# Hawaii SB 1281: RELATING TO TELEHEALTH.

Hawaii SB 1281, RELATING TO TELEHEALTH., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by AQUINO; status signed, last action 2025-06-25 (Act 217, 06/25/2025 (Gov. Msg. No. 1319).); PRIA reads it as touching household money (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1281-2025
- As of: 2026-10-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 1281
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO TELEHEALTH.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-06-25, Act 217, 06/25/2025 (Gov. Msg. No. 1319).
- Sponsor: AQUINO
- Cosponsors: 6
- Subjects: Telehealth, Interactive Telecommunications Systems, Insurance Reimbursement, HLT, CPC, FIN
- Touches household money: yes
- Roll calls: 11 (215 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

Extends the sunset date of Act 107, SLH 2023, which allows for the reimbursement of services provided through telehealth via an interactive telecommunications system, until 12/31/2027. (CD1)

## Bill overview: provisions PRIA read

- Hawaii extends telehealth reimbursement through 2027: benefit, low. Beginning July 1, 2025, Hawaii extends rules allowing insurance reimbursement for covered telehealth services through December 31, 2027. Services must use an interactive telecommunications system. On December 31, 2027, the extended rules expire, and the affected state laws return to their earlier f…

## Sponsors and cosponsors

- Sponsor: AQUINO
- Cosponsor: Stanley Chang (Democratic), Senate
- Cosponsor: Kurt Fevella (Republican), Senate
- Cosponsor: Mike Gabbard (Democratic), Senate
- Cosponsor: Angus L.K. McKelvey (Democratic), Senate
- Cosponsor: Sharon Y. Moriwaki (Democratic), Senate
- Cosponsor: Joy A. San Buenaventura (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-30 | House | House Floor Vote | pass | 49 | 0 |   |
| 2025-04-23 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2025-04-23 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 5 | 0 |   |
| 2025-04-08 | House | House Floor Vote | pass | 49 | 0 |   |
| 2025-03-28 | House | The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 14 | 0 |   |
| 2025-03-19 | House | The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes ... | pass | 8 | 0 |   |
| 2025-03-14 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 47 | 0 |   |
| 2025-03-12 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 0 |   |
| 2025-03-04 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2025-02-26 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 0 |   |
| 2025-02-05 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (53)

- 2025-06-25: Act 217, 06/25/2025 (Gov. Msg. No. 1319). (Senate)
- 2025-06-25: Act 217, on 06/25/2025 (Gov. Msg. No. 1319). (House)
- 2025-05-02: Received notice of passage on Final Reading in House (Hse. Com. No. 821). (Senate)
- 2025-05-02: Enrolled to Governor. (Senate)
- 2025-05-01: Received notice of Final Reading (Sen. Com. No. 888). (House)
- 2025-04-30: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. (Senate)
- 2025-04-30: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2). (House)
- 2025-04-24: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 67). (Senate)
- 2025-04-24: 48 Hrs. Notice (as amended CD 1) 04-30-25. (Senate)
- 2025-04-24: Reported from Conference Committee (Conf Com. Rep. No. 67) as amended in (CD 1). (House)
- 2025-04-24: Forty-eight (48) hours notice Wednesday, 04-30-25. (House)
- 2025-04-23: 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) Aquino, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Hashimoto. (Senate)
- 2025-04-23: The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Olds, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2025-04-22: Conference committee meeting to reconvene on 04-23-25 3:15PM; Conference Room 329. (Senate)
- 2025-04-21: Received notice of appointment of House conferees (Hse. Com. No. 754). (Senate)
- 2025-04-21: Conference committee meeting to reconvene on 04-22-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-17: House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Olds, Alcos. (House)
- 2025-04-17: Conference committee meeting scheduled for 04-21-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-15: Senate Conferees Appointed: Aquino Chair; Keohokalole Co-Chair; Hashimoto, Fevella. (Senate)
- 2025-04-15: Received notice of Senate conferees (Sen. Com. No. 789). (House)
- 2025-04-10: Received from House (Hse. Com. No. 676). (Senate)
- 2025-04-10: Senate disagrees with House amendments. (Senate)
- 2025-04-10: Received notice of disagreement (Sen. Com. No. 779). (House)
- 2025-04-08: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Marten excused (2). Transmitted to Senate. (House)
- 2025-04-04: Reported from FIN (Stand. Com. Rep. No. 2003) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-04: Forty-eight (48) hours notice Tuesday, 04-08-25. (House)
- 2025-03-28: The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 14 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo, Alcos, Reyes Oda; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Hussey, Ward. (House)
- 2025-03-25: Bill scheduled to be heard by FIN on Friday, 03-28-25 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2025-03-21: Reported from CPC (Stand. Com. Rep. No. 1474), recommending referral to FIN. (House)
- 2025-03-21: Report adopted; referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Garrett, Kapela, Kitagawa, Ward excused (5). (House)
- 2025-03-19: The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Chun, Ichiyama, Iwamoto, Kong, Lowen, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Ilagan, Marten. (House)
- 2025-03-14: Reported from HLT (Stand. Com. Rep. No. 1228) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2025-03-14: 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 Representative(s) Cochran, Holt, Iwamoto, Ward excused (4). (House)
- 2025-03-14: Bill scheduled to be heard by CPC on Wednesday, 03-19-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-12: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Alcos. (House)
- 2025-03-07: Bill scheduled to be heard by HLT on Wednesday, 03-12-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-06: Pass First Reading (House)
- 2025-03-06: Referred to HLT, CPC, FIN, referral sheet 19 (House)
- 2025-03-04: Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2025-03-04: Received from Senate (Sen. Com. No. 292) in amended form (SD 2). (House)
- 2025-02-28: Reported from CPN (Stand. Com. Rep. No. 899) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-02-28: 48 Hrs. Notice 03-04-25. (Senate)
- 2025-02-26: The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Richards, Awa. (Senate)
- 2025-02-25: The committee(s) on CPN deferred the measure until 02-26-25 9:31AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-20: The committee(s) on CPN deferred the measure until 02-25-25 9:30AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS (Stand. Com. Rep. No. 580) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. (Senate)
- 2025-02-14: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. (Senate)
- 2025-02-14: The committee(s) on CPN will hold a public decision making on 02-20-25 9:30AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-05: The 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, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2025-01-31: The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS, CPN. (Senate)
- 2025-01-23: Introduced and passed First Reading. (Senate)
- 2025-01-21: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1319_.PDF)
- SB1281_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_CD1_.HTM)
- SB1281_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_HD1_.HTM)
- SB1281_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_HD2_.HTM)
- SB1281_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_SD1_.HTM)
- SB1281_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_SD2_.HTM)

## Related bills

- HB 431: RELATING TO HOUSING. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)
- SB 1231: RELATING TO PARENTAGE. (signed)
- SB 935: RELATING TO GOVERNMENT. (signed)
- HB 703: RELATING TO KUPUNA HOUSING. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1319_.PDF)
- [SB1281_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_CD1_.HTM)
- [SB1281_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_HD1_.HTM)
- [SB1281_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_HD2_.HTM)
- [SB1281_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_SD1_.HTM)
- [SB1281_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1281_SD2_.HTM)

## Related
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB1044-2025)
- [SB 1231: RELATING TO PARENTAGE.](https://policyrisk.com/state-bill/HI-SB1231-2025)
- [SB 935: RELATING TO GOVERNMENT.](https://policyrisk.com/state-bill/HI-SB935-2025)
- [HB 703: RELATING TO KUPUNA HOUSING.](https://policyrisk.com/state-bill/HI-HB703-2025)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/HI-SB1281-2025 (as of 2026-10-27).