HB 2158 Summary

• Adopts the Nurse Licensure Compact, allowing nurses with multistate licenses issued by Hawaii to practice in other party states and vice versa under a mutual recognition framework.

• Establishes the Interstate Commission of Nurse Licensure Compact Administrators to coordinate nurse licensure and enforce the compact's provisions across party states.

• Requires nurses holding multistate licenses issued by states other than Hawaii to complete demographic data surveys annually, beginning January 1, 2026, as a condition of employment at Hawaii health care facilities.

• Authorizes the Board of Nursing to charge different fees for registered nurses and licensed practical nurses who hold multistate licenses issued by Hawaii.

• Requires health care facilities to report all nurses holding out-of-state multistate licenses to the board within 30 days of employment, with attestation that employees completed required demographic surveys.