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| 1 | - | HOUSE OF REPRESENTATIVES H.R. NO. 167 THIRTY-SECOND LEGISLATURE, 2024 | |
| 1 | + | HOUSE OF REPRESENTATIVES H.R. NO. 167 THIRTY-SECOND LEGISLATURE, 2024 STATE OF HAWAII HOUSE RESOLUTION REQUESTING THE DEPARTMENT OF HEALTH TO CONVENE a health care facilities labor standards working group to research, assess, and make recommendations on the best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the state. | |
| 2 | 2 | ||
| 3 | 3 | HOUSE OF REPRESENTATIVES H.R. NO. 167 | |
| 4 | - | THIRTY-SECOND LEGISLATURE, 2024 | |
| 4 | + | THIRTY-SECOND LEGISLATURE, 2024 | |
| 5 | 5 | STATE OF HAWAII | |
| 6 | 6 | ||
| 7 | 7 | HOUSE OF REPRESENTATIVES | |
| 8 | 8 | ||
| 9 | 9 | H.R. NO. | |
| 10 | 10 | ||
| 11 | 11 | 167 | |
| 12 | 12 | ||
| 13 | 13 | THIRTY-SECOND LEGISLATURE, 2024 | |
| 14 | 14 | ||
| 15 | - | ||
| 15 | + | ||
| 16 | 16 | ||
| 17 | 17 | STATE OF HAWAII | |
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| 20 | 20 | ||
| 21 | 21 | ||
| 22 | 22 | ||
| 23 | 23 | ||
| 24 | 24 | ||
| 25 | 25 | ||
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| 27 | 27 | ||
| 28 | 28 | ||
| 29 | 29 | HOUSE RESOLUTION | |
| 30 | 30 | ||
| 31 | 31 | ||
| 32 | 32 | ||
| 33 | 33 | ||
| 34 | 34 | ||
| 35 | - | REQUESTING THE | |
| 35 | + | REQUESTING THE DEPARTMENT OF HEALTH TO CONVENE a health care facilities labor standards working group to research, assess, and make recommendations on the best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the state. | |
| 36 | 36 | ||
| 37 | 37 | ||
| 38 | 38 | ||
| 39 | 39 | ||
| 40 | 40 | ||
| 41 | - | WHEREAS, the State is facing a persistent health care staffing shortage, which has been exacerbated by the challenges posed by COVID-19; and WHEREAS, as a result of this ongoing shortage, the staff-to-patient ratio has greatly increased, leading to working conditions becoming increasingly unpredictable and unsafe and increasing the rate of burn out by health care professionals; and WHEREAS, research has shown that improved staff-to-patient ratios greatly improve patient safety and outcomes; and WHEREAS, identifying best practices in labor standards for health care facilities will help inform lawmakers on how to improve working conditions for health care professionals and increase recruitment and retention; now, therefore, BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the Legislative Reference Bureau is requested to conduct a study on best practices for nurse staffing in healthcare facilities which shall assess and discuss: (1) Best Practices, as set forth by entities such as The Joint Commission, on staffing for hospitals and other settings of care; (2) The effectiveness of different types of staffing standards in ensuring patient and worker safety, and quality of care; (3) Existing staffing standards and regulations in other states; (4) Alternative approaches to staffing standards, such as acuity-based staffing models or nurse-driven staffing decisions; (5) The experiences and perspectives of healthcare professionals, including nurses, administrators, and other stakeholders, regarding staffing standards; (6) The potential benefits and challenges associated with implementing staffing standards in Hawaii; and (7) The costs of implementing various staffing standards, including nurse-to-patient ratios; and BE IT FURTHER RESOLVED that the Legislative Reference Bureau is requested to submit a report of its study, including findings, recommendations, and any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025; and BE IT FURTHER RESOLVED that a certified copy of this Concurrent Resolution be transmitted to the Legislative Reference Bureau. Report Title: Nursing Staffing Study; Legislative Reference Bureau | |
| 41 | + | ||
| 42 | + | ||
