Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health. Authorizes the Department of Health to establish a state syndromic surveilla
Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.
Officially: “RELATING TO SYNDROMIC SURVEILLANCE.” Read the full text
2025-2026 biennium
What it does
Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health. Authorizes the Department of Health to establish a state syndromic surveillance data reporting system. (CD1)
From the official legislative record, shown verbatim. Not legal advice.
Where it is
Show all 49 actions
Pending Introduction. · Jan 26, 2026
Introduced. · Jan 28, 2026
Passed First Reading. · Jan 28, 2026
Referred to HHS, JDC/WAM. · Feb 2, 2026
The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference. · Feb 3, 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, McKelvey, Keohokalole, Fevella; Aye(s) with r · Feb 6, 2026
Reported from HHS (Stand. Com. Rep. No. 2288) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM. · Feb 17, 2026
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM. · Feb 17, 2026
The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference. · Mar 2, 2026
The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservatio · Mar 4, 2026
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, K · Mar 4, 2026
Reported from JDC/WAM (Stand. Com. Rep. No. 3039) with recommendation of passage on Third Reading. · Mar 6, 2026
One Day Notice 03-10-26. · Mar 6, 2026
Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. · Mar 10, 2026
Received from Senate (Sen. Com. No. 366) in amended form (SD 1). · Mar 10, 2026
Pass First Reading · Mar 12, 2026
Referred to HLT, CPC, referral sheet 17 · Mar 12, 2026
Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE. · Mar 17, 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 · Mar 20, 2026
Reported from HLT (Stand. Com. Rep. No. 1400-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. · Mar 25, 2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Matsumoto, Perrus · Mar 25, 2026
Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE. · Apr 2, 2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, · Apr 7, 2026
Reported from CPC (Stand. Com. Rep. No. 2113-26) as amended in HD 2, recommending passage on Third Reading. · Apr 10, 2026
Forty-eight (48) hours notice Tuesday, 04-14-26. · Apr 10, 2026
Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate. · Apr 14, 2026
Received from House (Hse. Com. No. 748). · Apr 16, 2026
Senate disagrees with House amendments. · Apr 16, 2026
Received notice of disagreement (Sen. Com. No. 710). · Apr 16, 2026
Re-referred to HLT, CPC, FIN, referral sheet 30 · Apr 20, 2026
House Conferees Appointed: Takayama, Grandinetti, Keohokapu-Lee Loy Co-Chairs; Alcos. · Apr 20, 2026
Received notice of appointment of House conferees (Hse. Com. No. 787). · Apr 20, 2026
Senate Conferees Appointed: San Buenaventura Chair; Rhoads, Kanuha Co-Chairs; Fevella. · Apr 21, 2026
Received notice of Senate conferees (Sen. Com. No. 720). · Apr 22, 2026
Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329. · Apr 29, 2026
Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329. · Apr 30, 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, Rhoads, Kanuha; Aye · May 1, 2026
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 reserva · May 1, 2026
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 223-26). · May 1, 2026
48 Hrs. Notice (as amended CD 1) 05-06-26. · May 1, 2026
Reported from Conference Committee (Conf Com. Rep. No. 223-26) as amended in (CD 1). · May 1, 2026
Forty-eight (48) hours notice Wednesday, 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 Representative(s) Alcos excused (1). · 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
Enrolled to Governor. · May 8, 2026
Act 222, 07/09/2026 (Gov. Msg. No. 1324). · Jul 10, 2026
Act 222, on 07/09/2026 (Gov. Msg. No. 1324). · Jul 10, 2026
The numbers
1
sponsor on the bill
Sponsors
KOUCHI (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 1
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows:Senate · 2026-05-01 · Aye(s) 3, Aye(s) with reservations 0, No(es) 0, Excused 1
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows:House · 2026-05-01 · Ayes 4, Ayes with reservations 0, Noes 0, Excused 0
Passed Third Reading as amended in HD 2 with noneHouse · 2026-04-14 · Aye(s) with reservations 0, Noes 1, Excused 1
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows:House · 2026-04-07 · Ayes 11, Ayes with reservations 0, Noes 0, Excused 0
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with noneHouse · 2026-03-25 · Aye(s) 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 · 2026-03-20 · Ayes 9, Ayes with reservations 0, Noes 0, Excused 0
Report adopted; Passed Third Reading.Senate · 2026-03-10 · 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 · 2026-03-04 · Aye(s) 13, Aye(s) with reservations 0, No(es) 0, Excused 0
The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows:Senate · 2026-03-04 · Aye(s) 5, Aye(s) with reservations 0, No(es) 0, Excused 0
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows:Senate · 2026-02-06 · Aye(s) 4, Aye(s) with reservations 0, No(es) 0, 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 222, on 07/09/2026 (Gov. Msg. No. 1324). (Jul 10, 2026).