STAND. COM. REP. NO. 3893

Honolulu, Hawaii

RE: H.C.R. No. 105

H.D. 1

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Sir:

Your Committee on Health and Human Services, to which was referred H.C.R. No. 105, H.D. 1, entitled:

"HOUSE CONCURRENT RESOLUTION REQUESTING THE HAWAII STATE CENTER FOR NURSING TO COMPILE A COMPREHENSIVE LIST OF RECOMMENDED SAFE PATIENT STAFFING RATIOS FOR ALL NURSING SPECIALTIES AND SUBSPECIALITIES ACROSS ALL HEALTH CARE SETTINGS, AND TO MAINTAIN A REPOSITORY FOR THIS INFORMATION,"

begs leave to report as follows:

The purpose and intent of this measure is to request the Center for Nursing to compile a comprehensive list of recommended safe patient staffing ratios for all nursing specialties and subspecialties across all health care settings, and to maintain a repository for this information.

Your Committee received testimony in support of this measure from the Hawaiʻi-American Nurses Association.

Your Committee received comments on this measure from the Hawaiʻi State Center for Nursing.

Your Committee finds that the nursing community is the largest segment of the State's health care workforce and is indispensable to the health, safety, and well-being of the residents of the State. Your Committee further finds that creating supportive work environments with safe staffing levels is essential to attracting the next generation of nurses to the State's workforce and retaining the experienced nurses currently practicing in the State's health care facilities. This measure supports the establishment of a central repository of safe staffing standards as adopted by other states or recommended by industry professionals to allow for better-informed decision-making by health care providers, policymakers, and the public.

Your Committee has amended this measure by:

(1) Clarifying that the Center for Nursing is requested to compile a comprehensive list of recommended safe patient staffing strategies and ratios, rather than just ratios, for all nursing specialties and subspecialties across all health care settings, and to maintain a repository for this information;

(2) Amending its title accordingly; and

(3) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.

As affirmed by the record of votes of the members of your Committee on Health and Human Services that is attached to this report, your Committee concurs with the intent and purpose of H.C.R. No. 105, H.D. 1, as amended herein, and recommends its adoption in the form attached hereto as H.C.R. No. 105, H.D. 1, S.D. 1.

Respectfully submitted on behalf of the members of the Committee on Health and Human Services,

________________________________

JOY A. SAN BUENAVENTURA, Chair