HB 474: DOH; Fall Prevention; Older Adults; Appropriation
- Session Year: 2025-2026
- House: House
- Latest Version Date: 2025-04-26
Current Status:
In Progress
(2025-07-03: Act 285, on 07/03/2025 (Gov. Msg. No. 1388).)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Final Decking
Enacted
Appropriates funds to the Department of Health to fund the current Fall Prevention Campaign. (CD1)
Appropriates funds to the Department of Health to fund the current Fall Prevention Campaign. Effective 7/1/3000. (SD1)
Appropriates funds to the Department of Health to fund an unspecified number of full-time equivalent fall prevention and early detection coordinator positions. Effective 7/1/3000. (HD2)
Appropriates funds to the Department of Health to fund one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position. Effective 7/1/3000. (HD1)
Appropriates funds to the Department of Health to fund one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
474 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 2 |
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STATE OF HAWAII |
S.D. 1 |
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C.D. 1 |
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A BILL FOR AN ACT
RELATING TO FALL PREVENTION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that unintentional falls among seniors age sixty-five years and older in Hawaii are the leading cause of fatal injuries (an average of forty-nine per cent) and injury-related emergency room visits (an average of sixty-one per cent). On average, one hundred and fourteen seniors die, ten thousand are treated in hospitals, and six thousand one hundred are treated in emergency departments as a result of falls.
The legislature further finds that falls among the elderly also result in over $100,000,000 in combined hospital charges each year. In recognition of this critical public health issue, Act 153, Session Laws of Hawaii 2014 (Act 153), established and provided funding for a fall prevention and early detection coordinator position within the department of health's emergency medical services and injury prevention system branch. This position enables the department of health to support a coordinated statewide approach to prevent and reduce the impact of falls among older adults.
The legislature also finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimize serious long-term consequences, reduce the extent of the injury, and, in some instances, avoid death.
Falls among older adults are a significant public health issue. Yet, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among seniors. A dedicated fall prevention program can serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The legislature additionally finds that continued support of fall prevention programs and services ultimately results in longer, healthier lives for the State's aging population.
The purpose of this Act is to appropriate funds to the department of health for the current fall prevention campaign.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $100,000 or so much thereof as may be necessary for fiscal year 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for the department of health's current fall prevention campaign.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 3. This Act shall take effect on July 1, 2025.
Report Title:
DOH; Fall Prevention; Older Adults; Appropriation
Description:
Appropriates funds to the Department of Health to fund the current Fall Prevention Campaign. (CD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
474 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 2 |
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STATE OF HAWAII |
S.D. 1 |
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A BILL FOR AN ACT
RELATING TO FALL PREVENTION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that unintentional falls among seniors age sixty-five years and older in Hawaii are the leading cause of fatal injuries (an average of forty-nine per cent) and injury-related emergency room visits (an average of sixty-one per cent). On average, one hundred and fourteen seniors die, ten thousand are treated in hospitals, and six thousand one hundred are treated in emergency departments as a result of falls.
The legislature further finds that falls among the elderly also result in over $100,000,000 in combined hospital charges each year. In recognition of this critical public health issue, Act 153, Session Laws of Hawaii 2014 (Act 153), established and provided funding for a fall prevention and early detection coordinator position within the department of health's emergency medical services and injury prevention system branch. This position enables the department of health to support a coordinated statewide approach to prevent and reduce the impact of falls among older adults.
The legislature further finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimize serious long-term consequences, reduce the extent of the injury, and, in some instances, avoid death.
Falls among older adults are a significant public health issue. Yet, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among seniors. A dedicated fall prevention program can serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The legislature further finds that continued support of fall prevention programs and services ultimately results in longer, healthier lives for the State's aging population.
The purpose of this Act is to appropriate funds to the department of health for the current fall prevention campaign.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for the current fall prevention campaign.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 3. This Act shall take effect on July 1, 3000.
