# Hawaii SB 1421: RELATING TO MEDICAL RECORDS.

Hawaii SB 1421, RELATING TO MEDICAL RECORDS., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status failed, last action 2026-04-02 (Received notice of the discharge of all House Conferees (Hse. Com. No. 457).) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB1421-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 1421
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO MEDICAL RECORDS.
- Status: failed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2026-04-02, Received notice of the discharge of all House Conferees (Hse. Com. No. 457).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: DOH, Retention and Preservation of Medical Records, Health Care Providers, Repeal, Ceasing Operations, HLT, JHA
- Touches household money: no
- Roll calls: 7 (152 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Repeals the requirement for the Department of Health to approve a health care provider's arrangement for the retention and preservation of patients' medical records before the provider ceases operations. Clarifies that retention and preservation of medical records must be consistent with federal and state regulations and requires providers to notify patients on how to access or request copies of their medical records. Effective 7/1/3000. (HD2)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Ronald D. Kouchi (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-04 | House | House Floor Vote | pass | 50 | 0 |   |
| 2025-03-25 | House | The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 10 | 0 |   |
| 2025-03-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA... | pass | 49 | 0 |   |
| 2025-03-14 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2025-03-04 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2025-02-26 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 4 | 0 |   |
| 2025-02-03 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |

## Actions (37)

- 2026-04-02: Received notice of the discharge of all House Conferees (Hse. Com. No. 457). (Senate)
- 2026-04-01: House Conferee(s) discharged. (House)
- 2026-03-20: Senate Conferee(s) discharged. (Senate)
- 2026-03-20: Received notice of all Senate conferees being discharged (Sen. Com. No. 409). (House)
- 2025-12-08: Carried over to 2026 Regular Session.
- 2025-04-22: Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-15: Received notice of appointment of House conferees (Hse. Com. No. 731). (Senate)
- 2025-04-15: Senate Conferees Appointed: San Buenaventura Chair; Chang Co-Chair; Hashimoto, Fevella. (Senate)
- 2025-04-15: Received notice of Senate conferees (Sen. Com. No. 789). (House)
- 2025-04-14: House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia. (House)
- 2025-04-08: Received from House (Hse. Com. No. 610). (Senate)
- 2025-04-08: Senate disagrees with House amendments. (Senate)
- 2025-04-08: Received notice of disagreement (Sen. Com. No. 774). (House)
- 2025-04-04: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate. (House)
- 2025-04-02: Reported from JHA (Stand. Com. Rep. No. 1781) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-02: Forty-eight (48) hours notice Friday, 04-04-25. (House)
- 2025-03-25: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Garcia, Shimizu; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Kahaloa. (House)
- 2025-03-21: Bill scheduled to be heard by JHA on Tuesday, 03-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. (House)
- 2025-03-18: Reported from HLT (Stand. Com. Rep. No. 1305) as amended in HD 1, recommending passage on Second Reading and referral to JHA. (House)
- 2025-03-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2). (House)
- 2025-03-14: 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, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2025-03-11: Bill scheduled to be heard by HLT on Friday, 03-14-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-06: Pass First Reading (House)
- 2025-03-06: Referred to HLT, JHA, referral sheet 19 (House)
- 2025-03-04: Report adopted; Passed Third Reading. 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. 327) in amended form (SD 1). (House)
- 2025-02-28: Reported from JDC (Stand. Com. Rep. No. 974) with recommendation of passage on Third Reading. (Senate)
- 2025-02-28: One Day Notice 03-04-25. (Senate)
- 2025-02-26: 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)
- 2025-02-21: The committee(s) on JDC will hold a public decision making on 02-26-25 9:40AM; Conference Room 016 & Videoconference. (Senate)
- 2025-02-12: Reported from HHS (Stand. Com. Rep. No. 326) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate)
- 2025-02-12: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (Senate)
- 2025-02-03: 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, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-01-31: The committee(s) on HHS has scheduled a public hearing on 02-03-25 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS, JDC. (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/session2026/bills/SB1421_HD2_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_.PDF)
- SB1421_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_HD1_.HTM)
- SB1421_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_HD2_.HTM)
- SB1421_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_SD1_.HTM)

## Related bills

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

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_HD2_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_.PDF)
- [SB1421_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_HD1_.HTM)
- [SB1421_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_HD2_.HTM)
- [SB1421_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1421_SD1_.HTM)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [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 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB1421-2026 (as of 2026-11-01).