# Hawaii HB 2319: RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.

Hawaii HB 2319, RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Nadine K. Nakamura (Democratic); status signed, last action 2026-05-27 (Act 049, 05/27/2026 (Gov. Msg. No. 1149).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2319-2026
- 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 2319
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.
- Status: signed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-05-27, Act 049, 05/27/2026 (Gov. Msg. No. 1149).
- Sponsor: Nadine K. Nakamura (Democratic)
- Cosponsors: 0
- Subjects: DOH, SHPDA, Function and Responsibilities, Certificate of Need Exemption, HLT, CPC, FIN
- Touches household money: yes
- Roll calls: 10 (217 yes, 0 no in all)
- Economic provisions PRIA read: 0

## 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)

## Bill overview

No economic impacts identified for this bill.

## 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 |   |
| 2026-04-29 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 4 | 0 |   |
| 2026-04-29 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2026-04-10 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-04-06 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 12 | 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 |   |
| 2026-02-13 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |

## Actions (46)

- 2026-05-27: Act 049, 05/27/2026 (Gov. Msg. No. 1149). (Senate)
- 2026-05-27: Act 049, on 05/27/2026 (Gov. Msg. No. 1149). (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)
- 2026-05-01: Reported from Conference Committee (Conf Com. Rep. No. 100-26) as amended in (CD 1). (House)
- 2026-05-01: Forty-eight (48) hours notice Wednesday, 05-06-26. (House)
- 2026-05-01: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 100-26). (Senate)
- 2026-05-01: 48 Hrs. Notice (as amended CD 1) 05-06-26 (Senate)
- 2026-04-29: The 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. (Senate)
- 2026-04-29: The 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. (House)
- 2026-04-28: Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329. (Senate)
- 2026-04-23: Received notice of Senate conferees (Sen. Com. No. 725). (House)
- 2026-04-22: Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella. (Senate)
- 2026-04-20: Re-referred to HLT, CPC, FIN, referral sheet 30 (House)
- 2026-04-20: House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos. (House)
- 2026-04-20: Received notice of appointment of House conferees (Hse. Com. No. 786). (Senate)
- 2026-04-16: Received notice of disagreement (Hse. Com. No. 599). (Senate)
- 2026-04-14: House disagrees with Senate amendment (s). (House)
- 2026-04-10: Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2026-04-10: Returned from Senate (Sen. Com. No. 555) in amended form (SD 1). (House)
- 2026-04-09: Reported from WAM (Stand. Com. Rep. No. 3631) with recommendation of passage on Third Reading. (Senate)
- 2026-04-09: One Day Notice 04-10-26. (Senate)
- 2026-04-06: The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C.. (Senate)
- 2026-04-01: The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference. (Senate)
- 2026-03-25: Reported from HHS (Stand. Com. Rep. No. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. (Senate)
- 2026-03-25: Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. (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. 396). (Senate)
- 2026-03-12: Passed First Reading. (Senate)
- 2026-03-12: Referred to HHS, WAM. (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. 1065-26) 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. 363-26) 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)
- 2026-02-13: 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)
- 2026-02-10: Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-02-02: Referred to HLT, CPC, referral sheet 6 (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/HB2319_CD1_.pdf)
- HB2319_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_CD1_.HTM)
- HB2319_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD1_.HTM)
- HB2319_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD2_.HTM)
- HB2319_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_SD1_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1149_.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/HB2319_CD1_.pdf)
- [HB2319_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_CD1_.HTM)
- [HB2319_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD1_.HTM)
- [HB2319_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD2_.HTM)
- [HB2319_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_SD1_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1149_.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-HB2319-2026 (as of 2026-11-01).