All Roll Calls
Yes: 191 • No: 0
HawaiiSB 14412025–2026 Regular Session (Year 1)SenateWALLET
RELATING TO THE TRANSITION OF THE OAHU REGIONAL HEALTH CARE SYSTEM FROM THE HAWAII HEALTH SYSTEMS CORPORATION INTO THE DEPARTMENT OF HEALTH.
Sponsored By: Ronald D. Kouchi (Democratic)
Signed by Governor
Summary
Repeals the requirement to transfer the Oahu Regional Health Care System (Oahu Region) from the Hawaii Health Systems Corporation to the Department of Health. Repeals certain changes to the HRS that were made by Act 212, SLH 2021. Requires the Oahu Region and the Department of Health to enter into a formal memorandum of agreement regarding the care of certain psychiatrically stable patients transferred or discharged from the Hawaii State Hospital to an appropriate Oahu Region facility, subject to certain conditions. Requires the Oahu Region to submit a report to the Legislature. (HD2)
HHSCDOHOahu Regional Health Care SystemTransferRepealAgreementReportHLT, FIN
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Care rules for state hospital referrals
Starting July 1, 2025, the Oahu regional health care system and the state health department must agree on care for qualifying Hawaii State Hospital referrals by November 30, 2025. Patients must be psychiatrically stable and need institutional care. Every referred patient gets a clinical assessment. Patients admitted to Leahi Hospital must receive medically necessary hospital support, including on-call access and psychiatric consultations 24 hours a day, seven days a week.
Oahu hospitals can request operating funds
Starting July 1, 2025, the Oahu regional health care system must request operating funds for Leahi Hospital and Maluhia with HHSC’s budget requests. Any approved funding is tracked under program ID HTH 215. The law does not provide or guarantee funding; money must be approved through an appropriation.
Oahu health system transfer rules change
Starting July 1, 2025, the law cancels the required transfer of Oahu’s health care system to the state health department. It also removes a state department branch as an option for taking over a regional system or facility. Real property can transfer only by lease.
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/16/2025
Senate Floor Vote
Yes: 23 • No: 0
House vote • 4/8/2025
House Floor Vote
Yes: 49 • No: 0
House vote • 3/28/2025
The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 14 • No: 0
House vote • 3/18/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...
Yes: 49 • No: 0
House vote • 3/14/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/27/2025
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 2/27/2025
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 13 • No: 0
Senate vote • 2/5/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
Act 062, 05/16/2025 (Gov. Msg. No. 1162).
5/16/2025SenateAct 062, on 05/16/2025 (Gov. Msg. No. 1162).
5/16/2025HousePassed Final Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 0 (none). Excused, 2 (Senator(s) Fevella, Ihara).
4/16/2025SenateReceived notice of Final Reading (Sen. Com. No. 806).
4/16/2025HouseEnrolled to Governor.
4/16/2025SenateReconsideration of action taken on 04-10-25 in disagreeing to the House amendments.
4/15/2025SenateSenate agrees with House amendments. Placed on the calendar for Final Reading on 04-16-25.
4/15/2025SenateOne Day Notice 04-16-25
4/15/2025SenateReceived notice of reconsideration and Senate agreement (Sen. Com. No. 786).
4/15/2025HouseReceived from House (Hse. Com. No. 690).
4/10/2025SenateSenate disagrees with House amendments.
4/10/2025SenateReceived notice of disagreement (Sen. Com. No. 779).
4/10/2025HousePassed 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.
4/8/2025HouseReported from FIN (Stand. Com. Rep. No. 2001) as amended in HD 2, recommending passage on Third Reading.
4/4/2025HouseForty-eight (48) hours notice Tuesday, 04-08-25.
4/4/2025HouseThe 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.
3/28/2025HouseBill scheduled to be heard by FIN on Friday, 03-28-25 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
3/25/2025HouseReported from HLT (Stand. Com. Rep. No. 1315) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
3/18/2025HousePassed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2).
3/18/2025HouseThe 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.
3/14/2025HouseBill scheduled to be heard by HLT on Friday, 03-14-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
3/11/2025HousePass First Reading
3/6/2025HouseReferred to HLT, FIN, referral sheet 19
3/6/2025HouseReport adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
3/4/2025SenateReceived from Senate (Sen. Com. No. 336) in amended form (SD 2).
3/4/2025House
Bill Text
Bill Text
Original
SB1441_HD1
SB1441_HD2
SB1441_SD1
SB1441_SD2
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