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Bill

SB 424

RELATING TO LABOR STANDARDS AT HEALTH CARE FACILITIES.

2026 Regular Session Introduced by Henry Aquino

Hawaii SB 424 establishes new labor standards for healthcare facility workers to improve wages, hours, safety, and job conditions in the healthcare sector.

Carried over to 2026 Regular Session.
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Bill Summary · SB 424

Legislative bill overview

SB 424 establishes new labor standards specifically for healthcare facility workers in Hawaii. The bill was introduced in January 2025 and has advanced through initial legislative steps, though it was carried over to the 2026 session, indicating it did not pass during the 2025 session.

Why is this important

Healthcare worker conditions directly affect patient care quality and the stability of Hawaii's healthcare workforce. Labor standards at healthcare facilities impact wages, working hours, staffing ratios, and job safety for nurses, technicians, and support staff who are already facing recruitment and retention challenges in Hawaii's island economy.

Potential points of contention

  • Definition and scope: Unclear which facilities and worker classifications are covered (hospitals only, long-term care, clinics, contracted workers)
  • Cost implications: Healthcare providers may argue compliance costs will be passed to patients or insurers, raising healthcare expenses in an already expensive market
  • Staffing requirements: Mandated staffing ratios or scheduling protections could create operational challenges for facilities with limited resources, particularly on rural islands

Compiled from official sources — confirm details with the bill’s official record.

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