Hawaii
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.
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.”
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.
“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.
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.
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Hawaii
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Hawaii
Hawaii delegation raises legal concerns over Venezuela
HONOLULU (KHON2) — Three of Hawaii’s Congressional Delegation released statements on Saturday, Jan.3, in response to President Trump’s overnight operation in Venezuela.
“At a time when Americans can’t afford rent, healthcare, or groceries, the Trump administration found time and money for regime change in Venezuela, risking a war that Americans don’t want. Before we spend another dollar on this reckless conflict, the American people deserve answers, including what this administration’s exit strategy is. Americans wanted help and hope in 2026, not another war,” said Tokuda.
U.S. Representative Jill Tokuda (HI-02)
Others echoed concerns about the legality of the operation, pointing to both international law and the U.S. Constitution. While acknowledging Venezuela’s political situation, some members of Hawaii’s congressional delegation said military action raises serious questions that extend beyond the actions of any one leader.
“Nicholas Maduro is an illegitimate and oppressive dictator and the people of Venezuela deserve better. But that alone doesn’t justify an armed attack on a sovereign country and forced regime change in violation of international law,” said Case. “And unless there was an imminent threat to our country, it doesn’t justify violating our Constitution and war powers law, which wisely reserves to Congress the grave decision to go to war.”
U.S. Representative Ed Case (HI-01)
Case also emphasized that Congress plays a critical role in decisions involving war and military force.
“I don’t yet know the full facts or the President’s justification to attack Venezuela, place our troops in harm’s way, capture Maduro and administer the country,” said Case. “But the precedent of any President taking our country to war arbitrarily, single-handedly and without the approval of Congress has cascading effects that are far more dangerous.”
U.S. Representative Ed Case (HI-01)
Senator Brian Schatz also weighed in, saying the operation could put American lives and interests at risk.
“President Trump is jeopardizing American lives and interests — and stating plainly that the purpose is for U.S. oil companies to make money in Venezuela. Either these companies knew about these plans in advance, or he’s ordering corporations to be a part of his effort to overthrow another government,” said Schatz. “This operation is illegal under international law and unconstitutional without prior congressional approval. The United States should not be running other countries for any reason. We should have learned by now not to get involved in endless wars and regime change missions that carry catastrophic consequences for Americans.”
U.S. Senator Brian Schatz (D-Hawai‘i)
Hawaii’s congressional lawmakers stressed that, while the situation in Venezuela is complex, military action should not be taken lightly.
“Nicolas Maduro should be held accountable for his actions, but Donald Trump’s unilateral decision to overthrow his regime does nothing to make our country safer. Instead, without any authorization from Congress or any clear plan for what comes next, Trump is plunging our nation into a conflict that could put American lives at risk while destabilizing the region and our relationships with our allies,” said Hirono. “Trump’s characteristically chaotic suggestion that the U.S is “going to run” Venezuela indefinitely, without any details, shows his disregard for the consequences of decades of misguided American intervention around the world. Trump promised to “end forever wars” and not engage in regime change. As usual, he says one thing and does another.”
U.S. Senator Mazie K. Hirono (D-HI)
With questions still surrounding the operation, Hawaii’s congressional leaders say transparency and oversight are critical moving forward. They stated that decisions of this extent should not be made without the involvement of Congress or the public.
Hawaii
Hawaii hopes stricter laws will quiet illegal fireworks after deadly New Year’s Eve blast
HONOLULU — Mike Lambert heard fewer illegal fireworks exploding in his suburban Honolulu neighborhood in the months after a chain of blasts at a house party last New Year’s Eve led to the deaths of six people, including a 3-year-old boy.
As the director of Hawaii’s Department of Law Enforcement, Lambert wondered if the tragedy had sparked a shift in Hawaii residents’ penchant for igniting illegal fireworks. In some neighborhoods, it would be common to hear loud booms any time of day or night — for sporting events, celebrations or no apparent reason at all.
But this year, authorities are armed with stiffer laws created in the wake of the tragedy and will be giving out citations to offenders, Lambert warned.
“We have no delusions that you can have a tragedy New Year’s, you can sign a law in July and then not have anything go off the following year,” he said. Still, he expects that some people will decide not to set off fireworks, either because of last year’s deadly accident or the stepped-up enforcement and new laws.
“Before, you could shoot it off with impunity,” said state Rep. Scot Matayoshi, who authored two of the five anti-fireworks bills. “Everyone knew they weren’t going to bust you.”
Police can now issue $300 tickets to those who shoot off fireworks, while repeat offenders and people whose actions cause serious injury or death could get prison time for felony crimes.
Matayoshi said he began working on legislation the morning after the tragedy, which took place at a New Year’s Eve 2025 celebration when crates of illegal fireworks tipped over and ignited in the Aliamanu neighborhood, illuminating the sky in a terrifying set of explosions that left more than a dozen people with severe burns.
This photo provided by the Hawaii Department of Law Enforcement shows seized illegal fireworks stored in a bunker in Waipahu, Hawaii, on Tuesday, Dec. 23, 2025. Credit: AP/Uncredited
“It affected me a lot,” Matayoshi said. “I couldn’t imagine being the neighbor of someone who had basically bombs in their house going off and hurting and killing my kids.”
None of the the 12 people arrested have been charged with a crime. Honolulu police said they’re working with prosecutors in seeking charges.
A hopeful sign was an amnesty event last month where people turned in 500 pounds (227 kilograms) of illegal fireworks, Lambert said. His department has also increased searches at all ports, noting that illegal fireworks shipped to Hawaii often have ties to organized crime.
As of earlier this month, Honolulu police said officers had issued 10 fireworks citations. Matayoshi said the number is an improvement from zero in past years. He expects it to jump dramatically on New Year’s Eve.
Firecrackers to ring in the new year have long been popular in Hawaii, but about a decade ago, professional-grade aerials started becoming common.
“You’re seeing fireworks that were meant to be let off at like stadium and hotel events,” Lambert said. Those pyrotechnics have a 900-foot (274-meter) blast radius, but are exploding in tightly packed neighborhoods where homes are often just a few feet apart, he said.
Army veteran Simeon Rojas grew up on Oahu in the 1980s and ’90s and enjoyed setting off firecrackers and lighting sparklers on New Year’s Eve. He considers fireworks part of the local culture and tradition.
But when fireworks suddenly explode when he’s at home in Honolulu’s Kalihi Valley, “it does rock my heart,” he said. It also triggers his post-traumatic stress disorder from serving in Iraq and Afghanistan.
“It gives me flashbacks,” he said. “I stay with my wife and kids on New Year’s Eve, so I feel safe.”
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