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Hawaii 2026

HB 2314

RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.

Source: Open States / PluralUpdated 2026-11-12 00:12:40 UTC.

Official record

Measure details

Jurisdiction
Hawaii
Session
2026
Chamber
lower
Classification
bill
Subjects
Advisory Council, Community Paramedicine Program, Department of Health, Integrated Mobile Health Care, State Emergency Medical Services, State Emergency Medical Systems of Care
Introduced / first action
2026-01-26 00:00:00

Source-supplied abstracts

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)

Sponsors

Source-supplied history

Actions

  1. Act 085, 06/04/2026 (Gov. Msg. No. 1185).

    became-law, executive-signature
  2. Act 085, on 06/04/2026 (Gov. Msg. No. 1185).

    became-law, executive-signature
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

    receipt
  4. Transmitted to Governor.

  5. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

    passage
  6. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

    passage
  7. Received notice of Final Reading (Sen. Com. No. 816).

    receipt
  8. Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).

  9. Forty-eight (48) hours notice Wednesday, 05-06-26.

  10. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).

  11. 48 Hrs. Notice (as amended CD 1) 05-06-26

  12. The 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.

    committee-passage-favorable
  13. The 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.

    committee-passage-favorable
  14. Received notice of Senate conferees (Sen. Com. No. 725).

    receipt
  15. Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.

  16. Senate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.

  17. House Conferees Appointed: Takayama, Grandinetti Co-Chairs; Keohokapu-Lee Loy, Alcos.

  18. Received notice of appointment of House conferees (Hse. Com. No. 786).

    receipt
  19. Received notice of disagreement (Hse. Com. No. 780).

    receipt
  20. House disagrees with Senate amendment (s).

    amendment-failure
  21. Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

    passage
  22. Returned from Senate (Sen. Com. No. 679) in amended form (SD 1).

  23. Reported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.

  24. One Day Notice 04-14-26.

  25. The 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.

    committee-passage-favorable
  26. The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.

  27. Reported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

  28. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.

    reading-2, referral-committee
  29. The 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.

    committee-passage-favorable
  30. The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.

  31. Received from House (Hse. Com. No. 395).

    introduction, receipt
  32. Passed First Reading.

    reading-1
  33. Referred to HHS, JDC.

    referral-committee
  34. Passed 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.

    passage
  35. Reported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading.

  36. Forty-eight (48) hours notice Tuesday, 03-10-26.

  37. The 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.

    committee-passage-favorable
  38. Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  39. Reported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  40. Passed 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).

    reading-2, referral-committee
  41. The 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.

    committee-passage-favorable
  42. Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  43. Referred to HLT, CPC, referral sheet 5

    referral-committee
  44. Introduced and Pass First Reading.

    introduction, reading-1
  45. Pending introduction.

When supplied by the API

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