| 43 | + | WHEREAS, the State is facing a persistent health care staffing shortage, which has been exacerbated by the challenges posed by COVID-19; and WHEREAS, as a result of this ongoing shortage, the staff-to-patient ratio has greatly increased, leading to working conditions becoming increasingly unpredictable and unsafe and increasing the rate of burn out by health care professionals; and WHEREAS, research has shown that improved staff-to-patient ratios greatly improve patient safety and outcomes; and WHEREAS, identifying best practices in labor standards for health care facilities will help inform lawmakers on how to improve working conditions for health care professionals and increase recruitment and retention; now, therefore, BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the Department of Health is requested to convene a health care facilities labor standards working group to research, assess, and make recommendations on the best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the State; and BE IT FURTHER RESOLVED that the working group is requested to research, assess, and make recommendations on: (1) Potential benefits and impacts associated with the implementation and enforcement of labor standards at hospitals, care homes, and dialysis facilities in the State, including but not limited to the establishment and enforcement of: (A) Minimum staffing standards; (B) Hospital staffing committees; and (C) Mandatory meal breaks, rest breaks, and overtime standards; (2) Best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the State; and (3) Any other issues that may arise, pursuant to the direction of the working group; and BE IT FURTHER RESOLVED that the working group is requested to consist of the following members: (1) The Chairperson of the Board of Nursing, or the Chairperson's designee, who is requested to serve as the chair of the working group; (2) The Director of Health, or the Director's designee; (3) The Director of Labor and Industrial Relations, or the Director's designee; (4) The President and Chief Executive Officer of the Hawaii Health Systems Corporation, or the President and Chief Executive Officer's designee; (5) Three members with experience in the health care industry, including nurses and others working in health care facilities and unions representing health care workers, to be appointed by the President of the Senate; and (6) Three members with experience in the health care industry, including nurses and others working in health care facilities and unions representing health care workers, to be appointed by the Speaker of the House of Representatives; and BE IT FURTHER RESOLVED that the Department of Health and Department of Labor and Industrial Relations are requested to provide expertise and assist the working group in carrying out its duties; and BE IT FURTHER RESOLVED that the working group is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025; and BE IT FURTHER RESOLVED that the working group shall cease to exist on June 30, 2025; and BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Director of Health, Director of Labor and Industrial Relations, Chairperson of the Board of Nursing, and President and Chief Executive Officer of the Hawaii Health Systems Corporation. OFFERED BY: _____________________________ Report Title: Health Care Facilities Labor Standards Working Group; Department of Health; Department of Labor and Industrial Relations; Board of Nursing | |
| 42 | 44 | ||
| 43 | 45 | WHEREAS, the State is facing a persistent health care staffing shortage, which has been exacerbated by the challenges posed by COVID-19; and | |
| 44 | 46 | ||
| 45 | 47 | ||
| 46 | 48 | ||
| 47 | 49 | WHEREAS, as a result of this ongoing shortage, the staff-to-patient ratio has greatly increased, leading to working conditions becoming increasingly unpredictable and unsafe and increasing the rate of burn out by health care professionals; and | |
| 48 | 50 | ||
| 49 | 51 | ||
| 50 | 52 | ||
| 51 | 53 | WHEREAS, research has shown that improved staff-to-patient ratios greatly improve patient safety and outcomes; and | |
| 52 | 54 | ||
| 53 | 55 | ||
| 54 | 56 | ||
| 55 | 57 | WHEREAS, identifying best practices in labor standards for health care facilities will help inform lawmakers on how to improve working conditions for health care professionals and increase recruitment and retention; now, therefore, | |
| 56 | 58 | ||
| 57 | 59 | ||
| 58 | 60 | ||
| 59 | - | BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the | |
| 61 | + | BE IT RESOLVED by the House of Representatives of the Thirty-second Legislature of the State of Hawaii, Regular Session of 2024, that the Department of Health is requested to convene a health care facilities labor standards working group to research, assess, and make recommendations on the best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the State; and | |
