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SB 424 Hawaii Senate · 2026 Regular Session

RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES.

Summary
Establish certain minimum registered nurse-to-patient ratios for hospitals. Establishes a process to obtain a variance from the minimum registered nurse staffing standards. Requires hospitals to establish hospital registered nurse staffing committees by 9/1/2025 to develop and adopt registered nurse staffing plans. Requires the staffing committees to submit a charter to the Department of Labor and Industrial Relations. Beginning 7/1/2026, requires hospitals to submit their registered nurse staffing plan on an annual basis, and implement the staffing plan. Establishes a complaint and appeals process and penalties. Appropriates funds.
Issues: ✓ HealthcareSupports HealthcareEstablishes minimum nurse-to-patient ratios in hospitals to improve patient safety and care quality, directly advancing healthcare standards.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEstablishes mandatory nurse-to-patient ratios and staffing committees to improve workplace safety and staffing standards for healthcare workers, directly strengthening labor protections in healthcare settings.95% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 16, 2025 Last action Dec 8, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
Jan 21, 2025
Committee
Referred to LBT/HHS, WAM/JDC.
upper
Jan 16, 2025
Introduced
Introduced.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Henry Aquino
Henry Aquino
DDemocratic
HI
19