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Ka 'Aha'ōlelo Moku'āina 'O Hawai'i

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Measure details
Measure Title: RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.
Report Title: Department of Health; State Emergency Medical Systems of Care; State Emergency Medical Services; Community Paramedicine Program; Integrated Mobile Health Care; Advisory Council
Description: Modernizes Hawaii's emergency medical services laws to align with current best practices and adopt a time-sensitive emergency medical systems of care model. Expands the Community Paramedicine Program to include integrated mobile health care; permit additional partnerships with professional organizations and educational institutions; and authorize certain telehealth services by providers located in or out of the State, under certain circumstances. Renames the State Emergency Medical Services Advisory Council the Hawaii Emergency Medical Systems of Care Advisory Council and amends its membership. (CD1)
Companion:  SB3134
Package: Governor
Current Referral: HHS, JDC
Introducer(s): NAKAMURA (Introduced by request of another party)
Act:

Measure Status History

Sort by Date
DateChamberStatus Text
5/7/2026HTransmitted to Governor.
5/8/2026SReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/6/2026HReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HPassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
5/6/2026SPassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
4/29/2026S48 Hrs. Notice (as amended CD 1) 05-06-26
4/29/2026SReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).
4/29/2026HForty-eight (48) hours notice Wednesday, 05-06-26.
4/29/2026HReported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).
4/24/2026SThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) McKelvey, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
4/24/2026HThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
4/23/2026HBill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.
4/23/2026HReceived notice of Senate conferees (Sen. Com. No. 725).
4/22/2026SSenate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.
4/20/2026SReceived notice of appointment of House conferees (Hse. Com. No. 786).
4/20/2026HHouse Conferees Appointed: Takayama, Grandinetti Co-Chairs; Keohokapu-Lee Loy, Alcos.
4/17/2026SReceived notice of disagreement (Hse. Com. No. 780).
4/16/2026HHouse disagrees with Senate amendment (s).
4/14/2026HReturned from Senate (Sen. Com. No. 679) in amended form (SD 1).
4/14/2026SReport adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
4/10/2026SOne Day Notice 04-14-26.
4/10/2026SReported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.
4/7/2026SThe committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
4/1/2026SThe committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.
3/25/2026SReport adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
3/25/2026SReported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
3/18/2026SThe committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
3/13/2026SThe committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
3/12/2026SReferred to HHS, JDC.
3/12/2026SPassed First Reading.
3/12/2026SReceived from House (Hse. Com. No. 395).
3/10/2026HPassed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate.
3/6/2026HForty-eight (48) hours notice Tuesday, 03-10-26.
3/6/2026HReported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading.
3/3/2026HThe committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.
2/27/2026HBill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
2/18/2026HPassed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and none excused (0).
2/18/2026HReported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
2/11/2026HThe committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
2/6/2026HBill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
1/30/2026HReferred to HLT, CPC, referral sheet 5
1/28/2026HIntroduced and Pass First Reading.
1/26/2026HPending introduction.

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All Versions of this Measure

HB2314_CD1 Link to HB2314_CD1 .PDF file
HB2314_HD2 Link to HB2314_HD2 .PDF file
HB2314_SD1 Link to HB2314_SD1 .PDF file
HB2314_HD1 Link to HB2314_HD1 .PDF file
HB2314 Link to HB2314 .PDF file

Committee Reports

HB2314_HD1_HSCR361-26_ Link to committee report HB2314_HD1_HSCR361-26_ .PDF file (opens in new window)
HB2314_HD2_HSCR1064-26_ Link to committee report HB2314_HD2_HSCR1064-26_ .PDF file (opens in new window)
HB2314_SD1_SSCR3178_ Link to committee report HB2314_SD1_SSCR3178_ .PDF file (opens in new window)
HB2314_SD1_SSCR3759_ Link to committee report HB2314_SD1_SSCR3759_ .PDF file (opens in new window)
HB2314_CD1_CCR53-26_ Link to committee report HB2314_CD1_CCR53-26_ .PDF file (opens in new window)

Testimony

HB2314_TESTIMONY_HLT_02-11-26_
HB2314_HD1_TESTIMONY_CPC_03-03-26_
HB2314_HD2_TESTIMONY_HHS_03-18-26_
HB2314_SD1_TESTIMONY_JDC_04-07-26_

Hearing Notices

HLT
2/11/26 9:00A
329 VIA VIDEOCONFERENCE
CPC
3/03/26 2:00P
329 VIA VIDEOCONFERENCE
HHS
3/18/26 1:00P
CR 225 & Videoconference
JDC
4/07/26 10:15A
CR 016 & Videoconference
CONF
4/24/26 3:15P
329