§321-11 Subjects of health rules, generally. [Repeal and reenactment on June 30, 2014. L Sp 2009, c 21, §8.] The department of health pursuant to chapter 91 may adopt rules that it deems necessary for the public health and safety respecting:
(1) Nuisances, foul or noxious odors, gases, vapors, waters in which mosquitoes breed or may breed, sources of filth, and causes of sickness or disease, within the respective districts of the State, and on board any vessel;
(2) Adulteration and misbranding of food or drugs;
(3) Location, air space, ventilation, sanitation, drainage, sewage disposal, and other health conditions of buildings, courts, construction projects, excavations, pools, watercourses, areas, and alleys;
(4) Privy vaults and cesspools;
(5) Fish and fishing;
(6) Interments and dead bodies;
(7) Disinterments of dead human bodies, including the exposing, disturbing, or removing of these bodies from their place of burial, or the opening, removing, or disturbing after due interment of any receptacle, coffin, or container holding human remains or a dead human body or a part thereof and the issuance and terms of permits for the aforesaid disinterments of dead human bodies;
(8) Cemeteries and burying grounds;
(9) Laundries, and the laundering, sanitation, and sterilization of articles including linen and uniforms used by or in the following businesses and professions: barber shops, manicure shops, beauty parlors, electrology shops, restaurants, soda fountains, hotels, rooming and boarding houses, bakeries, butcher shops, public bathhouses, midwives, masseurs, and others in similar calling, public or private hospitals, and canneries and bottling works where foods or beverages are canned or bottled for public consumption or sale; provided that nothing in this chapter shall be construed as authorizing the prohibiting of laundering, sanitation, and sterilization by those conducting any of these businesses or professions where the laundering or sterilization is done in an efficient and sanitary manner;
(10) Hospitals, freestanding surgical outpatient facilities, skilled nursing facilities, intermediate care facilities, adult residential care homes, adult foster homes, assisted living facilities, special treatment facilities and programs, home health agencies, home care agencies, hospices, freestanding birthing facilities, adult day health centers, independent group residences, and therapeutic living programs, but excluding youth shelter facilities unless clinical treatment of mental, emotional, or physical disease or handicap is a part of the routine program or constitutes the main purpose of the facility, as defined in section 346-16 under "child [caring] institution". For the purpose of this paragraph, "adult foster home" has the same meaning as provided in section 321-11.2;
(11) Hotels, rooming houses, lodging houses, apartment houses, tenements, and residences for persons with developmental disabilities including those built under federal funding;
(12) Laboratories;
(13) Any place or building where noisome or noxious trades or manufacturing is carried on, or intended to be carried on;
(14) Milk;
(15) Poisons and hazardous substances, the latter term including any substance or mixture of substances that:
(A) Is corrosive;
(B) Is an irritant;
(C) Is a strong sensitizer;
(D) Is inflammable; or
(E) Generates pressure through decomposition, heat, or other means,
if the substance or mixture of substances may cause substantial personal injury or substantial illness during or as a proximate result of any customary or reasonably foreseeable handling or use, including reasonably foreseeable ingestion by children;
(16) Pig and duck ranches;
(17) Places of business, industry, employment, and commerce, and the processes, materials, tools, machinery, and methods of work done therein; and places of public gathering, recreation, or entertainment;
(18) Any restaurant, theater, market, stand, shop, store, factory, building, wagon, vehicle, or place where any food, drug, or cosmetic is manufactured, compounded, processed, extracted, prepared, stored, distributed, sold, offered for sale, or offered for human consumption or use;
(19) Foods, drugs, and cosmetics, and the manufacture, compounding, processing, extracting, preparing, storing, selling, and offering for sale, consumption, or use of any food, drug, or cosmetic;
(20) [Device] as defined in section 328-1;
(21) Sources of ionizing radiation;
(22) Medical examination, vaccination, revaccination, and immunization of school children. No child shall be subjected to medical examination, vaccination, revaccination, or immunization, whose parent or guardian objects in writing thereto on grounds that the requirements are not in accordance with the religious tenets of an established church of which the parent or guardian is a member or adherent, but no objection shall be recognized when, in the opinion of the department, there is danger of an epidemic from any communicable disease;
(23) Disinsectization of aircraft entering or within the State as may be necessary to prevent the introduction, transmission, or spread of disease or the introduction or spread of any insect or other vector of significance to health;
(24) Fumigation, including the process by which substances emit or liberate gases, fumes, or vapors that may be used for the destruction or control of insects, vermin, rodents, or other pests, which, in the opinion of the department, may be lethal, poisonous, noxious, or dangerous to human life;
(25) Ambulances and ambulance equipment;
(26) Development, review, approval, or disapproval of management plans submitted pursuant to the Asbestos Hazard Emergency Response Act of 1986, Public Law 99-519; and
(27) Development, review, approval, or disapproval of an accreditation program for specially trained persons pursuant to the Residential Lead-Based Paint Hazard Reduction Act of 1992, Public Law 102-550.