Report Title:
DOH; Fall Prevention; Older Adults; Appropriations
Description:
Appropriates funds to the Department of Health to fund the current Fall Prevention Campaign. Effective 7/1/3000. (SD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
474 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO FALL PREVENTION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that unintentional falls among seniors age sixty-five years and older in Hawaii are the leading cause of fatal injuries (an average of forty-nine per cent) and injury-related emergency room visits (an average of sixty-one per cent). On average one-hundred and fourteen seniors die, ten thousand are treated in hospitals, and six thousand one hundred are treated in emergency departments as a result of falls.
The legislature further finds that falls among the elderly also result in over $100,000,000 in combined hospital charges each year. In recognition of this critical public health issue, Act 153, Session Laws of Hawaii 2014 (Act 153), established and provided funding for a fall prevention and early detection coordinator position within the department of health's emergency medical services and injury prevention system branch. This position enables the department of health to support a coordinated statewide approach to prevent and reduce the impact of falls among older adults.
The legislature further finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimize serious long-term consequences, reduce the extent of the injury, and, in some instances, avoid death.
Falls among older adults are a significant public health issue. Yet, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among seniors. A dedicated fall prevention program can serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The legislature further finds that continued support of fall prevention programs and services ultimately results in longer, healthier lives for the State's aging population.
The purpose of this Act is to appropriate funds to the department of health for the full-time equivalent fall prevention and early detection coordinator position established by Act 153.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for full-time equivalent ( FTE) fall prevention and early detection coordinator position established by Act 153, Session Laws of Hawaii 2014.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 3. This Act shall take effect on July 1, 3000.
Report Title:
Fall Prevention; Older Adults; DOH; Position; Appropriation
Description:
Appropriates funds to the Department of Health to fund an unspecified number of full-time equivalent fall prevention and early detection coordinator positions. Effective 7/1/3000. (HD2)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
474 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO FALL PREVENTION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that unintentional falls among seniors age sixty-five years and older in Hawaii are the leading cause of fatal injuries (an average of forty-nine per cent) and injury-related emergency room visits (an average of sixty-one per cent). On average one-hundred and fourteen seniors die, ten thousand are treated in hospitals, and six thousand one hundred are treated in emergency departments as a result of falls.
The legislature further finds that falls among the elderly also result in over $100,000,000 in combined hospital charges each year. In recognition of this critical public health issue, Act 153, Session Laws of Hawaii 2014 (Act 153), established and provided funding for a fall prevention and early detection coordinator position within the department of health's emergency medical services and injury prevention system branch. This position enables the department of health to support a coordinated statewide approach to prevent and reduce the impact of falls among older adults.
The legislature further finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimize serious long-term consequences, reduce the extent of the injury, and, in some instances, avoid death.
Falls among older adults are a significant public health issue. Yet, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among seniors. A dedicated fall prevention program can serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The legislature further finds that continued support of fall prevention programs and services ultimately results in longer, healthier lives for the State's aging population.
The purpose of this Act is to appropriate funds to the department of health for the full-time equivalent fall prevention and early detection coordinator position established by Act 153.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position established by Act 153, Session Laws of Hawaii 2014.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 3. This Act shall take effect on July 1, 3000.
Report Title:
Fall Prevention; Older Adults; DOH; Position; Appropriation
Description:
Appropriates funds to the Department of Health to fund one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position. Effective 7/1/3000. (HD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
474 |
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THIRTY-THIRD LEGISLATURE, 2025 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to fall prevention.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that unintentional falls among seniors age sixty-five years and older in Hawaii are the leading cause of fatal injuries (an average of forty-nine per cent)and injury-related emergency room visits (an average of sixty-one per cent). On average one-hundred and fourteen seniors die, 10,000 are treated in hospitals, and 6,100 are treated in emergency departments as a result of falls.
