All Roll Calls
Yes: 234 • No: 0
HawaiiSB 14322025–2026 Regular Session (Year 2)SenateWALLET
RELATING TO CHANGES TO RESPONSIBILITIES OF THE DEPARTMENT OF HEALTH CONCERNING PATIENTS, THE COUNTY OF KALAWAO, AND THE KALAUPAPA SETTLEMENT.
Sponsored By: Ronald D. Kouchi (Democratic)
Signed by Governor
Summary
Authorizes the Department of Health to continue providing services statewide to Hansen's disease patients living in the community. Repeals sections of Chapter 326, HRS, to take effect upon the two‑year anniversary of the passing of the last patient resident of Kalaupapa, as affirmed in a Governor's proclamation. Requires future planning for the Kalaupapa Settlement to include community organizations, including one selected in consultation with the Molokai community. Effective 7/1/3000. (HD2)
DOHHansen's DiseaseExpensesRulesAnnual ReportTransfer to the County of MauiHLT, WAL, FIN
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 2 benefits, 4 costs, 2 mixed.
Patient workers lose pay and pension protections
Patient employees at Hansen’s disease care facilities lose the stated minimum-wage floor and paid sick and vacation leave. Patient employees or laborers also lose the stated pension entitlement after 20 or more years of health department service. The law removes a patient hiring authority and a hiring preference for qualified patients on temporary release or discharged from care.
Kalaupapa residents lose residence protections
Patient residents lose the stated guarantee that they can remain at Kalaupapa for as long as they choose, even after successful treatment. A non-patient spouse also loses the stated right to live there when the patient asks. The law removes a direction for the health department to protect residents’ liberty, choices, and dignity. It does not say residents must leave or state what protections replace these rules.
Visitors no longer need written permission
People without Hansen’s disease no longer need written permission under this law to visit or stay on covered lands. The law also removes the related fine of $10 to $100.
Continued care for Hansen’s disease
Hawaii’s health department must provide needed care and treatment for people with Hansen’s disease. It must seek a cure and provide care consistent with accepted medical practice. The law removes language allowing compulsory isolation and treatment.
Kalaupapa store loses funding and price rules
The law ends the requirement for state general fund money for the Kalaupapa store and the health department’s related budget request. The store is also no longer barred by this law from charging more than merchandise costs. The law does not state an amount, set new prices, or say whether other funding remains.
Patients lose care and transfer protections
Patients at Hale Mohalu and Kalaupapa lose a rule calling for care and privileges to be as equal as practicable. People at Kalaupapa also lose the stated option to request a move to Hale Mohalu or return. The law does not state what standards or transfer process replace these rules.
New fishing rules near Kalawao
Patients fishing along Kalawao’s shorelines or in nearby waters must follow state fishing laws. The law also removes the specific ban on selling their catch outside Kalawao.
Kalawao becomes part of Maui County
Kalaupapa, Kalawao, and Waikolu become part of Maui County instead of forming a county on their own. The health department director’s rulemaking authority no longer includes full governance of Kalawao, but still covers Hansen’s disease care and related services. The law does not specify a direct change to household payments or services.
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/6/2026
House Floor Vote
Yes: 51 • No: 0
Senate vote • 5/1/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 3 • No: 0
House vote • 5/1/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 3 • No: 0
House vote • 4/9/2026
House Floor Vote
Yes: 49 • No: 0
House vote • 4/7/2026
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 15 • No: 0
House vote • 3/19/2026
The committee on WAL recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
House vote • 3/14/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on WAL...
Yes: 47 • No: 0
House vote • 3/12/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/26/2025
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 2/26/2025
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 13 • No: 0
Senate vote • 2/6/2025
The committee(s) on EIG recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Senate vote • 2/6/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 3 • No: 0
Actions Timeline
Act 171, 06/26/2026 (Gov. Msg. No. 1273).
6/26/2026SenateAct 171, on 06/26/2026 (Gov. Msg. No. 1273).
6/26/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateEnrolled to Governor.
5/8/2026SenatePassed 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).
5/6/2026HouseConference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.
5/1/2026HouseThe 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, Wakai, DeCoite; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Rhoads.
5/1/2026SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Garcia; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Hashem.
5/1/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 225-26).
5/1/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26.
5/1/2026SenateReported from Conference Committee (Conf Com. Rep. No. 225-26) as amended in (CD 1).
5/1/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
5/1/2026HouseConference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
4/30/2026HouseBill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
4/29/2026HouseReceived notice of Senate conferees (Sen. Com. No. 720).
4/22/2026HouseHouse Conferees Appointed: Takayama, Hashem, Keohokapu-Lee Loy Co-Chairs; Garcia.
4/21/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 800).
4/21/2026SenateSenate Conferees Appointed: San Buenaventura Chair; Wakai, DeCoite, Rhoads Co-Chairs.
4/21/2026SenateReceived from House (Hse. Com. No. 497).
4/10/2026SenateSenate disagrees with House amendments.
4/10/2026SenateReceived notice of disagreement (Sen. Com. No. 564).
4/10/2026HouseReported from FIN (Stand. Com. Rep. No. 2008-26), recommending passage on Third Reading.
4/9/2026HousePassed Third Reading with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate.
4/9/2026House
Bill Text
Bill Text
Original
SB1432_CD1
SB1432_HD1
SB1432_HD2
SB1432_SD1
SB1432_SD2
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