All Roll Calls
Yes: 185 • No: 30
HawaiiHB 18752025–2026 Regular Session (Year 2)House
RELATING TO HEALTH CARE.
Sponsored By: Adrian K. Tam (Democratic)
Passed
Summary
Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care services or gender-affirming health care services. (SD2)
Gender-Affirming Health Care ServicesReproductive Health Care ServicesProtectionsAbusive LitigationMedical Malpractice InsuranceHealth CarriersProtected Health InformationCovered EntitiesHHS/CPN, JDC
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Adrian K. Tam
Democratic • House
Cosponsors
Terez Amato
Democratic • House
Tina Nakada Grandinetti
Democratic • House
Linda Ichiyama
Democratic • House
Greggor Ilagan
Democratic • House
Kim Coco Iwamoto
Democratic • House
Lisa Marten
Democratic • House
Amy A. Perruso
Democratic • House
Roll Call Votes
House vote • 4/23/2026
House Floor Vote
Yes: 42 • No: 8
Senate vote • 4/14/2026
Senate Floor Vote
Yes: 21 • No: 4
Senate vote • 4/7/2026
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 3 • No: 1
Senate vote • 3/24/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 1
Senate vote • 3/20/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
House vote • 3/10/2026
House Floor Vote
Yes: 45 • No: 6
House vote • 2/24/2026
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 7 • No: 1
House vote • 2/18/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA...
Yes: 45 • No: 6
House vote • 2/11/2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 1
House vote • 2/11/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 6 • No: 2
Actions Timeline
Received notice of passage on Final Reading in House (Hse. Com. No. 823).
4/24/2026SenateReceived notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 815).
4/23/2026SenateHouse agrees to Senate amendment(s).
4/23/2026HousePassed Final Reading as amended in SD 2 with Representative(s) Kila, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and Representative(s) Evslin excused (1).
4/23/2026HouseTransmitted to Governor.
4/23/2026HouseReconsideration of action taken on 04-16-26.
4/22/2026HouseReceived 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, 21; Aye(s) with reservations: none. Noes, 4 (Senator(s) Awa, DeCorte, Fevella, Gabbard). Excused, 0 (none). Transmitted to House.
4/14/2026SenateReturned from Senate (Sen. Com. No. 633) in amended form (SD 2).
4/14/2026HouseReported from JDC (Stand. Com. Rep. No. 3798) with recommendation of passage on Third Reading, as amended (SD 2).
4/10/2026Senate48 Hrs. Notice 04-14-26.
4/10/2026SenateThe 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 ; 1 No(es): Senator(s) Gabbard; and 1 Excused: Senator(s) Awa.
4/7/2026SenateThe committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.
4/1/2026SenateReported from HHS/CPN (Stand. Com. Rep. No. 3338) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
3/30/2026SenateReport adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
3/30/2026SenateThe 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 ; 1 No(es): Senator(s) Awa; and 0 Excused: none.
3/24/2026SenateThe 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, Kanuha, Keohokalole; Aye(s) with reservations: Senator(s) Fevella ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey.
3/20/2026SenateThe committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference.
3/20/2026SenateThe committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference.
3/16/2026SenateReceived from House (Hse. Com. No. 306).
3/12/2026SenatePassed First Reading.
3/12/2026SenateReferred to HHS/CPN, JDC.
3/12/2026SenatePassed Third Reading as amended in HD 2 with Representative(s) Kila, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Pierick, Shimizu voting no (6) and none excused (0). Transmitted to Senate.
3/10/2026HouseReported from JHA (Stand. Com. Rep. No. 1141-26) as amended in HD 2, recommending passage on Third Reading.
3/6/2026House
Bill Text
Bill Text
HB1875_HD1
HB1875_HD2
HB1875_SD1
HB1875_SD2
Original
Related Bills
HB 2437 — RELATING TO ARTS EDUCATION.
Appropriates funds to the State Foundation on Culture and the Arts for the Artists in the Schools Program. Effective 1/1/3000. (SD1)
HB 2438 — RELATING TO THE HAWAII CULTURAL TRUST.
Establishes the Hawaii Cultural Trust within the Department of Business, Economic Development, and Tourism. Establishes an income tax credit for contributions made to both the Hawaii Cultural Trust and at least one qualified Hawaii cultural organization, under certain conditions. Establishes a special number plate for motor vehicles to support the Hawaii Cultural Trust. Applies the income tax credit to taxable years beginning after 12/31/2026. Effective 7/1/3050. (SD1)
HB 2436 — RELATING TO ARTS INTEGRATION IN PUBLIC SCHOOLS.
Establishes within the Department of Education arts integration coordinator or specialist positions to support fine arts education and arts integration in public schools statewide. Appropriates funds. Effective 7/1/3000. (HD1)
HB 2417 — RELATING TO ADMINISTRATIVE LICENSE REVOCATION.
Clarifies administrative driver's license revocation procedures by specifying the effect of the notice of administrative revocation and conforming related administrative review and hearing provisions. Effective 7/1/3000. (SD1)
HB 2418 — RELATING TO EDUCATION.
Requires that the Hawaii Teacher Standards Board submit three nominees for its Executive Director to the Board of Education. Requires the Board of Education to appoint an Executive Director from the nominees on the list, subject to advice and consent of the Senate.
HB 2416 — RELATING TO A MARITIME YOUTH APPRENTICESHIP PATHWAY PROGRAM.
Directs the University of Hawaii Community College System, in partnership with state agencies and maritime employers, to conduct a study and develop a plan for a statewide Maritime Youth Apprenticeship Pathway Program for individuals ages 16 to 24. Requires a report to the Legislature with recommendations on program structure, resource needs, proposed legislation and implementation options. Appropriates funds. Effective 7/31/2055. (SD1)