The legislature further finds that falls among the elderly also result in over $100,000,000 in combined hospital charges each year. In recognition of this critical public health issue, Act 153, Session Laws of Hawaii 2014 (Act 153), established a fall prevention and early detection coordinator position within the department of health's emergency medical services and injury prevention system branch. This position enables the department of health to support a coordinated statewide approach to prevent and reduce the impact of falls among older adults. Act 153 funded a new position for a fall prevention and early detection coordinator for fiscal year 2014-2015.
The legislature further finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimize serious long-term consequences, reduce the extent of the injury, and, in some instances, avoid death.
Falls among older adults are a significant public health issue. Yet, there are insufficient resources to develop a coordinated statewide approach to reduce and promptly detect falls among seniors. A dedicated fall prevention program can serve as a focal point for statewide injury prevention and detection efforts to ensure multidisciplinary support, coordination of prevention and detection efforts, and continuity of implementation and accountability.
The legislature further finds that continued support of fall prevention programs and services ultimately results in longer, healthier lives for the State's aging population.
The purpose of this Act is to appropriate funds to the department of health for the full-time equivalent fall prevention and early detection coordinator position established by Act 153.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2025-2026 and the same sum or so much thereof as may be necessary for fiscal year 2026-2027 for one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position established by Act 153, Session Laws of Hawaii 2014.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 3. This Act shall take effect on July 1, 2025.
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INTRODUCED BY: |
_____________________________ |
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Report Title:
Fall Prevention; Older Adults; DOH; Position; Appropriation
Description:
Appropriates funds to the Department of Health to fund one full-time equivalent (1.0 FTE) fall prevention and early detection coordinator position.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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Date
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Status
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| Jul 3, 2025 | Act 285, on 07/03/2025 (Gov. Msg. No. 1388). |
| Jul 3, 2025 | Act 285, 07/03/2025 (Gov. Msg. No. 1388). |
| May 1, 2025 | Transmitted to Governor. |
| May 2, 2025 | Received notice of passage on Final Reading in House (Hse. Com. No. 821). |
| May 1, 2025 | Received notice of Final Reading (Sen. Com. No. 888). |
| Apr 30, 2025 | Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2). |
| Apr 30, 2025 | Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. |
| Apr 25, 2025 | 48 Hrs. Notice (as amended CD 1) 04-30-25 |
| Apr 25, 2025 | Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 259). |
| Apr 25, 2025 | Forty-eight (48) hours notice Wednesday, 04-30-25. |
| Apr 25, 2025 | Reported from Conference Committee (Conf Com. Rep. No. 259) as amended in (CD 1). |
| Apr 25, 2025 | The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Lee, M.; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Alcos. |
| Apr 25, 2025 | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. |
| Apr 25, 2025 | Conference committee meeting to reconvene on 04-25-25 5:20 PM; Conference Room 329. |
| Apr 24, 2025 | Conference Committee Meeting will reconvene on Friday 04-25-25 3:15PM in conference room 329. |
| Apr 23, 2025 | Bill scheduled for Conference Committee Meeting on Thursday, 04-24-25 3:16PM in conference room 329. |
| Apr 16, 2025 | Received notice of Senate conferees (Sen. Com. No. 810). |
| Apr 16, 2025 | Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella. |
| Apr 15, 2025 | Received notice of appointment of House conferees (Hse. Com. No. 732). |
| Apr 14, 2025 | House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Chun, Lee, M., Alcos. |
| Apr 11, 2025 | Received notice of disagreement (Hse. Com. No. 704). |
| Apr 10, 2025 | House disagrees with Senate amendment (s). |
| Apr 8, 2025 | Returned from Senate (Sen. Com. No. 644) in amended form (SD 1). |
| Apr 8, 2025 | Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. |
| Apr 4, 2025 | One Day Notice 04-08-25. |
| Apr 4, 2025 | Reported from WAM (Stand. Com. Rep. No. 1786) with recommendation of passage on Third Reading. |
