Hawaii 2025 Regular Session

Hawaii House Bill HB474

Introduced
1/21/25  
Refer
1/21/25  
Report Pass
2/11/25  
Refer
2/11/25  
Report Pass
2/28/25  
Engrossed
3/4/25  
Refer
3/6/25  
Report Pass
3/20/25  
Refer
3/20/25  
Report Pass
4/4/25  
Report Pass
4/25/25  
Report Pass
4/25/25  
Enrolled
5/1/25  
Chaptered
7/3/25  

Caption

Relating To Fall Prevention.

Summary

HB474 appropriates $100,000 from state general revenues for each of fiscal years 2025-2026 and 2026-2027 to the Department of Health for its current fall prevention campaign. The bill is framed as a public health measure focused on older adults, especially seniors age 65 and older, who are identified in the findings as facing high rates of fatal injuries, emergency room visits, hospitalizations, and related medical costs from unintentional falls. The measure does not create a new regulatory program or change eligibility rules; instead, it provides operating support for an existing fall prevention effort within the Department of Health. The legislative findings cite Act 153 (2014), which established a fall prevention and early detection coordinator, and emphasize that continued funding will help coordinate statewide prevention, improve early detection, reduce injuries, and lower health care costs associated with falls among older adults. The act takes effect on July 1, 2025.

Impact

HB474 amends state spending law by adding a two-year general fund appropriation for the Department of Health’s fall prevention campaign. Its practical effect is to sustain and support existing fall prevention and early detection activities aimed at older adults, rather than to alter substantive health, licensing, or benefit statutes. The bill primarily affects the Department of Health, seniors and their families, and providers or community organizations involved in injury prevention and aging services.

Sentiment

The overall sentiment appears strongly supportive and noncontroversial. The bill passed the Senate Health and Human Services Committee, the Senate Ways and Means Committee, and the House and Senate conference votes unanimously or near-unanimously, indicating broad agreement that fall prevention for older adults is a worthwhile public health investment. The discussion reflected in the bill findings emphasizes the seriousness of the issue and the value of continued state support.

Contention

There is little visible contention in the available record. The main policy question is not whether fall prevention is important, but whether the state should continue funding the campaign and at what level. Any implicit tension is fiscal rather than ideological: the bill commits general revenues to an existing program, but the unanimous committee and conference votes suggest no significant opposition to the appropriation or to the Department of Health’s role in administering it.

Companion Bills

No companion bills found.

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