# Hawaii HB 1194: RELATING TO MIDWIVES.

Hawaii HB 1194, RELATING TO MIDWIVES., is a 2025–2026 Regular Session (Year 1) House bill sponsored by Linda Ichiyama (Democratic); status became law, last action 2025-05-05 (Became law without the Governor's signature, Act 028, 05/05/2025, (Gov. Msg. No. 1128).); PRIA reads it as touching household money (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-HB1194-2025
- As of: 2026-10-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 1194
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO MIDWIVES.
- Status: became law
- Chamber: House
- Introduced: 2025-01-22
- Last action: 2025-05-05, Became law without the Governor's signature, Act 028, 05/05/2025, (Gov. Msg. No. 1128).
- Sponsor: Linda Ichiyama (Democratic)
- Cosponsors: 3
- Subjects: Midwives, Practice of Midwifery, Scope of Practice, Native Hawaiian and Customary Practices, Certified Midwives, Certified Professional Midwives, Licensure, Requirements, License Renewal, Prescriptive Authority, Peer Review, Data Submission, Medical Records, HHS, CPN/JDC
- Touches household money: yes
- Roll calls: 10 (170 yes, 49 no in all)
- Economic provisions PRIA read: 6

## Summary

Makes laws regulating midwives and the practice of midwifery permanent. Clarifies the scope of practice of midwifery. Establishes licensure requirements for certified midwives and certified professional midwives. Establishes continuing education requirements. Grants global signature authority to midwives. Grants prescriptive authority to licensed midwives practicing as certified midwives and amends the list of approved legend drugs that may be administered by midwives. Establishes peer review and data submission requirements. Affirms that the practice of midwifery does not include Native Hawaiian traditional and customary practices. Clarifies exemptions from licensure and grounds for refusal to grant, renew, reinstate, or restore licenses or for revocation, suspension, denial, or condition of a license. Clarifies medical record availability and retention requirements for the purposes of medical torts. (SD3)

## Bill overview: provisions PRIA read

- Uninsured midwives must report settlements: cost, low. A midwife without professional liability insurance must report certain signed settlements or served arbitration awards to the director within 30 days. The claim must involve a death or personal injury allegedly caused by professional conduct. A first failure to report brings a fine of at least $100…
- New training rules for midwife licenses: cost, low. Applicants for certified midwife licenses need current certification, an approved graduate degree, and 30 hours of advanced pharmacology training. Certified professional midwife applicants need current certification and approved education or a qualifying bridge certificate. All applicants need curr…
- Midwives can provide broader care: mixed, low. The law defines midwifery care to include pregnancy, birth, postpartum care, healthy newborn care, and reproductive services. Midwives must refer or transfer clients whose needs exceed their scope, and call 911 when they find an immediate risk of serious harm at a birth site without a physician or…
- More medicine access through midwives: mixed, low. Licensed certified midwives can prescribe approved medicines and provide or order suitable devices. They need state registration to prescribe or give controlled substances, and they cannot use approved drugs to start or strengthen labor. Certified professional midwives cannot prescribe, but they ca…
- Hawaii keeps midwife licensing rules: mixed, low. Hawaii’s midwife licensing rules stay in force; the law removes the scheduled June 30, 2025 repeal. Some professionals, supervised students, Native Hawaiian traditional practitioners, emergency helpers, and family caregivers remain exempt from the chapter. The law removes the former exemption for b…
- Midwives face new renewal duties: mixed, low. Midwives renew licenses every three years by June 30, pay fees, keep required certifications current, and complete continuing education. Starting July 1, 2026, they need 30 education hours from the prior three years, with added subject requirements for each license type. Starting June 30, 2029, ren…

## Sponsors and cosponsors

- Sponsor: Linda Ichiyama (Democratic), House
- Cosponsor: Lisa Marten (Democratic), House
- Cosponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-14 | House | House Floor Vote | pass | 35 | 16 |   |
| 2025-04-10 | Senate | Senate Floor Vote | pass | 20 | 4 |   |
| 2025-04-01 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 1 |   |
| 2025-04-01 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 2 |   |
| 2025-03-17 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-03-04 | House | House Floor Vote | pass | 34 | 15 |   |
| 2025-02-26 | House | The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 12 | 3 |   |
| 2025-02-14 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN... | pass | 42 | 5 |   |
| 2025-02-10 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 1 |   |
| 2025-02-10 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 7 | 2 |   |

