# Hawaii SB 1441: RELATING TO THE TRANSITION OF THE OAHU REGIONAL HEALTH CARE SYSTEM FROM THE HAWAII HEALTH SYSTEMS CORPORATION INTO THE DEPARTMENT OF HEALTH.

Hawaii SB 1441, RELATING TO THE TRANSITION OF THE OAHU REGIONAL HEALTH CARE SYSTEM FROM THE HAWAII HEALTH SYSTEMS CORPORATION INTO THE DEPARTMENT OF HEALTH., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by Ronald D. Kouchi (Democratic); status signed, last action 2025-05-16 (Act 062, 05/16/2025 (Gov. Msg. No. 1162).); PRIA reads it as touching household money (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1441-2025
- 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 1441
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO THE TRANSITION OF THE OAHU REGIONAL HEALTH CARE SYSTEM FROM THE HAWAII HEALTH SYSTEMS CORPORATION INTO THE DEPARTMENT OF HEALTH.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-05-16, Act 062, 05/16/2025 (Gov. Msg. No. 1162).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: HHSC, DOH, Oahu Regional Health Care System, Transfer, Repeal, Agreement, Report, HLT, FIN
- Touches household money: yes
- Roll calls: 9 (191 yes, 0 no in all)
- Economic provisions PRIA read: 3

## 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)

## Bill overview: provisions PRIA read

- Care rules for state hospital referrals: benefit, medium. 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.…
- Oahu hospitals can request operating funds: benefit, low. 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 appropriati…
- Oahu health system transfer rules change: mixed, low. 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 and cosponsors

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

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-16 | Senate | Senate Floor Vote | pass | 23 | 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 |   |
| 2025-03-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN... | 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 |   |
| 2025-02-27 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-02-27 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 13 | 0 |   |
| 2025-02-05 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (37)

- 2025-05-16: Act 062, 05/16/2025 (Gov. Msg. No. 1162). (Senate)
- 2025-05-16: Act 062, on 05/16/2025 (Gov. Msg. No. 1162). (House)
- 2025-04-16: Passed Final Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 0 (none). Excused, 2 (Senator(s) Fevella, Ihara). (Senate)
- 2025-04-16: Received notice of Final Reading (Sen. Com. No. 806). (House)
- 2025-04-16: Enrolled to Governor. (Senate)
- 2025-04-15: Reconsideration of action taken on 04-10-25 in disagreeing to the House amendments. (Senate)
- 2025-04-15: Senate agrees with House amendments. Placed on the calendar for Final Reading on 04-16-25. (Senate)
- 2025-04-15: One Day Notice 04-16-25 (Senate)
- 2025-04-15: Received notice of reconsideration and Senate agreement (Sen. Com. No. 786). (House)
- 2025-04-10: Received from House (Hse. Com. No. 690). (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. 2001) 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)
- 2025-03-18: Reported from HLT (Stand. Com. Rep. No. 1315) as amended in HD 1, recommending passage on Second Reading and referral to FIN. (House)
- 2025-03-18: Passed 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). (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, 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. 336) in amended form (SD 2). (House)
- 2025-02-28: Reported from JDC/WAM (Stand. Com. Rep. No. 1007) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-02-28: 48 Hrs. Notice 03-04-25. (Senate)
- 2025-02-27: 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)
- 2025-02-27: 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)
- 2025-02-25: The committee(s) on JDC/WAM will hold a public decision making on 02-27-25 10:25AM; Conference Room 211 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS (Stand. Com. Rep. No. 581) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM. (Senate)
- 2025-02-14: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM. (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, JDC/WAM. (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/SB1441_HD2_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1162_.PDF)
- SB1441_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_HD1_.HTM)
- SB1441_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_HD2_.HTM)
- SB1441_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_SD1_.HTM)
- SB1441_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_SD2_.HTM)

## Related bills

- HB 431: RELATING TO HOUSING. (signed)
- HB 420: RELATING TO REMEDIES. (signed)
- SB 1296: RELATING TO DISASTER RECOVERY. (signed)
- HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_HD2_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1162_.PDF)
- [SB1441_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_HD1_.HTM)
- [SB1441_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_HD2_.HTM)
- [SB1441_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_SD1_.HTM)
- [SB1441_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1441_SD2_.HTM)

## Related
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 420: RELATING TO REMEDIES.](https://policyrisk.com/state-bill/HI-HB420-2025)
- [SB 1296: RELATING TO DISASTER RECOVERY.](https://policyrisk.com/state-bill/HI-SB1296-2025)
- [HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS.](https://policyrisk.com/state-bill/HI-HB830-2025)
- [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)
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- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB1441-2025 (as of 2026-10-27).