Bill > HB62

This bill establishes comprehensive nurse staffing regulations for healthcare facilities in Hawaii, specifically mandating precise nurse-to-patient ratios across various medical settings and care scenarios. The bill defines detailed maximum patient assignments for registered nurses in different clinical contexts, such as one nurse to one patient in critical care or operating rooms, and up to four patients in medical-surgical or psychiatric units. Healthcare facilities must maintain accurate staffing records, post current staffing information in patient care units, and ensure that nurses have the professional autonomy to advocate for patient safety, including the right to refuse assignments they believe compromise patient care. The legislation also prohibits facilities from using mandatory overtime, electronic monitoring as a staffing substitute, or penalizing nurses for exercising professional judgment. The Department of Health will conduct periodic audits to ensure compliance, with potential fines ranging from $10,000 to $25,000 per violation. The bill includes provisions protecting nurses' ability to act in patients' best interests, preventing retaliation, and requiring transparent reporting of staffing levels. These regulations will take effect on January 1, 2026, and apply to hospitals, home care agencies, adult residential care homes, and expanded adult residential care homes.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=62&year=2026