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
Hawaii Just Quietly Lost Its Last Airline Fare Wars
A regular Hawaii flyer who reads BOH just put words to what longtime travelers are now seeing when booking flights. Fares have surged, planes are half empty, and the carrier that promised to break the monopoly just rolled out a loyalty program instead of keeping fares low.
Jim flies between islands often enough to know when something feels off. He told us he can afford to fly but is choosing not to, and maybe that says more than anything else right now. His focus was not on his own travel. He kept coming back to families and what it looks like when four people try to book a simple Hawaii flight from Honolulu and see totals pushing past $1,000 round trip for twenty-minute flights. He tied last week’s Hawaiian final integration by Alaska directly to the timing, with changes rushing in at once because something about the pricing suddenly felt less stable.
He did not soften it and said the Aloha spirit has been replaced by what he called a greedy eye for profit. Jim asked Alaska to explain what was happening, and he is not alone. He is just someone who said it clearly.
Fares up, planes not full, but the math no longer works for anyone.
Fuel is the obvious headline, but it does not completely explain what visitors and residents are seeing. The Middle East conflict pushed jet fuel to over $200 in a matter of weeks, hitting an industry where fuel now accounts for an unacceptably high percentage of operating expenses. US carriers largely folded that increase into base fares rather than as a separate charge, which helps explain some of the jump but not the entire pricing behavior now showing up on Hawaii interisland flights.
Federal Department of Transportation data covering the 12 months through August 2025 showed Southwest filling just 51.9% of its Hawaii flights between islands, while Hawaiian sat near 74% over that same period. That disparity has held for years now, and planes that are half full usually do not support higher fares because airlines lower prices to fill empty seats. That is how this business works when carriers actually compete.
We checked it ourselves this week. Lihue to Honolulu for meetings in June came back at about $230 round trip per person before any seat selection or other fees, and the flights were wide open on both Hawaiian/Alaska, and on Southwest across the day, with plenty of seats and seemingly no pressure on availability. High fares alongside empty inventory are telltale. This is not a capacity problem; it is a pricing decision.
Southwest came to Hawaii to break the monopoly then finally stopped trying.
Southwest entered Hawaii in 2019 with a simple pitch. Break the Hawaiian Airlines monopoly and keep fares honest. The $39 fare sales became the symbol of that promise, and people remember those numbers because they reset expectations overnight.
Those fares are gone. They did not just fade slowly; they stopped showing up. Southwest never got its Hawaii loads where it needed them, and even after cutting capacity twice in 2025 to shrink its operation, the planes stayed underfilled. Hawaiian held steady in the mid-70% range on the last count, while the competitive pressure that was supposed to keep prices in check no longer seems to matter.
Now both carriers are moving in the same direction on price, and fuel gave them a great reason to move together. No one needed to say anything publicly. The result is the same: the discount era has ended, and nothing valuable has replaced it on the fare side.
Airline points programs are not fare sales.
This week, Southwest expanded its Ohana Rewards program for Hawaii residents, and the pitch sounds familiar. Hawaii residents earn 1,000 points per one-way flight, awards starting at 4,000 points, two free checked bags, and a quarterly 10% discount code.
So two full-fare round-trip tickets earn one free one-way ticket. Is that a deal when the cost per flight is so much higher than it has been before? It asks residents to pay full price repeatedly to earn back a fraction of a trip, and for Hawaii visitors its even worse.
Southwest used to advertise fares that moved the market. Now it advertises points that require multiple paid trips to unlock a limited return. Hawaiian’s Huakai program runs essentially the same playbook on the other side. The headline is up to 20% off one neighbor island booking per quarter, but that’s only for holders of the old Hawaiian Airlines Mastercard. Regular members get 10%. The discount code applies to up to 6 companions on the same reservation. Perks sit atop high prices, with rules that make them hard to use.
When Southwest, which built its reputation on cheap fares to Hawaii, shifts to selling loyalty points, the signal is clear. The focus moved from filling seats with lower prices to holding prices high and offering rewards later, and reader Jim saw that shift when booking, before any press release explained it.
Residents bear the highest cost when flights to Hawaii become a luxury.
Mainland visitors experience it differently. If they book a direct flight to Maui, Kauai, or Kona and stay put, there is no impact. And that direct to neighbor island flight shift has been building for years as mainland carriers added more nonstop routes to Maui, the Big Island, and Kauai. Flying between the Hawaii islands is no longer a key part of many visitors’ itineraries.
The people left flying between islands are residents, and some visitors, those visiting multiple islands, and those going to see family, attend meetings, handle medical appointments, show up for events, or support kids playing sports and music across the islands. Many of these are not optional trips. There is no ferry, there is no road, and flying Southwest or Alaska is the only way.
When fares double and stay there, the choice becomes simple and hard at the same time. Pay it or do not go. Jim chose not to go because he could make that call, but many could not.
The group with the least flexibility is paying the highest prices, and the carriers serving that market have stopped competing on airfare. What they are offering is Hawaii resident loyalty programs of far less value than better airfares.
Jim said it plainly. That is not Aloha when, in a Hawaii flight market, the people who need the service most are the ones with the fewest options.
The shift arrived suddenly.
Two airlines that once competed hard on price are now moving together, and loyalty program enhancements are landing at the same time as clear airfare spikes. Fuel is the reason everyone can easily point to, but the alignment on pricing is the piece that people feel, and that we are writing about. Jim asked Alaska to explain itself, and he has not heard anything that answers his question.
What are you seeing when booking Hawaii flights now? Please tell us in the comments below.
Photo Credit of Waikiki from Diamond Head: © Beat of Hawaii.
