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Hawaii Department of Health awards 2 contracts to AMR

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Hawaii Department of Health awards 2 contracts to AMR


By Leila Fujimori
The Honolulu Star-Advertiser

HONOLULU — AMR has provided emergency ambulance services for Maui and Kauai for 44 years.

The Department of Health announced Friday it has awarded two four-year contracts for emergency ground ambulance service for Maui and Kauai to International Life Support, dba American Medical Response, or AMR.

AMR had been a contractor for both counties for 44 years before controversy arose in 2023 when Falck Northwest Corp., a multinational company based in Denmark, was selected.

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DOH issued the Notices of Awards Thursday after required competitive procurements.

The new contracts will begin Jan. 1, 2025, and end Dec. 31, 2028, and will ensure every district has an ambulance staffed with a paramedic and a second responder who is at least an emergency medical technician, commonly called an EMT, which are the current qualifications and level of staffing.

The Maui contract provides for a second ambulance on Molokai.

The value of the Kauai contract is $38 million and $74 million for Maui County, which includes Lanai, Molokai and Maui.

They will “add requirements for a quality assurance coordinator and a pediatric emergency care coordinator, among other improvements in quality and performance.”

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In 2023, DOH awarded Falck a three-and-a-half year, $59 million contract for Maui and a $32 million contract for Kauai. They were to run from Dec. 28 through June 30, 2027.

After hearing concerns raised about the Falck contracts, DOH on Oct. 23 canceled the request for proposals for Comprehensive Emergency Medical Services for 911 Ground Ambulance Transport for the two counties.

DOH on April 15 announced new RFPs for Emergency Medical Services Injury Prevention Systems for Maui and Kauai counties.

“While it was never the intent of DOH to reduce the qualifications of emergency responders, the previous RFP did not make this entirely clear,” state Health Director Kenneth S. Fink said in an April 15 news release. “The new RFPs clearly require that every district will have an ambulance staffed with a paramedic and a second responder who is at least an EMT.

Troy Hagen, chief commercial officer for Falck USA, said in a written statement Friday: “We are disappointed that Falck was not selected by the Department of Health, who found us more qualified than the incumbent to provide emergency medical services to Maui and Kauai counties just last year before canceling the request for proposals in response to a challenge.

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“We are carefully reviewing our options and continue to stand ready to serve. As a foundation-owned healthcare provider, Falck would bring a fresh perspective, unmatched financial stability, reliable services developed around global best practices, and a deep commitment to delivering the highest quality care to the communities we serve.”

The Maui and Kauai paramedics associations had concerns about lower levels of care from the contracts issued in the previous bidding. They opposed lowering a standard of care that currently offers at least one highly trained paramedic, who could provide necessary advanced life support with all the needed equipment. Paramedics are more highly trained than EMTs and can insert breathing tubes into patients with respiratory failure, use electrocardiograms and insert IVs to administer medications.

The unions said they were most concerned about dropping a required Advanced Life Support unit for every unit.

The Maui County Council had also expressed concern over the loss of AMR. Council Chair Alice Lee wrote in a resolution in September that AMR had “performed very well for the past 44 years, as they demonstrated in their response to the wildfires. They know our community and our needs. We do not want services to be cut, nor do we want a contractor who has under-performed in other communities.”

AMR Regional Director Speedy Bailey said in September he was stunned with the selection of Falck over AMR because AMR had a proven track record while Falck had a history of response-time penalties and compliance issues.

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In San Diego , Falck’s response-time failures due to persistent staffing shortages had been reported in the local media. The San Diego Union-Tribune reported the company was fined $1.2 million for failing to meet response-time goals in 2022.

(c)2024 The Honolulu Star-Advertiser
Visit The Honolulu Star-Advertiser at www.staradvertiser.com
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‘Surreal’: Flood victims near UH Manoa prepare for third storm

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‘Surreal’: Flood victims near UH Manoa prepare for third storm


HONOLULU (HawaiiNewsNow) – Anxiety ran high in Manoa ahead of Wednesday’s impending storm, which comes about two weeks after a second Kona low flooded 14 residential units along Koali Road.

It was not the first time the homes were swamped in recent months.

Last November, a water main break overflowed the same ground-level units near UH Manoa, causing extensive damage.

Now, as tenants clean up and repair their homes after the latest storm, they are bracing for yet another storm expected to hit Wednesday.

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“It sounds like a movie, it sounds a little surreal, a little not real,” Koali Road resident Carlos Jimenez said.

Jimenez, whose home was flooded both times, recalled the recent one, which covered his home in about two feet of water, describing the deluge as “a little bit above knee high.”

The damage to Jimenez’s unit went beyond the floor, too, because of the heavy rain.

“The ceiling got water-damaged. From what I saw, it was soaking water, sagging, and it was about to collapse,” Jimenez said.

Fortunately, crews repaired his roof days before the third storm could send another round of downpours.

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Outside, both of Jimenez’s vehicles sat damaged and dead.

After all that he has seen at his Koali Road home, Jimenez said he would take the new storm seriously.

“Get ready, you know, with my mother. She lives with me. She’s 87,” Jimenez said.

