State guide
Hawaii Home Care Compliance
All six compliance areas for Hawaii home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Hawaii at a glance Hawaii licenses non-medical home care agencies and skilled home health agencies through the Department of Health's Office of Health Care Assurance. Hawaii's minimum wage stepped up to $16.00 on January 1, 2026 (heading to $18.00 by 2028), with state overtime over 40 hours; there is no general paid sick leave law, but Hawaii extends wage protections to domestic workers and has a pay transparency law.
Requirements by category
Health Benefits & ACA → Hawaii is unique: the Prepaid Health Care Act requires nearly all employers to provide health coverage to employees working 20+ hours/week… HealthCare.govYesNo Occupational Health → Hawaii requires TB clearance (initial and annual evaluation) for people working in licensed home health agencies under DOH TB clearance… RequiredFrom 1st employee Caregiver Training → Hawaii licenses non-medical home care agencies under HAR Chapter 11-700 (adopted 2018), which requires service-related training and annual… 75 (federal)None specified (agency-set)Annual, no set hours Wage & Hour → Hawaii's minimum wage stepped up to $16.00 on January 1, 2026 (heading to $18.00 by 2028), with state overtime over 40 hours; there is no… $16.001.5x >40None (TDI only) Licensure & Survey Readiness → Hawaii licenses non-medical home care agencies and skilled home health agencies through the Department of Health's Office of Health Care… HI DOH (OHCA)HRS ch. 321; HAR ch. 11-700Home care agency; Home health… Background Checks → Hawaii authorizes and requires criminal history record checks, including fingerprint-based FBI checks, for employees of home health and… YesNurse aide registry; APS records
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Reviewed quarterly by Vitable Health.