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HCR 105

REQUESTING THE CENTER FOR NURSING TO COMPILE A COMPREHENSIVE LIST OF RECOMMENDED SAFE PATIENT STAFFING STRATEGIES AND RATIOS FOR ALL NURSING SPECIALTIES AND SUBSPECIALTIES ACROSS ALL HEALTH CARE SETTINGS, AND TO MAINTAIN A REPOSITORY FOR THIS INFORMATION.

2026 Regular Session Introduced by Terez Amato and 15 co-sponsors

Hawaii requests a nursing study to develop recommended patient-to-nurse staffing ratios to inform healthcare workforce policy standards.

House agrees to Senate amendment(s).
#hawaiistatecenterfornursing #staffingratios #repository
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Bill Summary · HCR 105

Legislative bill overview

HCR 105 is a concurrent resolution requesting that Hawaii's State Center for Nursing conduct a comprehensive study to develop recommended safe patient-to-nurse staffing ratios for healthcare facilities across the state. The resolution directs the center to compile evidence-based recommendations that would inform future policy decisions about nursing workload standards.

Why is this important

Nurse staffing ratios directly affect patient safety, care quality, and nurse burnout rates. Hawaii currently lacks statewide guidance on optimal staffing levels, leaving individual hospitals to set their own standards. This study could establish baseline recommendations that balance patient outcomes with workforce sustainability, potentially influencing future legislation or healthcare regulations.

Potential points of contention

  • Implementation costs: Hospitals may oppose recommendations that require hiring additional nurses, citing financial constraints and operational complexity
  • One-size-fits-all concerns: Different facility types (rural clinics vs. urban trauma centers) may require different ratios, making universal recommendations difficult to apply fairly
  • Regulatory enforcement: Even with recommendations, the bill doesn't mandate compliance or establish enforcement mechanisms, limiting its practical impact if hospitals choose not to adopt findings

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

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