Sunrise Analysis: Regulation of Community Health Workers A Report to the Governor and the Legislature of the State of Hawai‘i

Foreword
Our Sunrise Analysis of the Regulation of Community Health Workers
was conducted pursuant to Senate Concurrent Resolution No. 2, Senate
Draft 1 (2022 Regular Session), which requested the Auditor to conduct
a sunrise review of the licensure and regulation of community health
workers as proposed under Senate Bill No. 2882, also introduced
during the 2022 Regular Session. Senate Bill No. 2882 proposes a
regulatory framework that includes the creation of a licensing board and
requirements for licensure.
Leslie H. Kondo
State Auditor
Table of Contents
Hawai‘i Regulatory Licensing Reform Act……………………..2
Definition of a Community Health Worker ……………………..3
Community Health Worker Workforce in Hawai‘i………….4
Community Health Worker and Public Health
Organizations ………………………………………………………………………5
Objectives of the Study……………………………………………………..6
Methodology………………………………………………………………………..6
Assessment of Impact on Health,
Safety, or Welfare………………………………………………………………..8
Proposed regulation could push existing
community health workers out of the field…………………….9
Assessment of Evidence of Abuse………………………………..10
Assessment of Costs ……………………………………………………….10
Assessment of Impact to Access of Profession…………. 11
Alternate Forms of Regulation ……………………………………….12
Conclusion ………………………………………………………………………..13