Critics say Hawaii's current policy flouts federal precedent and leaves it vulnerable to lawsuits.

The Hawaii governor says the estimated $400 million cost of a public-private partnership is too high.

The details of how the initiative will be rolled out in the state's public schools are still being ironed out.

Some senators want to ensure the remote workers are properly supervised and are productive.

The four measures now move to the Senate for further consideration.

Mike Hashimoto, an architect of the state's regulation of acupuncture, asked the state to intervene in a billing dispute last year despite his agreement to not treat patients.