All Roll Calls
Yes: 217 • No: 0
HawaiiHB 23192025–2026 Regular Session (Year 2)HouseWALLET
RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.
Sponsored By: Nadine K. Nakamura (Democratic)
Signed by Governor
Summary
Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for chapter 323D, HRS. Amends the exemption threshold for bed changes to up to thirty per cent of existing licensed bed types. Exempts the Department of Health from certificate of need requirements. Effective 1/30/2050. (SD1)
DOHSHPDAFunction and ResponsibilitiesCertificate of Need ExemptionHLT, CPC, FIN
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Bill Overview
No Economic Impacts Identified for this Bill
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 • 4/29/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 4 • No: 0
Senate vote • 4/29/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 3 • No: 0
Senate vote • 4/10/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 4/6/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...
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 • 3/10/2026
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 • 2/13/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Actions Timeline
Act 049, 05/27/2026 (Gov. Msg. No. 1149).
5/27/2026SenateAct 049, on 05/27/2026 (Gov. Msg. No. 1149).
5/27/2026HouseReceived 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. 100-26) 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. 100-26).
5/1/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26
5/1/2026SenateThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Kanuha, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
4/29/2026SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
4/29/2026HouseConference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
4/28/2026SenateReceived notice of Senate conferees (Sen. Com. No. 725).
4/23/2026HouseSenate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.
4/22/2026SenateRe-referred to HLT, CPC, FIN, referral sheet 30
4/20/2026HouseHouse Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos.
4/20/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 786).
4/20/2026SenateReceived notice of disagreement (Hse. Com. No. 599).
4/16/2026SenateHouse disagrees with Senate amendment (s).
4/14/2026HouseReport Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House.
4/10/2026SenateReturned from Senate (Sen. Com. No. 555) in amended form (SD 1).
4/10/2026HouseReported from WAM (Stand. Com. Rep. No. 3631) with recommendation of passage on Third Reading.
4/9/2026SenateOne Day Notice 04-10-26.
4/9/2026Senate
Bill Text
Bill Text
HB2319_CD1
HB2319_HD1
HB2319_HD2
HB2319_SD1
Original
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