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Hawaii
Hawaii County Surf Forecast for May 02, 2026 | Big Island Now
Forecast for Big Island Windward and Southeast
| Shores | Tonight | Saturday | ||
|---|---|---|---|---|
| Surf | Surf | |||
| PM | AM | AM | PM | |
| North Facing | 1-3 | 1-3 | 1-3 | 1-3 |
| East Facing | 4-6 | 4-6 | 4-6 | 4-6 |
| South Facing | 2-4 | 2-4 | 2-4 | 2-4 |
| Weather | Mostly cloudy. Numerous showers. | ||||||
|---|---|---|---|---|---|---|---|
| Low Temperature | In the upper 60s. | ||||||
| Winds | Northeast winds 10 to 15 mph. | ||||||
|
|||||||
| Weather | Partly sunny. Numerous showers. | |||||
|---|---|---|---|---|---|---|
| High Temperature | In the upper 70s. | |||||
| Winds | East winds 10 to 15 mph. | |||||
|
||||||
| Sunrise | 5:50 AM HST. | |||||
| Sunset | 6:44 PM HST. | |||||
Forecast for Big Island Leeward
| Shores | Tonight | Saturday | ||
|---|---|---|---|---|
| Surf | Surf | |||
| PM | AM | AM | PM | |
| West Facing | 1-3 | 1-3 | 1-3 | 1-3 |
| South Facing | 2-4 | 2-4 | 2-4 | 2-4 |
| Weather | Partly sunny until 6 PM, then mostly clear. Isolated showers. |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Low Temperature | Around 70. | ||||||||||
| Winds | Southwest winds around 5 mph, becoming northeast after midnight. |
||||||||||
|
|||||||||||
| Weather | Mostly sunny. Isolated showers. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| High Temperature | In the lower 80s. | ||||||||
| Winds | South winds around 5 mph, becoming west in the afternoon. |
||||||||
|
|||||||||
| Sunrise | 5:54 AM HST. | ||||||||
| Sunset | 6:48 PM HST. | ||||||||
An incoming northwesterly swell will bring rising surf to north and west shores overnight, with surf peaking near advisory levels, before gradually easing through the weekend. Another, slightly smaller northwest swell is expected early next week, and another long-period northwest swell may arrive late next week. Surf along south facing showers will trend upwards over the weekend with the arrival of a long-period south-southwest swell. Surf along east facing shores will trend downward over the weekend as the trade winds weaken.
NORTH EAST
am
pm
Surf: Minimal (ankle high or less) surf.
Conditions: Semi choppy with ESE winds 5-10mph in the morning increasing to 10-15mph in the afternoon.
NORTH WEST
am
pm
Surf: Minimal (ankle high or less) surf.
Conditions: Clean in the morning with ESE winds less than 5mph. Bumpy/semi bumpy conditions for the afternoon with the winds shifting W 5-10mph.
WEST
am
pm
Surf: Minimal (ankle high or less) surf.
Conditions: Light sideshore texture in the morning with NNW winds 5-10mph. Bumpy/semi bumpy conditions for the afternoon with the winds shifting to the WNW.
SOUTH EAST
am
pm
Surf: Minimal (ankle high or less) surf.
Conditions: Sideshore texture/chop with NE winds 10-15mph.
Data Courtesy of NOAA.gov and SwellInfo.com
Hawaii
Hawaii House and Senate approve budget agreement, sending bill to final votes
HONOLULU (HawaiiNewsNow) – The Hawaiʻi State Senate and House of Representatives on Thursday approved House Bill No. 1800 CD1, the state’s supplemental budget bill for the fiscal biennium 2025-2027.
The measure was finalized in a joint conference committee after both chambers initially passed different versions. The bill will now be up for final reading in both chambers before heading to the Governor’s desk for his signature.
The appropriations are as follows:
General Fund
Fiscal Year 2026: $10.42 billion
Fiscal Year 2027: $10.63 billion
All Means of Financing
Fiscal Year 2026: $19.77 billion
Fiscal Year 2027: $20.31 billion
“This budget uses cost-saving measures to help keep our promise to address the high cost of living and deliver meaningful tax reform to Hawaii’s citizens, especially our working- and middle-class families. At the same time, we are strengthening the State’s resilience through responsible long-term investments that promote regional economic development and environmental stewardship,” said Senator Donovan M. Dela Cruz, Chair of the Senate Committee on Ways and Means (Senate District 17 – Portion of Mililani, Mililani Mauka, portion of Waipi‘o Acres, Launani Valley, Wahiawā, Whitmore Village).
“The CIP budget reflects our commitment to protecting health and safety, preserving and modernizing state facilities, and investing in the critical infrastructure and public assets our communities rely on. These investments also support affordable housing, strengthen education, and advance economic development that will help sustain thriving communities across Hawai‘i,” stated Senator Sharon Y. Moriwaki, Vice Chair of the Senate Committee on Ways and Means (Senate District 12 – Waikīkī, Ala Moana, Kaka‘ako, McCully).
“This budget reflects the House’s continued collaboration with the Administration and the Senate to take a balanced, responsible approach to preserving core government services and strengthening our safety net for Hawaiʻi’s residents—especially those who rely on these services as a lifeline,” said Representative Chris Todd, Chair of the House Committee on Finance (House District 3 – portions of Hilo, Keaukaha, Orchidlands Estate, Ainaloa, Hawaiian Acres, Fern Acres, and parts of Kurtistown and Kea‘au). “It prioritizes critical needs across housing, agriculture, natural resources, transportation, public safety, and economic development, setting a strong foundation as we respond to federal funding cuts that have impacted Hawaiʻi and required the state to urgently step up to support our residents.”
Copyright 2026 Hawaii News Now. All rights reserved.
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