All Roll Calls
Yes: 221 • No: 0
HawaiiHB 18542025–2026 Regular Session (Year 2)HouseWALLET
RELATING TO COMMUNITY BEHAVIORAL HEALTH CLINICS.
Sponsored By: Gregg Takayama (Democratic)
Signed by Governor
Summary
Establishes the Community Behavioral Health Clinics Certifying Office to certify and decertify community behavioral health clinics and provide technical assistance for clinics seeking certification. Establishes the Certified Community Behavioral Health Clinics Oversight Board. Amends the composition of the Advisory Commission on Drug Abuse and Controlled Substances and State Council on Mental Health to include a member from the Community Behavioral Health Clinics Certifying Office. Establishes decertification process. Limits state liability. Appropriates funds. Effective 7/1/3000. (SD2)
Department of HealthCommunity Behavioral Health Clinics Certifying OfficeOversight BoardHawaii Advisory Commission on Drug Abuse and Controlled SubstancesAppropriationHHS, WAM
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
Clinic appeal rights come with limits
Before decertifying a clinic, Hawaii must give notice and a chance to respond, including with a plan to fix problems. A clinic can have a hearing after the final decision. Certification only confirms that the clinic met requirements when reviewed; it does not guarantee later compliance or treatment outcomes. Clinics remain responsible for legal and care duties, while the state’s role is limited to running the program and duties in the law.
Hawaii sets payments for approved clinics
Hawaii creates an office to approve community behavioral health clinics and help them meet standards at least as strict as federal rules. Only approved clinics can receive program payments. The office sets fixed payments, reviews clinic costs to update rates, and may charge reasonable application fees.
Sponsors & Cosponsors
Sponsor
Gregg Takayama
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/6/2026
House Floor Vote
Yes: 51 • No: 0
Senate vote • 5/1/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 2 • No: 0
House vote • 5/1/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 3 • No: 0
Senate vote • 4/14/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 4/6/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 12 • No: 0
Senate vote • 3/18/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
House vote • 3/5/2026
House Floor Vote
Yes: 49 • No: 0
House vote • 2/27/2026
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 15 • No: 0
House vote • 2/18/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...
Yes: 50 • No: 0
House vote • 2/11/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Actions Timeline
Act 145, 06/25/2026 (Gov. Msg. No. 1246).
6/25/2026SenateAct 145, on 06/25/2026 (Gov. Msg. No. 1246).
6/25/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateTransmitted to Governor.
5/7/2026HousePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
5/6/2026HousePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
5/6/2026SenateReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HouseThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
5/1/2026HouseThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
5/1/2026SenateReported from Conference Committee (Conf Com. Rep. No. 157-26) as amended in (CD 1).
5/1/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
5/1/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 157-26).
5/1/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26
5/1/2026SenateConference Committee Meeting will reconvene on Friday 05-01-26 3:20PM in conference room 329.
4/30/2026HouseConference Committee Meeting will reconvene on Thursday 04-30-26 3:15PM in conference room 329.
4/28/2026HouseBill scheduled for Conference Committee Meeting on Tuesday, 04-28-26 3:15PM in conference room 329.
4/24/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 810).
4/23/2026SenateReceived notice of Senate conferees (Sen. Com. No. 725).
4/23/2026HouseHouse Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos.
4/22/2026HouseSenate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.
4/22/2026SenateReceived notice of disagreement (Hse. Com. No. 780).
4/17/2026SenateHouse disagrees with Senate amendment (s).
4/16/2026HouseReport adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
4/14/2026SenateReturned from Senate (Sen. Com. No. 629) in amended form (SD 2).
4/14/2026HouseReported from WAM (Stand. Com. Rep. No. 3673) with recommendation of passage on Third Reading, as amended (SD 2).
4/9/2026Senate
Bill Text
Bill Text
HB1854_CD1
HB1854_HD1
HB1854_SD1
HB1854_SD2
Original
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