Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for the purposes of health planning and resource development and health care cost cont
Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.
Officially: “RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.” Read the full text
2025-2026 biennium
What it does
Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for the purposes of health planning and resource development and health care cost control. Increase the certificate of need exemption threshold for bed changes to up to thirty per cent of existing licensed beds. Exempts health care facilities or services operated by the Department of Health from certificate of need requirements. (CD1)
From the official legislative record, shown verbatim. Not legal advice.
Where it is
Show all 46 actions
Pending introduction. · Jan 26, 2026
Introduced and Pass First Reading. · Jan 28, 2026
Referred to HLT, CPC, referral sheet 6 · Feb 2, 2026
Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. · Feb 10, 2026
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, Takenouch · Feb 13, 2026
Reported from HLT (Stand. Com. Rep. No. 363-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. · Feb 18, 2026
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). · Feb 18, 2026
Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. · Feb 27, 2026
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, · Mar 3, 2026
Reported from CPC (Stand. Com. Rep. No. 1065-26) 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 none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate. · Mar 10, 2026
Received from House (Hse. Com. No. 396). · Mar 12, 2026
Passed First Reading. · Mar 12, 2026
Referred to HHS, WAM. · Mar 12, 2026
The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference. · Mar 13, 2026
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 · Mar 18, 2026
Reported from HHS (Stand. Com. Rep. No. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. · Mar 25, 2026
Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. · Mar 25, 2026
The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference. · Apr 1, 2026
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, K · Apr 6, 2026
Reported from WAM (Stand. Com. Rep. No. 3631) with recommendation of passage on Third Reading. · Apr 9, 2026
One Day Notice 04-10-26. · Apr 9, 2026
Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House. · Apr 10, 2026
Returned from Senate (Sen. Com. No. 555) in amended form (SD 1). · Apr 10, 2026
House disagrees with Senate amendment (s). · Apr 14, 2026
Received notice of disagreement (Hse. Com. No. 599). · Apr 16, 2026
Re-referred to HLT, CPC, FIN, referral sheet 30 · Apr 20, 2026
House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos. · Apr 20, 2026
Received notice of appointment of House conferees (Hse. Com. No. 786). · Apr 20, 2026
Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella. · Apr 22, 2026
Received notice of Senate conferees (Sen. Com. No. 725). · Apr 23, 2026
Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329. · Apr 28, 2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Kanuha, Fevella; Ay · Apr 29, 2026
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Alcos; Ayes with reservati · Apr 29, 2026
Reported from Conference Committee (Conf Com. Rep. No. 100-26) as amended in (CD 1). · May 1, 2026
Forty-eight (48) hours notice Wednesday, 05-06-26. · May 1, 2026
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 100-26). · May 1, 2026
48 Hrs. Notice (as amended CD 1) 05-06-26 · May 1, 2026
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. · May 6, 2026
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). · May 6, 2026
Received notice of Final Reading (Sen. Com. No. 816). · May 6, 2026
Received notice of passage on Final Reading in House (Hse. Com. No. 888). · May 8, 2026
Transmitted to Governor. · May 7, 2026
Act 049, 05/27/2026 (Gov. Msg. No. 1149). · May 27, 2026
Act 049, on 05/27/2026 (Gov. Msg. No. 1149). · May 27, 2026
The numbers
1
sponsor on the bill
Sponsors
NAKAMURA (Introduced by request of another party)
Recorded votes
Passed Final Reading, as amended (CD 1).Senate · 2026-05-06 · Ayes 25, Aye(s) with reservations 0
Passed Final Reading as amended in CD 1 with noneHouse · 2026-05-06 · Aye(s) with reservations 0, Noes 0, Excused 0
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows:Senate · 2026-04-29 · Aye(s) 3, Aye(s) with reservations 0, No(es) 0, Excused 0
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows:House · 2026-04-29 · Ayes 4, Ayes with reservations 0, Noes 0, Excused 0
Report Adopted; Passed Third Reading.Senate · 2026-04-10 · Ayes 25, Aye(s) with reservations 0, Noes 0, Excused 0
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows:Senate · 2026-04-06 · Aye(s) 12, Aye(s) with reservations 0, No(es) 0, Excused 1
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows:Senate · 2026-03-18 · Aye(s) 5, Aye(s) with reservations 0, No(es) 0, Excused 0
Passed Third Reading as amended in HD 2 with noneHouse · 2026-03-10 · Aye(s) with reservations 0, Noes 0, Excused 2
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-03-03 · Ayes 10, Ayes with reservations 0, Noes 0, Excused 1
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with noneHouse · 2026-02-18 · Aye(s) with reservations 0, Noes 0, Excused 0
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-02-13 · Ayes 9, Ayes with reservations 0, Noes 0, Excused 0
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 049, on 05/27/2026 (Gov. Msg. No. 1149). (May 27, 2026).