## Actions (50)

- 2025-05-05: Became law without the Governor's signature, Act 028, 05/05/2025, (Gov. Msg. No. 1128). (Senate)
- 2025-05-02: Became law without the Governor's signature, Act 028, 05/02/2025, (Gov. Msg. No. 1128). (House)
- 2025-04-15: Received notice of House agreement and passage on Final Reading (Hse. Com. No. 730). (Senate)
- 2025-04-14: Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 714). (Senate)
- 2025-04-14: House agrees to Senate amendment(s). (House)
- 2025-04-14: Passed Final Reading as amended in SD 3 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Pierick, Poepoe, Reyes Oda, Shimizu, Souza voting no (16) and none excused (0). (House)
- 2025-04-14: Transmitted to Governor. (House)
- 2025-04-11: Received notice of disagreement (Hse. Com. No. 705). (Senate)
- 2025-04-11: Reconsideration of action taken on 04-10-25. (House)
- 2025-04-10: Passed Third Reading, as amended (SD 3). Ayes, 20; Aye(s) with reservations: Senator(s) Ihara, Richards. Noes, 4 (Senator(s) Awa, DeCorte, Gabbard, McKelvey). Excused, 1 (Senator(s) Fevella). Transmitted to House. (Senate)
- 2025-04-10: Returned from Senate (Sen. Com. No. 777) in amended form (SD 3). (House)
- 2025-04-10: House disagrees with Senate amendment (s). (House)
- 2025-04-08: Floor Amendment No. 8 offered. (Senate)
- 2025-04-08: Floor amendment adopted as amended (SD 3). Ayes, 23. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none). (Senate)
- 2025-04-08: Separated Committee Report. (Senate)
- 2025-04-08: Report filed. (Senate)
- 2025-04-08: 48 Hrs. Notice 04-10-25 (Senate)
- 2025-04-04: Reported from CPN/JDC (Stand. Com. Rep. No. 1738) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-04-04: 48 Hrs. Notice 04-08-25. (Senate)
- 2025-04-01: 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, Richards; Aye(s) with reservations: Senator(s) McKelvey ; 1 No(es): Senator(s) Awa; and 0 Excused: none. (Senate)
- 2025-04-01: 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 ; 2 No(es): Senator(s) Gabbard, Awa; and 0 Excused: none. (Senate)
- 2025-03-24: The committee(s) on CPN/JDC will hold a public decision making on 04-01-25 9:30AM; Conference Room 016 & Videoconference. (Senate)
- 2025-03-21: Reported from HHS (Stand. Com. Rep. No. 1286) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/JDC. (Senate)
- 2025-03-21: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/JDC. (Senate)
- 2025-03-17: 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, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-03-14: The committee(s) on HHS deferred the measure until 03-17-25 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2025-03-11: The committee(s) on HHS has scheduled a public hearing on 03-14-25 1:00PM; Auditorium & Videoconference. (Senate)
- 2025-03-10: Re-Referred to HHS, CPN/JDC. (Senate)
- 2025-03-06: Received from House (Hse. Com. No. 346). (Senate)
- 2025-03-06: Passed First Reading. (Senate)
- 2025-03-06: Referred to HHS/CPN, WAM/JDC. (Senate)
- 2025-03-04: Floor Amendment No. 2 offered by Rep. Belatti. (House)
- 2025-03-04: Floor amendment failed following Roll Call vote: Ayes, 15. Noes, 34 (Representative(s) Chun, Evslin, Garrett, Hashem, Holt, Ichiyama, Ilagan, Kahaloa, Kapela, Keohokapu-Lee Loy, Kila, Kitagawa, Kong, Kusch, La Chica, Lamosao, Lee, M., Lowen, Marten, Matayoshi, Miyake, Morikawa, Nakamura, Olds, Quinlan, Sayama, Takayama, Takenouchi, Tam, Tarnas, Templo, Todd, Woodson, Yamashita). Excused, 2 (Representative(s) Pierick, Ward). (House)
- 2025-03-04: Floor Amendment No. 3 offered by Rep. Belatti. (House)
- 2025-03-04: Floor amendment failed with Noes, 1 (Representative(s) Takayama). Excused, 2 (Representative(s) Pierick, Ward). (House)
- 2025-03-04: Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Poepoe, Reyes Oda, Shimizu, Souza voting no (15) and Representative(s) Pierick, Ward excused (2). Transmitted to Senate. (House)
