Healthcare

HCR 4 is a symbolic resolution urging Hawaii's Governor to protect transgender members of the Hawaii National Guard from federal policies that bar transgender service members. It references Executive Order 14163, which prohibits transgender individuals from serving in the military and halts gender-affirming care for active-duty personnel. The resolution does not change laws or policies but formally requests the Governor take action to allow qualified transgender service members to continue serving. It directly affects transgender Hawaii National Guard members facing potential discharge under federal policy.

This Hawaii House Resolution (HR 5) affirms that hospitals must provide life-saving emergency care - including abortion services when medically necessary - to stabilize pregnant patients under the federal EMTALA law. It directly supports Hawaii hospitals and emergency providers, reinforcing their existing practice of offering such care without delay. The resolution urges all hospitals in Hawaii, including religiously affiliated ones, to continue following EMTALA’s requirement to provide necessary emergency treatment regardless of patient circumstances. It does not create new law but clarifies Hawaii’s commitment to upholding federal emergency care standards, addressing confusion from recent shifts in federal guidance. The resolution aims to strengthen public confidence in emergency care access for pregnant people across the state.

By 1/1/2029, requires the Department of Labor and Industrial Relations to establish a family and medical leave insurance program and begin collecting payroll contributions to finance payment of benefits. By 1/1/2030, requires the Department to begin receiving claims and paying benefits under the program. Specifies eligibility requirements and employee protections under the program. Excludes paid family and medical leave benefits from income tax. Effective 7/1/3000. (HD2)

Allows for the regulation of sports wagering by the Department of Business, Economic Development, and Tourism. Establishes licensing requirements for sports wagering operators and sports wagering suppliers. Establishes a general excise tax to be levied on sports wagering operator licenses. Establishes the Problem Gambling Prevention and Treatment Special Fund to be administered and expended by the Department of Health. Specifies that legal sports wagering and fantasy sports contests shall not be considered contests of chance or gambling. Authorizes the Department of Business, Economic Development, and Tourism to perform criminal history record checks on applicants and licensees relating to sports wagering. Effective 7/1/3000. (HD1)