The department of health may require any certificates, permits, or licenses that it may deem necessary to adequately regulate the conditions or businesses referred to in this section. [PC 1869, c 59, § §4 to 6; am L 1905, c 42, §1; am L 1911, c 132, §2; am L 1913, c 63, §1; am L 1919, c 235, §1; RL 1925, §912; am L 1933, c 73, §1; RL 1935, pt of § §904 and 1130; am L 1937, c 122, §4 and c 197, §1; am L 1941, c 18, §1; RL 1945, §2015; am L 1945, c 116, §1(b); am L 1949, c 71, §1; am L 1951, c 18, §3, c 64, §1, and c 181, §1; am L 1953, c 32, §1; RL 1955, §46-13; am L 1957, c 153, §1; am L Sp 1959 2d, c 1, §19; am L 1963, c 150, §1; HRS §321-11; am L 1969, c 134, §1; am L 1973, c 5, §1; am L 1978, c 7, §1; am L 1980, c 239, §3; am L 1981, c 84, §1; am L 1985, c 272, §4; am L 1986, c 37, §1, c 178, §2, and c 328, §1; am L 1987, c 334, §1; am L 1988, c 194, §2; am L 1989, c 223, §1; am L 1990, c 285, §5; am L 1992, c 15, §1; am L 1995, c 87, §2; am L 1997, c 219, §1 and c 220, §2; am L Sp 2009, c 21, §3]
Note
The source note to this section is supplemented by "am L Sp 2009, c 21, §8; am L 2014, c 125, §2; am L 2019, c 158, §2".
Cross References
Dental health facilities; health care facilities; use of latex gloves, see §321-11.9.
Case Notes
May require suitable locations for laundries. 19 H. 628.
Regulation beyond limits of power conferred by legislature, void. 21 H. 56. See also 20 H. 411.
Structure Hawaii Revised Statutes
321-1 General powers and duties of the department.
321-1.1 Development of environmental goals and objectives.
321-1.3 Domestic violence and sexual assault special fund.
321-1.4 Office of health care assurance special fund; deposits; expenditures
321-1.5 Primary health care incentive program; establishment.
321-1.6 Additional duties of the director.
321-1.7 Public health nursing services program.
321-1.8 Inspections; public notice.
321-1.9 Inspections; visits; state-licensed or state-certified care facilities.
321-1.65 Community health centers special fund.
321-2.5 Volunteer medical assistance personnel.
321-2.7 Preceptor credit assurance committee.
321-4.7 Producers of hand-pounded poi; exemption.
321-5 Contract for exchange of Hawaii personnel.
321-9 Seal, rules and regulations.
321-10 Rules, adoption, effect.
321-10.5 Agricultural processing facilities; permits; priority.
321-11 Subjects of health rules, generally.
321-11.1 Medically accurate sexuality health education.
321-11.4 Fees for electronic applications and payments
321-11.5 Establishment of fees.
321-11.6 Genetically modified organisms.
321-11.8 Care homes; liability insurance; coverage.
321-11.9 Dental health facilities; health care facilities; use of latex gloves.
321-12 Barbers, hairdressers, cosmeticians, cosmetologists, and beauticians.
321-12.2 Tanning facilities; minors; penalties.
321-12.5 Certified forensic examination fees.
321-13 Regulation of certain other occupations.
321-13.5 Certified nurse aides; investigations of abuse and neglect.
321-14 License to practice certain occupations.
321-14.5 Hospitals; licensing.
321-14.8 Home care agencies; licensing.
321-15.3 Criminal history disclosure of prospective care home resident.
321-15.6 Adult residential care homes; licensing.
321-15.9 Developmental disabilities residential services.
321-15.61 Adult residential care homes expanded admissions.
321-16.5 Special treatment facilities
321-16.6 Therapeutic living programs.
321-17 Vessels to carry diseased persons; penalty.
321-19 Delegation to counties.
321-21 Infectious wastes; management and disposal.
321-22 Long term care service development fund established.
321-22.5 Trauma system special fund
321-23 Catastrophic and traumatic emergency response program established.
321-23.3 Volunteer emergency medical disaster response personnel.
321-23.6 Rapid identification documents.
321-27 Sanitation and environmental health special fund.
321-28 Traumatic brain injury advisory board.
321-29 Epidemiologic investigations.
321-30.1 Medical cannabis registry and regulation special fund; established.
321-30.2 Civil monetary penalty special fund.
321-30.3 Default beverages offered with children's meals.
321-30.4 Cosmetics; animal testing; prohibition.
321-31 Functions of the department.
321-32 Epidemiological specialists.
321-34 Cytomegalovirus public education.
321-35 Department of education student physical examination follow-up assistance and consultations.
321-37 Child abuse and neglect secondary prevention programs.
321-38 Hawaii children's trust fund advisory committee.
321-43 Statistical activities.
321-46 Breast density mammography results; report and notification.
321-51 Department to administer part.
321-52 Powers, duties, and activities of the department.
