# Hawaii HB 2314: RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.

Hawaii HB 2314, RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Nadine K. Nakamura (Democratic); status signed, last action 2026-06-04 (Act 085, 06/04/2026 (Gov. Msg. No. 1185).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2314-2026
- 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 2314
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.
- Status: signed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-06-04, Act 085, 06/04/2026 (Gov. Msg. No. 1185).
- Sponsor: Nadine K. Nakamura (Democratic)
- Cosponsors: 0
- Subjects: Department of Health, State Emergency Medical Systems of Care, State Emergency Medical Services, Community Paramedicine Program, Integrated Mobile Health Care, Advisory Council, HHS, JDC
- Touches household money: yes
- Roll calls: 10 (208 yes, 0 no in all)
- Economic provisions PRIA read: 5

## Summary

Modernizes Hawaii's emergency medical services laws to align with current best practices. Effective 7/1/3000. (SD1)

## Bill overview: provisions PRIA read

- A statewide network for emergency care: benefit, low. 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 depar…
- More air transport in emergency care: benefit, low. 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 facili…
- More community care and telehealth services: benefit, low. 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 rem…
- More data to improve emergency care: benefit, low. 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: benefit, low. 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 and cosponsors

- Sponsor: Nadine K. Nakamura (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-06 | House | House Floor Vote | pass | 51 | 0 |   |
| 2026-04-24 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 4 | 0 |   |
| 2026-04-24 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 2 | 0 |   |
| 2026-04-14 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-04-07 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 4 | 0 |   |
| 2026-03-18 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2026-03-10 | House | House Floor Vote | pass | 48 | 0 |   |
| 2026-03-03 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 10 | 0 |   |
| 2026-02-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 50 | 0 |   |
| 2026-02-11 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |

## Actions (45)

- 2026-06-04: Act 085, 06/04/2026 (Gov. Msg. No. 1185). (Senate)
- 2026-06-04: Act 085, on 06/04/2026 (Gov. Msg. No. 1185). (House)
- 2026-05-08: Received notice of passage on Final Reading in House (Hse. Com. No. 888). (Senate)
- 2026-05-07: Transmitted to Governor. (House)
- 2026-05-06: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. (Senate)
- 2026-05-06: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-05-06: Received notice of Final Reading (Sen. Com. No. 816). (House)
- 2026-04-29: Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1). (House)
- 2026-04-29: Forty-eight (48) hours notice Wednesday, 05-06-26. (House)
- 2026-04-29: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26). (Senate)
- 2026-04-29: 48 Hrs. Notice (as amended CD 1) 05-06-26 (Senate)
- 2026-04-24: The 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. (House)
- 2026-04-24: The 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. (Senate)
- 2026-04-23: Received notice of Senate conferees (Sen. Com. No. 725). (House)
- 2026-04-23: Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329. (House)
- 2026-04-22: Senate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella. (Senate)
- 2026-04-20: House Conferees Appointed: Takayama, Grandinetti Co-Chairs; Keohokapu-Lee Loy, 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. 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. 679) in amended form (SD 1). (House)
- 2026-04-10: Reported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading. (Senate)
- 2026-04-10: One Day Notice 04-14-26. (Senate)
- 2026-04-07: The 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. (Senate)
- 2026-04-01: The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference. (Senate)
- 2026-03-25: Reported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate)
- 2026-03-25: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (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)
- 2026-03-12: Received from House (Hse. Com. No. 395). (Senate)
- 2026-03-12: Passed First Reading. (Senate)
- 2026-03-12: Referred to HHS, JDC. (Senate)
- 2026-03-10: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate. (House)
- 2026-03-06: Reported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading. (House)
- 2026-03-06: Forty-eight (48) hours notice Tuesday, 03-10-26. (House)
- 2026-03-03: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick. (House)
- 2026-02-27: Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-02-18: Reported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2026-02-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC 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)
- 2026-01-30: Referred to HLT, CPC, referral sheet 5 (House)
- 2026-01-28: Introduced and Pass First Reading. (House)
- 2026-01-26: Pending introduction. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_CD1_.pdf)
- HB2314_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_CD1_.HTM)
- HB2314_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD1_.HTM)
- HB2314_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD2_.HTM)
- HB2314_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_SD1_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1185_.PDF)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 1973: RELATING TO HEALTH. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_CD1_.pdf)
- [HB2314_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_CD1_.HTM)
- [HB2314_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD1_.HTM)
- [HB2314_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD2_.HTM)
- [HB2314_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_SD1_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1185_.PDF)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [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 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 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026)
- [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-HB2314-2026 (as of 2026-11-01).