- 2025-02-28: Reported from FIN (Stand. Com. Rep. No. 1168) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-02-28: Forty-eight (48) hours notice Tuesday, 03-04-25. (House)
- 2025-02-26: The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo; Ayes with reservations: Representative(s) Grandinetti; 3 Noes: Representative(s) Hussey, Alcos, Reyes Oda; and 1 Excused: Representative(s) Ward. (House)
- 2025-02-24: Bill scheduled for decision making on Wednesday, 02-26-25 10:50AM in conference room 308 VIA VIDEOCONFERENCE. (House)
- 2025-02-21: The committee(s) on FIN recommend(s) that the measure be deferred. (House)
- 2025-02-19: Bill scheduled to be heard by FIN on Friday, 02-21-25 3:00PM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2025-02-14: Reported from HLT/CPC (Stand. Com. Rep. No. 794) as amended in HD 1, recommending passage on Second Reading and referral to FIN. (House)
- 2025-02-14: Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with Representative(s) Amato, Belatti, Kong, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Hussey, Perruso, Pierick voting no (5) and Representative(s) Cochran, Matayoshi, Poepoe, Ward excused (4). (House)
- 2025-02-10: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Marten, Takenouchi; Ayes with reservations: Representative(s) Amato, Olds; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none. (House)
- 2025-02-10: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Kong; 1 Noes: Representative(s) Iwamoto; and 1 Excused: Representative(s) Pierick. (House)
- 2025-02-07: Bill scheduled to be heard by HLT/CPC on Monday, 02-10-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-01-27: Referred to HLT/CPC, FIN, referral sheet 4 (House)
- 2025-01-23: Introduced and Pass First Reading. (House)
- 2025-01-22: Pending introduction. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD3_.pdf)
- HB1194_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD1_.HTM)
- HB1194_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_.HTM)
- HB1194_HD2_HFA2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_HFA2_.HTM)
- HB1194_HD2_HFA3: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_HFA3_.HTM)
- HB1194_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD1_.HTM)
- HB1194_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD2_.HTM)
- HB1194_SD2_SFA8: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD2_SFA8_.HTM)
- HB1194_SD3: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD3_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1128_.PDF)

## Related bills

- HB 431: RELATING TO HOUSING. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)
- SB 1231: RELATING TO PARENTAGE. (signed)
- SB 935: RELATING TO GOVERNMENT. (signed)
- HB 703: RELATING TO KUPUNA HOUSING. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD3_.pdf)
- [HB1194_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD1_.HTM)
- [HB1194_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_.HTM)
- [HB1194_HD2_HFA2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_HFA2_.HTM)
- [HB1194_HD2_HFA3 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_HD2_HFA3_.HTM)
- [HB1194_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD1_.HTM)
- [HB1194_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD2_.HTM)
- [HB1194_SD2_SFA8 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD2_SFA8_.HTM)
- [HB1194_SD3 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_SD3_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1194_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1128_.PDF)

## Related
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB1044-2025)
- [SB 1231: RELATING TO PARENTAGE.](https://policyrisk.com/state-bill/HI-SB1231-2025)
- [SB 935: RELATING TO GOVERNMENT.](https://policyrisk.com/state-bill/HI-SB935-2025)
- [HB 703: RELATING TO KUPUNA HOUSING.](https://policyrisk.com/state-bill/HI-HB703-2025)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-HB1194-2025 (as of 2026-10-27).