| Apr 2, 2025 | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. |
| Mar 27, 2025 | The committee(s) on WAM will hold a public decision making on 04-02-25 10:01AM; Conference Room 211 & Videoconference. |
| Mar 20, 2025 | Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. |
| Mar 20, 2025 | Reported from HHS (Stand. Com. Rep. No. 1193) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. |
| Mar 12, 2025 | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Aquino, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Hashimoto, Keohokalole. |
| Mar 7, 2025 | The committee(s) on HHS has scheduled a public hearing on 03-12-25 1:10PM; Conference Room 225 & Videoconference. |
| Mar 6, 2025 | Referred to HHS, WAM. |
| Mar 6, 2025 | Passed First Reading. |
| Mar 6, 2025 | Received from House (Hse. Com. No. 245). |
| Mar 4, 2025 | Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Pierick, Ward excused (2). Transmitted to Senate. |
| Feb 28, 2025 | Forty-eight (48) hours notice Tuesday, 03-04-25. |
| Feb 28, 2025 | Reported from FIN (Stand. Com. Rep. No. 1012) as amended in HD 2, recommending passage on Third Reading. |
| Feb 21, 2025 | The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Miyake, Morikawa, Templo, Reyes Oda; Ayes with reservations: none; Noes: none; and 4 Excused: Representative(s) Holt, Lee, M., Alcos, Ward. |
| Feb 19, 2025 | Bill scheduled to be heard by FIN on Friday, 02-21-25 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. |
| Feb 11, 2025 | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2). |
| Feb 11, 2025 | Reported from HLT (Stand. Com. Rep. No. 324) as amended in HD 1, recommending passage on Second Reading and referral to FIN. |
| Feb 5, 2025 | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Garcia. |
| Jan 31, 2025 | Bill scheduled to be heard by HLT on Wednesday, 02-05-25 9:30AM in House conference room 329 VIA VIDEOCONFERENCE. |
| Jan 21, 2025 | Referred to HLT, FIN, referral sheet 2 |
| Jan 21, 2025 | Introduced and Pass First Reading. |
| Jan 17, 2025 | Pending introduction. |
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Date
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Description
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Location
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Votes
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| Apr 30, 2025 | Final Reading | House Floor |
Passed |
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| Apr 30, 2025 | Final Reading | Senate Floor |
Passed |
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| Apr 8, 2025 | Third Reading | Senate Floor |
Passed |
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| Apr 2, 2025 | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED | Senate Standing Committee on Ways and Means |
Passed |
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| Mar 12, 2025 | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Health and Human Services |
Passed |
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| Mar 4, 2025 | Third Reading | House Floor |
Passed |
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| Feb 21, 2025 | The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Finance |
Passed |
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| Feb 5, 2025 | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Health |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
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Position
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Date
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| AARP Hawaii | *** Support | Apr 2, 2025 |
| American Medical Response | ** Support | |
| Attached Agency to the Department of Health | *** Support | Apr 2, 2025 |
| Department of Health | *** Support | Apr 2, 2025 |
| Emergency Medical Services and Injury Prevention System Branch | *** Support | Mar 12, 2025 |
| Emergency Medical Services and Injury Prevention System Branch (EMSIPSB) | *** Support | Apr 2, 2025 |
| Executive Office on Aging | *** Support | Apr 2, 2025 |
| Hawaii Council of Community Associations | *** Support | Apr 2, 2025 |
CONFERENCE COMMITTEE REP. NO. 259
Honolulu, Hawaii
, 2025
RE: H.B. No. 474
H.D. 2
S.D. 1
C.D. 1
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madam and Sir:
Your Committee on Conference on the disagreeing vote of the House of Representatives to the amendments proposed by the Senate in H.B. No. 474, H.D. 2, S.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO FALL PREVENTION,"
having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.
The purpose of this measure is to appropriate funds to the Department of Health for the Department's current Fall Prevention Campaign.
