CONFERENCE COMMITTEE REP. NO. 223-26

Honolulu, Hawaii

, 2026

RE: S.B. No. 3132

S.D. 1

H.D. 2

C.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Honorable Nadine K. Nakamura

Speaker, House of Representatives

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Sir and Madam:

Your Committee on Conference on the disagreeing vote of the Senate to the amendments proposed by the House of Representatives in S.B. No. 3132, S.D. 1, H.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO SYNDROMIC SURVEILLANCE,"

having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.

The purpose of this measure is to:

(1) Require hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health; and

(2) Authorize the Department of Health to establish a state syndromic surveillance data reporting system.

Your Committee on Conference finds that syndromic surveillance is the analysis of health-related data from events that affect health status and outcomes for public health purposes, which is critical to enable public health officials to detect and respond to health threats and disease trends. Your Committee on Conference further finds that although the Department of Health can access and analyze data through the federally funded National Syndromic Surveillance Program, the submittal of data to the program is made on a voluntary basis and is vulnerable to changing federal health priorities. This measure will allow the State to operate independently of federal syndromic surveillance systems to detect threats earlier, respond faster, and direct guidance and resources where they are most needed.

Your Committee on Conference has amended this measure by:

(1) Amending section 1 to correctly reflect its purpose;

(2) Making it effective upon its approval; and

(3) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.

As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of S.B. No. 3132, S.D. 1, H.D. 2, as amended herein, and recommends that it pass Final Reading in the form attached hereto as S.B. No. 3132, S.D. 1, H.D. 2, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE HOUSE

ON THE PART OF THE SENATE

____________________________ GREGG TAKAYAMA Co-Chair	____________________________ JOY A. SAN BUENAVENTURA Chair
____________________________ TINA NAKADA GRANDINETTI Co-Chair	____________________________ KARL RHOADS Co-Chair
____________________________ SUE L. KEOHOKAPU-LEE LOY Co-Chair	____________________________ DRU KANUHA Co-Chair