All Roll Calls
Yes: 208 • No: 0
HawaiiHB 23142025–2026 Regular Session (Year 2)HouseWALLET
RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.
Sponsored By: Nadine K. Nakamura (Democratic)
Signed by Governor
Summary
Modernizes Hawaii's emergency medical services laws to align with current best practices. Effective 7/1/3000. (SD1)
Department of HealthState Emergency Medical Systems of CareState Emergency Medical ServicesCommunity Paramedicine ProgramIntegrated Mobile Health CareAdvisory CouncilHHS, JDC
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 5 benefits, 0 costs, 0 mixed.
A statewide network for emergency care
Hawaii creates a statewide network linking emergency response, hospitals, trauma care, disaster response, and follow-up services. The Department of Health sets ambulance service levels for counties in the defined service area. Counties can apply to run state ambulance services; otherwise, the department must provide them or hire a private agency. The law sets a minimum of 21 ground ambulance units per county, while counties with 500,000 or more residents are excluded from the service-area definition.
More air transport in emergency care
Hawaii's emergency care system includes qualifying medical care and patient transport by aircraft. A licensed air ambulance operator must provide the service with qualified medical staff. The Department of Health's Medicom center coordinates emergency air transports with providers and health facilities, including transport by the U.S. Coast Guard, and keeps a registry of all emergency transports.
More community care and telehealth services
The Department of Health runs a community paramedicine program that includes mobile care, community health workers, primary care, prevention, and telehealth. The department must work with insurers, health providers, and community partners. Approved, licensed personnel can support telehealth and remote monitoring under medical direction. Interim rules can remain in effect until July 1, 2029, or until permanent rules take effect, whichever comes first; the department must report program expenses and funding sources to the Legislature at least 20 days before each regular session.
More data to improve emergency care
The Department of Health collects and reviews data on burn and stroke emergencies, along with other emergency types. The department uses the information to evaluate and improve emergency care. The law sets no household payment for this work.
More emergency procedures for basic life support workers
State-approved basic life support workers can use automated and manual defibrillators, start intravenous lines, and place tourniquets. A state-licensed clinician must direct and personally supervise these procedures. Workers must follow Department of Health rules.
Sponsors & Cosponsors
Sponsor
Nadine K. Nakamura
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
House vote • 4/24/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 4 • No: 0
Senate vote • 4/24/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 2 • No: 0
Senate vote • 4/14/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 4/7/2026
The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 4 • 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 • 3/10/2026
House Floor Vote
Yes: 48 • No: 0
House vote • 3/3/2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 10 • No: 0
House vote • 2/18/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
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 085, 06/04/2026 (Gov. Msg. No. 1185).
6/4/2026SenateAct 085, on 06/04/2026 (Gov. Msg. No. 1185).
6/4/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateTransmitted to Governor.
5/7/2026HousePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
5/6/2026SenatePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
5/6/2026HouseReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HouseReported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).
4/29/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
4/29/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).
4/29/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26
4/29/2026SenateThe 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 reservations: none; 0 Noes: none; and 0 Excused: none.
4/24/2026HouseThe 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) McKelvey, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
4/24/2026SenateReceived notice of Senate conferees (Sen. Com. No. 725).
4/23/2026HouseBill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.
4/23/2026HouseSenate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.
4/22/2026SenateHouse Conferees Appointed: Takayama, Grandinetti Co-Chairs; Keohokapu-Lee Loy, Alcos.
4/20/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 786).
4/20/2026SenateReceived notice of disagreement (Hse. Com. No. 780).
4/17/2026SenateHouse disagrees with Senate amendment (s).
4/16/2026HouseReport adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
4/14/2026SenateReturned from Senate (Sen. Com. No. 679) in amended form (SD 1).
4/14/2026HouseReported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.
4/10/2026SenateOne Day Notice 04-14-26.
4/10/2026SenateThe committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
4/7/2026Senate
Bill Text
Bill Text
HB2314_CD1
HB2314_HD1
HB2314_HD2
HB2314_SD1
Original
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