After witnessing the devastation in the neighborhood, Jimenez’s neighbor, Dario Aricala, whose home was spared, is not taking it for granted during this week’s wet weather.

“The last storm, we almost got flooded. We are hoping for the best that this storm is not such bad,” Aricala said.

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Click here to donate to Jimenez’s GoFundMe page.

In the meantime, other residents have been staying elsewhere during cleanup and repairs, and the property manager said he has been helping them.



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Flood Watch issued across Hawaii as kona low system brings risk of heavy rain and flood

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Flood Watch issued across Hawaii as kona low system brings risk of heavy rain and flood


A statewide Flood Watch is in effect across Hawaii from Wednesday morning, April 8, through Friday afternoon, April 10, as a developing low-pressure system northwest of the islands, described by the National Weather Service (NWS) public guidance as a kona low, is forecast to bring prolonged heavy rainfall and elevated flood risk.

The NWS office in Honolulu reports that the system will draw deep tropical moisture northward across the state, creating conditions favorable for widespread showers and thunderstorms. Excessive rainfall may lead to flash flooding in urban areas, low-lying locations, and regions with poor drainage, while steep terrain remains susceptible to landslides.

All major islands, including Kauai, Oahu, Maui, Molokai, Lanai, Kahoolawe, and the Big Island, are included in the Flood Watch. Forecasters note that antecedent wet conditions from recent rainfall events have left soils saturated, increasing runoff efficiency and the likelihood of rapid stream rises under heavier rainfall rates.

Satellite image acquired at 04:00 UTC on April 7, 2026. Credit: NOAA/GOES-West, RAMMB/CIRA, The Watchers

Multiple kona low systems affected the islands between March 10 and March 22, producing extreme rainfall totals, including more than 330 mm (13 inches) in about 12 hours on Oʻahu’s North Shore and multi-day accumulations reaching approximately 1 170 mm (46 inches) on Maui.

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The events triggered widespread flooding, landslides, evacuations, and infrastructure stress, including emergency warnings tied to Wahiawā Dam and power outages affecting more than 130 000 customers statewide.

Despite several days of drier trade wind conditions, soil moisture remains elevated, allowing new rainfall to convert more efficiently into surface runoff, increasing the likelihood of rapid stream rises and flash flooding under the current forecast system.

The heaviest rainfall associated with the new system is forecast to develop during the midweek period, with conditions deteriorating from Wednesday into Thursday as the low-pressure system strengthens west of the state. Forecast guidance indicates that the western islands may experience the initial phase of heavier rainfall before activity gradually shifts eastward later in the event.

In addition to heavy rain, the system is expected to generate strong southerly winds, with gusts of 64–80 km/h (40–50 mph) possible across many areas and locally stronger gusts exceeding 93 km/h (58 mph) in exposed locations or near convective activity. A Wind Advisory may be issued as conditions develop.

Winter weather conditions are also possible at higher elevations on the Big Island, resulting in a Winter Storm Watch in effect for summits above 3 810 m (12 500 feet), where a combination of snow and freezing rain is forecast during the same period.

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Heavy rainfall is likely to persist into Thursday and Friday, with the flash-flood threat remaining elevated into the weekend, but periods of heavy rain may continue beyond the initial peak as moisture remains in place around the system.

The setup reflects a kona low pattern, characterized by a low-pressure system northwest of the islands producing southerly flow and transporting deep tropical moisture into the region over multiple days.

References:

1 Area Forecast Discussion for Hawaii – NWS Honolulu – April 7, 2026

2 Flood Watch – NWS Honolulu – April 7, 2026

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Emergency supplies selling fast as another storm threatens Hawaii

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Emergency supplies selling fast as another storm threatens Hawaii


HONOLULU (HawaiiNewsNow) – Oahu residents aren’t taking any chances with emergency preparedness ahead of the latest round of severe weather.

City Mill has been working to keep shelves stocked with supplies.

“We’ve been selling a lot of sand and sandbags. We have a product called Quick Dam, and we have sold out at a couple stores. We’re trying to move them around so that everybody has something,” City Mill Merchant Iris Wilhelm-Norseth said.

Tape, batteries and flashlights have also been moving quickly among customers, along with pumps and rain boots.

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City Mill and other officials are stressing emergency preparedness as recent storms have shown flooding can happen anywhere at any time.

“The little flash flood in Manoa kind of flipped people out too. That came out of nowhere. So people are very concerned,” she added.

Hawaiian Electric said it is also ready, following emergency preparedness procedures to ensure communities aren’t left without power for prolonged periods.

“It doesn’t take a named storm to really cause significant damage to the public infrastructure, whether it’s roads or other types of infrastructure, or the electrical, grid. We know that these heavy rains and very strong winds can have significant impacts,” HECO spokesperson Darren Pai said.

If the Public Safety Power Shutoff program is implemented, the utility said it would be a coordinated decision with emergency responders in the interest of keeping communities safe.

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The Board of Water Supply is also asking customers to store water in case service is interrupted for an extended time.

And for storm supplies that don’t get put to use this time around, officials say not to toss them too quickly.

“This is also a great opportunity for people if they don’t use it to hold on to it because we are going into hurricane season starting in May again,” Wilhelm-Norseth added.



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