# Hawaii HB 1591: RELATING TO HEALTH CARE.

Hawaii HB 1591, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Jackson D. Sayama (Democratic); status failed, last action 2026-05-01 (Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB1591-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 1591
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HEALTH CARE.
- Status: failed
- Chamber: House
- Introduced: 2026-01-16
- Last action: 2026-05-01, Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.
- Sponsor: Jackson D. Sayama (Democratic)
- Cosponsors: 17
- Subjects: Healthcare Preceptor Tax Credit, Physician Assistants, Dietitians, Social Workers, Residency Programs, Preceptor Credit Assurance Committee, Director of Health, HHS, CPN/WAM
- Touches household money: yes
- Roll calls: 8 (168 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Expands the definitions of "preceptor" and "volunteer‑based supervised clinical training rotation" applicable to the Healthcare Preceptor Tax Credit to improve accessibility for providers to receive income tax credits for acting as preceptors, including removing "primary care" from the criteria to qualify as a preceptor. Adds physician assistants, dietitians, and social workers to the list of preceptors and eligible students. Expands eligibility for the tax credit to include accredited residency programs that require preceptor support. Adds the Director of Health and representatives of residency programs with eligible students to the Preceptor Credit Assurance Committee. Applies to taxable years beginning after 12/31/2026. Effective 7/1/2050. (SD2)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Jackson D. Sayama (Democratic), House
- Cosponsor: Andrew Takuya Garrett (Democratic), House
- Cosponsor: Daniel Holt (Democratic), House
- Cosponsor: Greggor Ilagan (Democratic), House
- Cosponsor: KEOHOKAPU-LEE LOY
- Cosponsor: Darius K. Kila (Democratic), House
- Cosponsor: Lisa Kitagawa (Democratic), House
- Cosponsor: Matthias Kusch (Democratic), House
- Cosponsor: Mike Lee (Democratic), House
- Cosponsor: Nicole E. Lowen (Democratic), House
- Cosponsor: M.
- Cosponsor: Lisa Marten (Democratic), House
- Cosponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Tyson K. Miyake (Democratic), House
- Cosponsor: Ikaika Olds (Democratic), House
- Cosponsor: Mahina Poepoe (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: David A. Tarnas (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-14 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-04-07 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2026-04-07 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 11 | 0 |   |
| 2026-03-18 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2026-03-05 | House | House Floor Vote | pass | 49 | 0 |   |
| 2026-02-27 | House | The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ... | pass | 15 | 0 |   |
| 2026-02-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN... | pass | 50 | 0 |   |
| 2026-02-11 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |

## Actions (34)

- 2026-05-01: Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329. (House)
- 2026-04-30: Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329. (House)
- 2026-04-29: Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329. (House)
- 2026-04-23: Received notice of Senate conferees (Sen. Com. No. 725). (House)
- 2026-04-22: Senate Conferees Appointed: San Buenaventura Chair; Lamosao, Kanuha Co-Chairs. (Senate)
- 2026-04-20: House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos. (House)
- 2026-04-20: Received notice of appointment of House conferees (Hse. Com. No. 786). (Senate)
- 2026-04-17: Received notice of disagreement (Hse. Com. No. 780). (Senate)
- 2026-04-16: House disagrees with Senate amendment (s). (House)
- 2026-04-14: Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2026-04-14: Returned from Senate (Sen. Com. No. 590) in amended form (SD 2). (House)
- 2026-04-10: Reported from CPN/WAM (Stand. Com. Rep. No. 3712) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2026-04-10: 48 Hrs. Notice 04-14-26. (Senate)
- 2026-04-07: The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Lee, C., Richards. (Senate)
- 2026-04-07: 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 reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa. (Senate)
- 2026-04-02: The committee(s) on CPN/WAM will hold a public decision making on 04-07-26 10:30AM; Conference Room 211 & Videoconference. (Senate)
- 2026-03-30: Reported from HHS (Stand. Com. Rep. No. 3336) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. (Senate)
- 2026-03-30: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM. (Senate)
- 2026-03-18: 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. (Senate)
- 2026-03-13: The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference. (Senate)
- 2026-03-10: Referred to HHS, CPN/WAM. (Senate)
- 2026-03-06: Received from House (Hse. Com. No. 24). (Senate)
- 2026-03-06: Passed First Reading. (Senate)
- 2026-03-05: Reported from FIN (Stand. Com. Rep. No. 848-26), recommending passage on Third Reading. (House)
- 2026-03-05: Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Perruso excused (1). Transmitted to Senate. (House)
- 2026-02-27: The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Lee, M.. (House)
- 2026-02-24: Bill scheduled to be heard by FIN on Friday, 02-27-26 10:00AM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2026-02-18: Reported from HLT (Stand. Com. Rep. No. 364-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN. (House)
- 2026-02-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-02-11: 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. (House)
- 2026-02-06: Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-01-26: Referred to HLT, FIN, referral sheet 1 (House)
- 2026-01-21: Introduced and Pass First Reading. (House)
- 2026-01-16: Prefiled. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD2_.pdf)
- HB1591_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_HD1_.HTM)
- HB1591_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD1_.HTM)
- HB1591_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD2_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_.PDF)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD2_.pdf)
- [HB1591_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_HD1_.HTM)
- [HB1591_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD1_.HTM)
- [HB1591_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_SD2_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1591_.PDF)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2964: RELATING TO PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB2964-2026)
- [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-HB1591-2026 (as of 2026-11-01).