data expanded from a narrow list of specific staffing ratios to include broader staffing strategies and ratios, giving the Center for Nursing more flexibility in defining safety standards.

REQUIREMENT

The request to the Center for Nursing was modified to include 'safe patient staffing strategies' alongside 'ratios,' expanding the scope of information the Center must compile beyond just numerical limits.

TECHNICAL

References to the 'Hawaii State Center for Nursing' were updated to 'Center for Nursing' throughout the text, reflecting an organizational name change.

Minor formatting and punctuation adjustments were made to the WHEREAS clauses, including capitalization fixes and spacing changes.

Metadata fields such as the author name, document version numbers, and timestamp dates were updated to reflect the current version of the bill.

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

Amendments

May 8, 2026

Lower · Passed

Resolution adopted in final form.

lower

May 8, 2026

Lower · Passed

Adopted as amended in SD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Hussey, Kong, Quinlan excused (3).

lower

May 8, 2026

Introduced

House agrees to Senate amendment(s).

lower

Apr 24, 2026

Introduced

Returned from Senate (Sen. Com. No. 752) in amended form (SD 1).

lower

Apr 24, 2026

Upper · Passed

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

upper

Apr 23, 2026

Upper · Passed

Reported from HHS (Stand. Com. Rep. No. 3893) with recommendation of adoption, as amended (SD 1).

upper

Apr 17, 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, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Apr 14, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 04-17-26 1:00PM; Conference Room 225 & Videoconference.

upper

Apr 10, 2026

Committee

Referred to HHS.

upper

Apr 10, 2026

Introduced

Received from House (Hse. Com. No. 559).

upper

Apr 9, 2026

Lower · Passed

Adopted with none voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1).

lower

Apr 9, 2026

Lower · Passed

Reported from FIN (Stand. Com. Rep. No. 1956-26), recommending adoption.

lower

Apr 7, 2026

Lower · Passed

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Morikawa.

lower

Apr 1, 2026

Lower · Passed

Report adopted; referred to the committee(s) on FIN as amended in HD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

lower

Apr 1, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 1594-26) as amended in HD 1, recommending referral to FIN.

lower

Mar 25, 2026

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Mar 18, 2026

Committee

Referred to HLT, FIN, referral sheet 19

lower

Mar 16, 2026

Introduced

Offered

lower

16 primary · 0 co-sponsors