Your Committee on Conference has amended this measure by:
(1) Inserting an appropriation of $100,000 for the Department of Health's current Fall Prevention Campaign;
(2) Changing the effective date to July 1, 2025; and
(3) Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.
As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of H.B. No. 474, H.D. 2, S.D. 1, as amended herein, and recommends that it pass Final Reading in the form attached hereto as H.B. No. 474, H.D. 2, S.D. 1, C.D. 1.
Respectfully submitted on behalf of the managers:
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ON THE PART OF THE SENATE |
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ON THE PART OF THE HOUSE |
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____________________________ JOY A. SAN BUENAVENTURA Chair |
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____________________________ GREGG TAKAYAMA Co-Chair |
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____________________________ DRU KANUHA Co-Chair |
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____________________________ SUE L. KEOHOKAPU-LEE LOY Co-Chair |
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STAND. COM. REP. NO. 1786
Honolulu, Hawaii
RE: H.B. No. 474
H.D. 2
S.D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Sir:
Your Committee on Ways and Means, to which was referred H.B. No. 474, H.D. 2, S.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO FALL PREVENTION,"
begs leave to report as follows:
The purpose and intent of this measure is to appropriate moneys to the Department of Health for its Fall Prevention Campaign.
Your Committee received written comments in support of this measure from the Department of Health, Executive Office on Aging, AARP Hawaii, Hawaii Council of Community Associations, and three individuals.
Your Committee finds that unintentional falls among seniors sixty-five years and older are the leading cause of fatal injuries and injury-related emergency room visits in the State. Your Committee further finds that continued support of fall‑prevention programs and services will result in longer, healthier lives for the State's aging population.
As affirmed by the record of votes of the members of your Committee on Ways and Means that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 474, H.D. 2, S.D. 1, and recommends that it pass Third Reading.
Respectfully submitted on behalf of the members of the Committee on Ways and Means,
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________________________________ DONOVAN M. DELA CRUZ, Chair |
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STAND. COM. REP. NO. 1193
Honolulu, Hawaii
RE: H.B. No. 474
H.D. 2
S.D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Sir:
Your Committee on Health and Human Services, to which was referred H.B. No. 474, H.D. 2, entitled:
"A BILL FOR AN ACT RELATING TO FALL PREVENTION,"
begs leave to report as follows:
The purpose and intent of this measure is to appropriate funds to the Department of Health to fund an unspecified number of full-time equivalent fall prevention and early detection coordinator positions.
Your Committee received testimony in support of this measure from the Department of Health, Executive Office on Aging, and two individuals.
Your Committee finds that unintentional falls among seniors age sixty-five years and older in the State are the leading cause of fatal injuries and injury-related emergency room visits for this age group. Your Committee further finds that access to fall prevention services and programs would significantly reduce costs associated with falls among older adults by expediting treatment, minimizing serious long-term consequences, reducing the extent of the injury, and, in some instances, avoiding death. Accordingly, this measure provides continued support to fall prevention programs and services to promote longer, healthier lives for the State's aging population.
Your Committee has amended this measure by:
(1) Clarifying that the appropriation is for the current Fall Prevention Campaign rather than for Fall Prevention and Early Detection Coordinator positions established by Act 153, Session Laws of Hawaii 2014;
(2) Amending section 1 to reflect its amended purpose; and
(3) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.
Your Committee notes that this measure contains an unspecified appropriation amount. Should your Committee on Ways and Means choose to deliberate on this measure, your Committee respectfully requests that it consider inserting an appropriation amount of $100,000 for the current Fall Prevention Campaign.
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 is in accord with the intent and purpose of H.B. No. 474, H.D. 2, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 474, H.D. 2, S.D. 1, and be referred to your Committee on Ways and Means.
