Approve Funding for a Dementia Services Coordinator

In 2013 Hawaii enacted legislation that established a permanent Dementia Services Coordinator staff position within the Executive Office on Aging. While this position was created in statute, it has not been funded and therefore this position has gone unfilled. A variety of programs critical to individuals living with dementia and their families are administered across state government. However, these efforts are often siloed, with multiple state offices working separately from one another. As a result, Hawaii lacks a coordinated statewide response to Alzheimer's. It is critical that Hawaii's lawmakers approve funding in the state budget to support the established Dementia Services Coordinator position. When filled, this position will coordinate programs and services, ensure implementation and updates to the Alzheimer’s State Plan, and improve data collection and utilization. The Alzheimer's Association calls on the governor and legislature to approve funding for this position.

Support Kupuna and their Caregivers - HB 2145/SB 3113

With nearly 30,000 Hawaiians living with Alzheimer's and 51,000 supporting them as family caregivers, Alzheimer's is a public health crisis in Hawaii. Family caregivers in Hawaii provided 81 million hours of unpaid care in 2020, totaling a value of $1.6 million dollars. The Kupuna Caregivers Program grants assistance for caregivers who work 30 hours or more a week and the Kupuna Care Program provides essential non-medical home care assistance for seniors living in Hawaii. The Alzheimer’s Association urges state lawmakers to support HB2145/SB3113 to merge the Kupuna Caregivers Program with the Kupuna Care Program to allow individuals living with dementia and their families to more easily access critical support.

Strengthen Dementia Training Standards for First Responders

First responders are critical to the health and safety of people living with Alzheimer’s. They frequently interact with individuals who have dementia in a variety of settings and are among the first to observe instances of abuse and neglect. Without proper training on how to recognize the signs of dementia and how to effectively communicate with people with dementia, situations may escalate quickly with potentially dangerous consequences. The Alzheimer’s Association is calling on legislators to support forthcoming legislation in Hawaii that will require training for emergency medical services workers to educate these professionals on understanding specific behavior symptoms, effective communication strategies, protocols for contacting caregivers and available local resources.

Hawaii State Plan Overview

In 2011 the Hawaii Executive Office on Aging, in partnership with the Alzheimer's Association, Aloha Chapter, formed a special Task Force to develop a State Plan on Alzheimer's Disease and Related Dementias (ADRD). The task force included representatives from state agencies, care provider organizations, community organizations, faith communities, and research centers as well as advocates, long-term care providers, consumers, and elder law attorneys. In December 2013, the Office on Aging published Hawaii 2025: State Plan for Alzheimer's Disease and Related Dementias.


In 2018, Governor Ige signed into law House Bill 1916, which mandates that the Executive Office on Aging update and bi-annually report to the state legislature and the Governor on the progress of the implementation of the Hawaii State Plan on Alzheimer’s Disease and Related Dementias.


Hawaii State Advocacy Day

March 07, 2022

Join fellow Alzheimer’s advocates for Hawaii Advocacy Week, March 7 - March 11, 2022, virtually for an exciting week of advocacy urging Hawaii lawmakers, the Governor, and Lt. Governor, to support our kupuna and their caregivers. Advocates will come together to hear from state leaders, understand the Alzheimer’s Association’s leading asks during the legislative session and meet with state legislators to share their story and urge support of these critical priorities. Never advocated before? No problem! We’ll train you and there will be plenty of opportunities to ask questions before meeting with state officials.

Sign Up to Learn More About Advocacy Opportunities in Hawaii

Sign me up to participate in the upcoming State Advocacy Day!

State Affairs Contact LJ Duenas | 808-495-4122 [email protected]

Alzheimer's Facts and Figures in Hawaii

Alzheimer's Disease Facts and Figures, an annual report released by the Alzheimer's Association®, reveals the burden of Alzheimer's and dementia on individuals, caregivers, government and the nation's health care system.


woman holding glasses


Individuals living with Alzheimer's in Hawaii

This number is projected to increase 20.7% between 2020 and 2025.

Nationally, there are more than 6 million Americans living with Alzheimer's. This number is expected to more than double by 2050.



Deaths from Alzheimer's in Hawaii in 2019

couple hugging on bench

There has been a 299% increase in Alzheimer's deaths since 2000. Alzheimer's is the 5th leading cause of death in Hawaii.

There were 204 more deaths than expected from Alzheimer's and dementia during the COVID-19 pandemic in 2020, 18% higher than average.


caregiver hugging

Value of unpaid care work

Hours of unpaid care

Nationally, Alzheimer's and dementia caregivers provided nearly $257 billion in unpaid care in 2021. In Hawaii, there are 52,000 dementia caregivers, who each provide an average of 31 hours of unpaid care per week




per capita Medicare spending on people with dementia



Medicaid costs of caring for people with Alzheimer's in 2020

Hospice and Hospitals


# of people in hospice with a primary diagonsis of dementia


# of emergency department visits per 1,000 people with dementia

People with Alzheimer's disease have twice as many hospital stays per year as other older people. Nationally, emergency department visits for those with dementia have increased nearly 30% over the past decade.

The 2021 Alzheimer's Disease Facts and Figures report contains data on the impact of Alzheimer's on the nation and in every state across the country.
Visit alz.org/facts to view the full report.