321-62 General duties of department.
321-63 Director's specific duties and powers.
321-72 Sources of ionizing radiation; federal-state agreements.
321-82 Field nutritionist, rural Oahu.
321-91 Program of home health services.
321-93 Home health services; source of funds; disposition of receipts.
321-101 Systematic hearing and vision program.
321-106 Prevention of blindness at childbirth.
321-111 Sexually transmitted disease prevention program.
321-161 Chemical testing for alcohol concentration or drug content.
321-171 Children's mental health services; department responsibility.
321-172 Children's mental health services branch.
321-173 Community mental health services for children and youth.
321-174 Coordination of services with department of education.
321-175 Statewide children's mental health services plan.
321-176 Biennial review of progress.
321-192 Substance abuse program.
321-192.5 Substance abuse treatment monitoring program.
321-193 Duties and responsibilities of department.
321-193.5 Interagency coordination.
321-193.7 Clean and sober homes registry.
321-194 State advisory commission.
321-195 Annual report to the legislature.
321-198 State funding of substance abuse agencies.
321-212 Tobacco products; possession or consumption prohibited.
321-221 Findings and purpose. §321-221 Findings and purpose.
321-224 Department of health, functions, duties.
321-224.2 Enhanced and expanded emergency medical services; fees.
321-224.4 Community paramedicine program; established.
321-225 The state emergency medical services advisory committee.
321-225.5 Fall prevention and early detection coordinator.
321-227 Regulation of ambulances. §321-227 Regulation of ambulances.
321-228 Emergency medical services; counties. §321-228 Emergency medical services; counties.
321-228.5 Renumbered as §321-23.3.
321-228.6 Renumbered as §321-23.
321-229 Emergency medical services personnel, training programs.
321-229.2 First responder personnel; dementia training.
321-229.5 Renumbered as §321-23.6.
321-230 Technical assistance, data collection, evaluation.
321-232 Revenues; deposit into state general fund.
321-234 Emergency medical services special fund.
321-235 Immunity and limitation on liability for emergency aeromedical services.
321-237 Retention of relevant documentation.
321-281 Financial assistance fund for hemophilia.
321-282 General duties of the department.
321-291 Tests for phenylketonuria, hypothyroidism, and other metabolic diseases.
321-296 Newborn pulse oximetry screening.
321-301 Bilingual health education aide program; establishment.
321-311 Environmentally-related illness and injury surveillance.
321-311.5 Renumbered as §321-29.
321-312 Definition of environmentally-related illness or injury.
321-313 Definition of health care professional.
321-314 Reports to the department.
321-316 Immunity from liability.
321-322 Administration of programs.
321-324 Powers of the department.
321-327 Hawaii home visiting program; established.
321-331 Prenatal health care; authority.
321-341 Multidisciplinary and multiagency reviews.
321-343 Access to information; use of child death review information; protections.
321-345.5 Child death reviews; reports.
321-346 Immunity from liability.
321-352 Early intervention services for infants and toddlers with special needs.
321-352.2 Early language services for children who are deaf, hard of hearing, or deaf-blind.
321-353 Hawaii early intervention coordinating council; establishment.
321-355 Early intervention special fund.
321-357 Early intervention special fund; purpose and use.
321-373 Regulation of tattoo artists.
321-373.5 Permit; required for tattoo shop and temporary locations.
321-374 License required; exemptions.
321-375 Examination, fees required.
321-377 Suspension or revocation of permit or license.
321-379 Enforcement; penalties.
321-381 Biennial renewal; failure to renew.
321-402 Food safety consultative and education program.
321-403 Food safety control system.
321-404 Public information monitoring system.
321-405 Confidentiality of information.
321-412 Indoor air quality program.
321-413 General functions, powers, and duties of the department.
321-422 Birth defects program.
321-423 Confidentiality of data.
321-425 Requests for information.
321-426 Birth defects special fund.
321-432 Case management services for medically fragile children.
321-442 Exemption from certain laws and rules.
321-472 Multidisciplinary and multiagency reviews
321-475 Use of domestic violence fatality review information and records
321-476 Immunity from liability
321-482 Home and community-based case management agency, authority over and evaluation of
321-483 Community care foster family home, authority over and evaluation of.
321-486.1 Action upon investigation.
321-487 Referral or transfers to uncertified or unlicensed care facility; penalty.
321-493 Day care centers for disabled and aged persons.
321-501 Multidisciplinary and multiagency mortality reviews.
321-503 Access to information.
321-506 Immunity from liability.
321-513 Enforcement; administrative penalties.
321-532 Stroke system of care; department duties.
321-534 Confidential information.
321-561 Limited service pregnancy centers; notice of reproductive health services.
321-562 Limited service pregnancy centers; enforcement; private right of action.
321-563 Seizure first aid; information.
321-571 Skilled nursing facilities.
321-581 Authority of the department of health.
321-582 Consultation with the University of Hawaii required.
321-583 Reduction or elimination of direct patient care services.