Respectfully submitted on behalf of the members of the Committee on Health and Human Services,
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________________________________ JOY A. SAN BUENAVENTURA, Chair |
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STAND. COM. REP. NO. 1012
Honolulu, Hawaii
, 2025
RE: H.B. No. 474
H.D. 2
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madame:
Your Committee on Finance, to which was referred H.B. No. 474, H.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO FALL PREVENTION,"
begs leave to report as follows:
Your Committee received testimony in support of this measure from the Executive Office on Aging; American Medical Response; AARP Hawaiʻi; and one individual. Your Committee received comments on this measure from the Department of Health.
Your Committee has amended this measure by changing the one full-time equivalent (1.0 FTE) prevention and early detection coordinator position to an unspecified number.
As affirmed by the record of votes of the members of your Committee on Finance that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 474, H.D. 1, as amended herein, and recommends that it pass Third Reading in the form attached hereto as H.B. No. 474, H.D. 2.
Respectfully submitted on behalf of the members of the Committee on Finance,
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____________________________ KYLE T. YAMASHITA, Chair |
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STAND. COM. REP. NO. 324
Honolulu, Hawaii
, 2025
RE: H.B. No. 474
H.D. 1
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty-Third State Legislature
Regular Session of 2025
State of Hawaii
Madame:
Your Committee on Health, to which was referred H.B. No. 474 entitled:
"A BILL FOR AN ACT RELATING TO FALL PREVENTION,"
begs leave to report as follows:
The purpose of this measure is to appropriate funds to the Department of Health for the Fall Prevention and Early Detection Coordinator position established by Act 153, Session Laws of Hawaii 2014.
Your Committee received testimony in support of this measure from the Executive Office on Aging; AARP Hawaii; and one individual. Your Committee received comments on this measure from the Department of Health.
Your Committee finds that falls among adults aged sixty-five and older are the leading cause of injury death for individuals in that age group. Your Committee further finds that Act 153, Session Laws of Hawaii 2014 (Act 153), established and appropriated funds for a Fall Prevention and Early Detection Coordinator position within the Department of Health's Emergency Medical Services and Injury Prevention Systems Branch. Your Committee believes that appropriating funds to address fall prevention will ensure safety and well-being of the State's older residents.
Your Committee has amended this measure by:
(1) Changing the effective date to July 1, 3000, to encourage further discussion; and
(2) Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.
Your Committee notes the testimony of the Department of Health before your Committee, which stated that a full-time equivalent position dedicated to addressing fall prevention already exists within the Department of Health's Emergency Medical Services and Injury Prevention System Branch and that the funds appropriated by this measure may be better used to assist the existing Fall Prevention and Early Detection Coordinator in enhancing and expanding statewide programs and services that address fall prevention.
Accordingly, your Committee respectfully requests your Committee on Finance, should it deliberate on this measure, to consider an appropriation of $100,000 for the existing position and removing language specifying that the funds appropriated by this measure be used specifically for the Fall Prevention and Early Detection Coordinator position established by Act 153.
As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 474, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 474, H.D. 1, and be referred to your Committee on Finance.
Respectfully submitted on behalf of the members of the Committee on Health,
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____________________________ GREGG TAKAYAMA, Chair |
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Date
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Testimony PDF
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| Apr 2, 2025 | HB474_SD1_TESTIMONY_WAM_04-02-25_.PDF |
| Mar 12, 2025 | HB474_HD2_TESTIMONY_HHS_03-12-25_.PDF |
| Feb 20, 2025 | HB474_HD1_TESTIMONY_FIN_02-21-25_.PDF |
| Feb 4, 2025 | HB474_TESTIMONY_HLT_02-05-25_.PDF |
Discussed in Hearing
Conference Committee
Conference Committee
Senate Standing Committee on Agriculture and Environment
Senate Standing Committee on Health and Human Services
Senate Standing Committee on Housing
House Standing Committee on Finance
House Standing Committee on Health
House Standing Committee on Labor
Bill Author
Bill Co-Author(s):