Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regula
Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.
Officially: “RELATING TO HEALTH CARE.” Read the full text
2025-2026 biennium
What it does
Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care servi
From the official legislative record, shown verbatim. Not legal advice.
Where it is
Show all 41 actions
Pending introduction. · Jan 23, 2026
Introduced and Pass First Reading. · Jan 26, 2026
Referred to HLT, CPC, JHA, referral sheet 2 · Jan 26, 2026
Re-referred to HLT/CPC, JHA, referral sheet 5 · Jan 30, 2026
Bill scheduled to be heard by HLT/CPC on Monday, 02-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. · Feb 6, 2026
This measure has been deleted from the meeting scheduled on Monday 02-09-26 2:00PM in conference room 329 VIA VIDEOCONFERENCE. · Feb 8, 2026
Bill scheduled to be heard by HLT/CPC on Wednesday, 02-11-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. · Feb 8, 2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Hartsfield, Marten, Olds, Takenouchi; Ayes · Feb 11, 2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Marten, Tam; A · Feb 11, 2026
Reported from HLT/CPC (Stand. Com. Rep. No. 476-26) as amended in HD 1, recommending passage on Second Reading and referral to JHA. · Feb 18, 2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Kila, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Ma · Feb 18, 2026
Bill scheduled to be heard by JHA on Tuesday, 02-24-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. · Feb 20, 2026
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Sayama, Takayama; Ayes with reservati · Feb 24, 2026
Reported from JHA (Stand. Com. Rep. No. 1141-26) as amended in HD 2, recommending passage on Third Reading. · Mar 6, 2026
Forty-eight (48) hours notice Tuesday, 03-10-26. · Mar 6, 2026
Passed Third Reading as amended in HD 2 with Representative(s) Kila, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Pierick, Shimizu voting no · Mar 10, 2026
Received from House (Hse. Com. No. 306). · Mar 12, 2026
Passed First Reading. · Mar 12, 2026
Referred to HHS/CPN, JDC. · Mar 12, 2026
The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference. · Mar 16, 2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole; Aye(s) with reservations · Mar 20, 2026
The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference. · Mar 20, 2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey; Aye(s) with reservati · Mar 24, 2026
Reported from HHS/CPN (Stand. Com. Rep. No. 3338) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. · Mar 30, 2026
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. · Mar 30, 2026
The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference. · Apr 1, 2026
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none · Apr 7, 2026
Reported from JDC (Stand. Com. Rep. No. 3798) with recommendation of passage on Third Reading, as amended (SD 2). · Apr 10, 2026
48 Hrs. Notice 04-14-26. · Apr 10, 2026
Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 21; Aye(s) with reservations: none. Noes, 4 (Senator(s) Awa, DeCorte, Fevella, Gabbard). Excused, 0 (none). Transmitted to House. · Apr 14, 2026
Returned from Senate (Sen. Com. No. 633) in amended form (SD 2). · Apr 14, 2026
House disagrees with Senate amendment (s). · Apr 16, 2026
Received notice of disagreement (Hse. Com. No. 780). · Apr 17, 2026
Reconsideration of action taken on 04-16-26. · Apr 22, 2026
Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 815). · Apr 23, 2026
House agrees to Senate amendment(s). · Apr 23, 2026
Passed Final Reading as amended in SD 2 with Representative(s) Kila, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no ( · Apr 23, 2026
Received notice of passage on Final Reading in House (Hse. Com. No. 823). · Apr 24, 2026
Transmitted to Governor. · Apr 23, 2026
Act 059, 05/29/2026 (Gov. Msg. No. 1159). · May 29, 2026
Act 059, on 05/29/2026 (Gov. Msg. No. 1159). · May 29, 2026
The numbers
8
sponsors on the bill
Sponsors
TAMAMATOGRANDINETTIICHIYAMAILAGANIWAMOTOMARTENPERRUSO
Recorded votes
Passed Final Reading as amended in SD 2 withHouse · 2026-04-23 · Aye(s) with reservations 2, Noes 8, Excused 1
Report Adopted; Passed Third Reading, as amended (SD 2).Senate · 2026-04-14 · Ayes 21, Aye(s) with reservations 0, Noes 4, Excused 0
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows:Senate · 2026-04-07 · Aye(s) 3, Aye(s) with reservations 0, No(es) 1, Excused 1
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows:Senate · 2026-03-24 · Aye(s) 4, Aye(s) with reservations 0, No(es) 1, Excused 0
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows:Senate · 2026-03-20 · Aye(s) 3, Aye(s) with reservations 1, No(es) 0, Excused 1
Passed Third Reading as amended in HD 2 withHouse · 2026-03-10 · Aye(s) with reservations 4, Noes 6, Excused 0
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-02-24 · Ayes 6, Ayes with reservations 1, Noes 1, Excused 2
Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA withHouse · 2026-02-18 · Aye(s) with reservations 3, Noes 6, Excused 0
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-02-11 · Ayes 8, Ayes with reservations 0, Noes 1, Excused 2
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-02-11 · Ayes 6, Ayes with reservations 0, Noes 2, Excused 1
Roll-call results shown verbatim from the Hawaii legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Act 059, on 05/29/2026 (Gov. Msg. No. 1159). (May 29, 2026).