The “fierce urgency of now” created by the surging COVID-19 epidemic among Pacific Islanders in Hawai‘i calls for urgent, positive action. The state response must broaden immediately to engage Pacific Island communities as equal partners, provide for truly collective and just approaches to health care and support needs, and channel resources to community organizations and stakeholder groups in a way that allows them to take leadership in COVID prevention and care. The “fierce urgency of now” created by the surging COVID-19 epidemic among Pacific Islanders in Hawai‘i calls for urgent, positive action. The state response must broaden immediately to engage Pacific Island communities as equal partners, provide for truly collective and just approaches to health care and support needs, and channel resources to community organizations and stakeholder groups in a way that allows them to take leadership in COVID prevention and care.