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HB1119 • 2026

RELATING TO HOME CARE AGENCIES.

RELATING TO HOME CARE AGENCIES.

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
NAKAMURA (Introduced by request of another party)
Last action
2025-12-08
Official status
Carried over to 2026 Regular Session.
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details about penalties for violating the rule or a list of home care services.

Rules for Home Care Agencies

This bill prohibits home care agencies from providing services that are not covered by their license.

What This Bill Does

  • Adds a rule prohibiting home care agencies from offering services outside the scope of their facility license.

Who It Names or Affects

  • Home care agencies

Terms To Know

home care agency
A public or proprietary agency, private nonprofit organization, or subdivision thereof engaged in providing home care services to clients in their residence.
license
A permit given by the government allowing a business to operate legally.

Limits and Unknowns

  • The bill does not specify what penalties apply for violating this rule.
  • It is unclear how many home care agencies will be affected by this change.

Bill History

  1. 2025-12-08 D

    Carried over to 2026 Regular Session.

  2. 2025-01-23 H

    Referred to HLT, CPC, referral sheet 3

  3. 2025-01-23 H

    Introduced and Pass First Reading.

  4. 2025-01-21 H

    Pending introduction.

Official Summary Text

RELATING TO HOME CARE AGENCIES.
Home Care Agencies; Prohibitions; Limitations
Prohibits home care agencies from providing services outside the scope of their facility license.

Current Bill Text

Read the full stored bill text
HB1119

HOUSE OF REPRESENTATIVES

H.B. NO.

1119

THIRTY-THIRD LEGISLATURE, 2025

STATE OF HAWAII

A BILL FOR AN ACT

RELATING TO HOME CARE AGENCIES.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

����
SECTION 1.
�
Section 321-14.8, Hawaii Revised Statutes, is
amended to read as follows:

����
"
�321-14.8
�
Home care agencies; licensing.
�
(a)
�
Beginning July 1, 2010, each home care agency
shall be licensed by the department of health to ensure the health, safety, and
welfare of clients.

����
(b)
�
The department of health
shall adopt interim rules, which shall be exempt from chapters 91 and 201M, to effectuate
the licensure of home care agencies; provided that the interim rules shall remain
in effect until the sooner of October 1, 2018, or the adoption of rules pursuant
to chapters 91 and 201M to:

����
(1)
�
Protect the health, safety,
and civil rights of clients of home care agencies; and

����
(2)
�
Provide
for
the licensure of home care agencies.

����
(c)
�
A service provider agency
shall be exempt from the licensing requirement of this section when services are
provided:

����
(1)
�
Under contract for services
with the city and county of Honolulu, elderly affairs division; or

����
(2)
�
Exclusively to participants
in the medicaid home and community based services waiver, pursuant to
section
1915(c) of the Social Security Act, by an agency approved by the department
of human services med-QUEST division.

����
(d)
�
A home care agency shall only provide home care
services or related tasks, functions, and activities in accordance with its license,
and shall not provide services authorized by chapter 457 unless those services are
provided by a registered nurse, licensed practical nurse, or advanced practice registered
nurse.

����
(e)
�
Violations of this section shall be subject
to the penalties and remedies provided in this chapter and in rules adopted by
the department of health.

����
[
(d)
]

(f)
�
For purposes of this section:

����
"Home
care agency" means a public or proprietary agency, a private, nonprofit organization,
or a subdivision of an agency or organization, engaged in providing home care services
to clients in the client's residence.
�
The
term "home care agency" does not apply to an individual, including an
individual who is incorporated as a business, or is an unpaid or stipended volunteer.

����
"Home
care services"
may
include [
but are not limited to
]:

����
(1)
�
Personal care, including assistance with
dressing, feeding, and personal hygiene to facilitate self-care;

����
(2)
�
Homemaker assistance, including housekeeping,
shopping, and meal planning and preparation; and

����
(3)
�
Respite care and assistance and support
provided to the family."

����
SECTION
2.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION
3.
�
This Act shall take effect upon its approval.

INTRODUCED BY:

_____________________________

BY REQUEST

Report Title:

Home Care Agencies; Prohibitions; Limitations

Description:

Prohibits home care agencies from providing services
outside the scope of their facility license.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.