# Hawaii SB 1432: RELATING TO CHANGES TO RESPONSIBILITIES OF THE DEPARTMENT OF HEALTH CONCERNING PATIENTS, THE COUNTY OF KALAWAO, AND THE KALAUPAPA SETTLEMENT.

Hawaii SB 1432, RELATING TO CHANGES TO RESPONSIBILITIES OF THE DEPARTMENT OF HEALTH CONCERNING PATIENTS, THE COUNTY OF KALAWAO, AND THE KALAUPAPA SETTLEMENT., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status signed, last action 2026-06-26 (Act 171, 06/26/2026 (Gov. Msg. No. 1273).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB1432-2026
- 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 1432
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO CHANGES TO RESPONSIBILITIES OF THE DEPARTMENT OF HEALTH CONCERNING PATIENTS, THE COUNTY OF KALAWAO, AND THE KALAUPAPA SETTLEMENT.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2026-06-26, Act 171, 06/26/2026 (Gov. Msg. No. 1273).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: DOH, Hansen's Disease, Expenses, Rules, Annual Report, Transfer to the County of Maui, HLT, WAL, FIN
- Touches household money: yes
- Roll calls: 13 (234 yes, 0 no in all)
- Economic provisions PRIA read: 8

## 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)

## Bill overview: provisions PRIA read

- Visitors no longer need written permission: benefit, low. 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: benefit, low. 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.
- Patient workers lose pay and pension protections: cost, high. 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 hir…
- Kalaupapa residents lose residence protections: cost, medium. 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…
- Kalaupapa store loses funding and price rules: cost, low. 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 fund…
- Patients lose care and transfer protections: cost, low. 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: mixed, low. 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: mixed, low. 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 ch…

## Sponsors and cosponsors

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

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-06 | House | House Floor Vote | pass | 51 | 0 |   |
| 2026-05-01 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2026-05-01 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 3 | 0 |   |
| 2026-04-09 | House | House Floor Vote | pass | 49 | 0 |   |
| 2026-04-07 | House | The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ... | pass | 15 | 0 |   |
| 2026-03-19 | House | The committee on WAL recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 0 |   |
| 2025-03-14 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on WAL... | 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 JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-02-26 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 13 | 0 |   |
| 2025-02-06 | Senate | The committee(s) on EIG recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2025-02-06 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 0 |   |

## Actions (56)

- 2026-06-26: Act 171, 06/26/2026 (Gov. Msg. No. 1273). (Senate)
- 2026-06-26: Act 171, on 06/26/2026 (Gov. Msg. No. 1273). (House)
- 2026-05-08: Received notice of passage on Final Reading in House (Hse. Com. No. 888). (Senate)
- 2026-05-08: Enrolled to Governor. (Senate)
- 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: Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329. (House)
- 2026-05-01: 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, Wakai, DeCoite; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Rhoads. (Senate)
- 2026-05-01: The 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. (House)
- 2026-05-01: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 225-26). (Senate)
- 2026-05-01: 48 Hrs. Notice (as amended CD 1) 05-06-26. (Senate)
- 2026-05-01: Reported from Conference Committee (Conf Com. Rep. No. 225-26) as amended in (CD 1). (House)
- 2026-05-01: Forty-eight (48) hours notice Wednesday, 05-06-26. (House)
- 2026-04-30: Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329. (House)
- 2026-04-29: Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329. (House)
- 2026-04-22: Received notice of Senate conferees (Sen. Com. No. 720). (House)
- 2026-04-21: House Conferees Appointed: Takayama, Hashem, Keohokapu-Lee Loy Co-Chairs; Garcia. (House)
- 2026-04-21: Received notice of appointment of House conferees (Hse. Com. No. 800). (Senate)
- 2026-04-21: Senate Conferees Appointed: San Buenaventura Chair; Wakai, DeCoite, Rhoads Co-Chairs. (Senate)
- 2026-04-10: Received from House (Hse. Com. No. 497). (Senate)
- 2026-04-10: Senate disagrees with House amendments. (Senate)
- 2026-04-10: Received notice of disagreement (Sen. Com. No. 564). (House)
- 2026-04-09: Reported from FIN (Stand. Com. Rep. No. 2008-26), recommending passage on Third Reading. (House)
- 2026-04-09: Passed Third Reading with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate. (House)
- 2026-04-07: The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Morikawa. (House)
- 2026-04-02: The committee(s) on FIN recommend(s) that the measure be deferred until 04-07-26. (House)
- 2026-04-02: Bill scheduled for decision making on Tuesday, 04-07-26 10:10AM in conference room 308 VIA VIDEOCONFERENCE. (House)
- 2026-03-31: Bill scheduled to be heard by FIN on Thursday, 04-02-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2026-03-24: Reported from WAL (Stand. Com. Rep. No. 1341-26) as amended in HD 2, recommending referral to FIN. (House)
- 2026-03-24: Report adopted; referred to the committee(s) on FIN as amended in HD 2 with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Garrett, Quinlan excused (2). (House)
- 2026-03-19: The committee on WAL recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Hashem, Morikawa, Ichiyama, Iwamoto, Poepoe, Woodson, Shimizu, Souza; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Belatti. (House)
- 2026-03-16: Bill scheduled to be heard by WAL on Thursday, 03-19-26 9:00AM in House conference room 411 VIA VIDEOCONFERENCE. (House)
- 2025-12-08: Carried over to 2026 Regular Session.
- 2025-03-14: Reported from HLT (Stand. Com. Rep. No. 1232) as amended in HD 1, recommending passage on Second Reading and referral to WAL. (House)
- 2025-03-14: Passed Second Reading as amended in HD 1 and referred to the committee(s) on WAL with Representative(s) Garcia, Pierick, Poepoe voting aye with reservations; none voting no (0) and Representative(s) Cochran, Holt, Iwamoto, Ward excused (4). (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, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Amato, Garcia; 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, WAL, 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. 331) in amended form (SD 2). (House)
- 2025-02-28: Reported from WAM/JDC (Stand. Com. Rep. No. 1003) 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 WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-02-26: The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-02-21: The committee(s) on WAM/JDC will hold a public decision making on 02-26-25 10:05AM; Conference Room 211 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS/EIG (Stand. Com. Rep. No. 631) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM/JDC. (Senate)
- 2025-02-14: Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM/JDC. (Senate)
- 2025-02-14: The committee(s) on WAM/JDC will hold a public decision making on 02-19-25 10:16AM; Conference Room 211 & Videoconference. (Senate)
- 2025-02-06: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Hashimoto, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Aquino, Keohokalole. (Senate)
- 2025-02-06: The committee(s) on EIG recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in EIG were as follows: 4 Aye(s): Senator(s) Wakai, Chang, DeCoite, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Richards. (Senate)
- 2025-01-31: The committee(s) on HHS/EIG has scheduled a public hearing on 02-06-25 3:00PM; Conference Room 016 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS/EIG, WAM/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/SB1432_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1273_.PDF)
- SB1432_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_CD1_.HTM)
- SB1432_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_HD1_.HTM)
- SB1432_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_HD2_.HTM)
- SB1432_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_SD1_.HTM)
- SB1432_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_SD2_.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/SB1432_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1273_.PDF)
- [SB1432_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_CD1_.HTM)
- [SB1432_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_HD1_.HTM)
- [SB1432_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_HD2_.HTM)
- [SB1432_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_SD1_.HTM)
- [SB1432_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1432_SD2_.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)
- [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-SB1432-2026 (as of 2026-11-01).