| 60 | 62 | ||
| 61 | 63 | ||
| 62 | 64 | ||
| 63 | - | | |
| 65 | + | BE IT FURTHER RESOLVED that the working group is requested to research, assess, and make recommendations on: | |
| 64 | 66 | ||
| 65 | 67 | ||
| 66 | 68 | ||
| 67 | - | ( | |
| 69 | + | (1) Potential benefits and impacts associated with the implementation and enforcement of labor standards at hospitals, care homes, and dialysis facilities in the State, including but not limited to the establishment and enforcement of: | |
| 68 | 70 | ||
| 69 | 71 | ||
| 70 | 72 | ||
| 71 | - | ( | |
| 73 | + | (A) Minimum staffing standards; | |
| 72 | 74 | ||
| 73 | 75 | ||
| 74 | 76 | ||
| 75 | - | ( | |
| 77 | + | (B) Hospital staffing committees; and | |
| 76 | 78 | ||
| 77 | 79 | ||
| 78 | 80 | ||
| 79 | - | ( | |
| 81 | + | (C) Mandatory meal breaks, rest breaks, and overtime standards; | |
| 80 | 82 | ||
| 81 | 83 | ||
| 82 | 84 | ||
| 83 | - | ( | |
| 85 | + | (2) Best practices in labor standards that can be implemented at hospitals, care homes, and dialysis facilities in the State; and | |
| 84 | 86 | ||
| 85 | 87 | ||
| 86 | 88 | ||
| 87 | - | ( | |
| 89 | + | (3) Any other issues that may arise, pursuant to the direction of the working group; and | |
| 88 | 90 | ||
| 89 | 91 | ||
| 90 | 92 | ||
| 91 | - | BE IT FURTHER RESOLVED that the | |
| 93 | + | BE IT FURTHER RESOLVED that the working group is requested to consist of the following members: | |
| 92 | 94 | ||
| 93 | 95 | ||
| 94 | 96 | ||
| 95 | - | BE IT FURTHER RESOLVED that a certified copy of this Concurrent Resolution be transmitted to the Legislative Reference Bureau. | |
| 97 | + | (1) The Chairperson of the Board of Nursing, or the Chairperson's designee, who is requested to serve as the chair of the working group; | |
| 98 | + | ||
| 99 | + | ||
| 100 | + | ||
| 101 | + | (2) The Director of Health, or the Director's designee; | |
| 102 | + | ||
| 103 | + | ||
| 104 | + | ||
| 105 | + | (3) The Director of Labor and Industrial Relations, or the Director's designee; | |
| 106 | + | ||
| 107 | + | ||
| 108 | + | ||
| 109 | + | (4) The President and Chief Executive Officer of the Hawaii Health Systems Corporation, or the President and Chief Executive Officer's designee; | |
| 110 | + | ||
| 111 | + | ||
| 112 | + | ||
| 113 | + | (5) Three members with experience in the health care industry, including nurses and others working in health care facilities and unions representing health care workers, to be appointed by the President of the Senate; and | |
| 114 | + | ||
| 115 | + | ||
| 116 | + | ||
| 117 | + | (6) Three members with experience in the health care industry, including nurses and others working in health care facilities and unions representing health care workers, to be appointed by the Speaker of the House of Representatives; and | |
| 118 | + | ||
| 119 | + | ||
| 120 | + | ||
| 121 | + | BE IT FURTHER RESOLVED that the Department of Health and Department of Labor and Industrial Relations are requested to provide expertise and assist the working group in carrying out its duties; and | |
| 122 | + | ||
| 123 | + | ||
| 124 | + | ||
| 125 | + | BE IT FURTHER RESOLVED that the working group is requested to submit a report of its findings and recommendations, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025; and | |
| 126 | + | ||
| 127 | + | ||
| 128 | + | ||
| 129 | + | BE IT FURTHER RESOLVED that the working group shall cease to exist on June 30, 2025; and | |
| 130 | + | ||
| 131 | + | ||
| 132 | + | ||
| 133 | + | BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Director of Health, Director of Labor and Industrial Relations, Chairperson of the Board of Nursing, and President and Chief Executive Officer of the Hawaii Health Systems Corporation. | |
| 96 | 134 | ||
| 97 | 135 | ||
| 98 | 136 | ||
| 99 | 137 | ||
| 100 | 138 | ||
| 101 | 139 | ||
| 102 | 140 | ||
| 141 | + | OFFERED BY: _____________________________ | |
| 142 | + | ||
| 143 | + | ||
| 144 | + | ||
| 145 | + | OFFERED BY: | |
| 146 | + | ||
| 147 | + | _____________________________ | |
| 148 | + | ||
| 149 | + | ||
| 150 | + | ||
| 151 | + | ||
| 152 | + | ||
| 103 | 153 | Report Title: | |
| 104 | 154 | ||
| 105 | - | ||
| 155 | + | Health Care Facilities Labor Standards Working Group; Department of Health; Department of Labor and Industrial Relations; Board of Nursing |