# Hawaii SB 2271: RELATING TO HOSPITAL LICENSING.

Hawaii SB 2271, RELATING TO HOSPITAL LICENSING., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by SAN BUENAVENTURA; status signed, last action 2026-07-09 (Act 221, 07/09/2026 (Gov. Msg. No. 1323).) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB2271-2026
- 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 2271
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HOSPITAL LICENSING.
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-15
- Last action: 2026-07-09, Act 221, 07/09/2026 (Gov. Msg. No. 1323).
- Sponsor: SAN BUENAVENTURA
- Cosponsors: 4
- Subjects: DOH, Hospitals, Licensing Inspections, CMS, Accreditation Organizations, Certification Organizations, HLT, CPC, FIN
- Touches household money: no
- Roll calls: 10 (216 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Permits hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization approved by the Centers for Medicare and Medicaid Services. Effective 7/1/2050. (HD2)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: SAN BUENAVENTURA
- Cosponsor: Stanley Chang (Democratic), Senate
- Cosponsor: Troy N. Hashimoto (Democratic), Senate
- Cosponsor: Michelle N. Kidani (Democratic), Senate
- Cosponsor: Angus L.K. McKelvey (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 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 3 | 0 |   |
| 2026-05-01 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 2 | 0 |   |
| 2026-04-14 | House | House Floor Vote | pass | 50 | 0 |   |
| 2026-04-07 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 11 | 0 |   |
| 2026-03-24 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 48 | 0 |   |
| 2026-03-20 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2026-03-10 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-03-02 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 13 | 0 |   |
| 2026-02-06 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 4 | 0 |   |

## Actions (48)

- 2026-07-09: Act 221, 07/09/2026 (Gov. Msg. No. 1323). (Senate)
- 2026-07-09: Act 221, on 07/09/2026 (Gov. Msg. No. 1323). (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: The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (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, Alcos; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Matayoshi. (House)
- 2026-05-01: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 221-26). (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. 221-26) 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: Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella. (Senate)
- 2026-04-20: Re-referred to HLT, CPC, FIN, referral sheet 30 (House)
- 2026-04-20: House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos. (House)
- 2026-04-20: Received notice of appointment of House conferees (Hse. Com. No. 787). (Senate)
- 2026-04-16: Received from House (Hse. Com. No. 642). (Senate)
- 2026-04-16: Senate disagrees with House amendments. (Senate)
- 2026-04-16: Received notice of disagreement (Sen. Com. No. 710). (House)
- 2026-04-14: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1). Transmitted to Senate. (House)
- 2026-04-10: Reported from CPC (Stand. Com. Rep. No. 2116-26) as amended in HD 2, recommending passage on Third Reading. (House)
- 2026-04-10: Forty-eight (48) hours notice Tuesday, 04-14-26. (House)
- 2026-04-07: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: Representative(s) Iwamoto; Noes: none; and Excused: none. (House)
- 2026-04-02: Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-24: Reported from HLT (Stand. Com. Rep. No. 1350-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2026-03-24: Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Garrett, Quinlan excused (2). (House)
- 2026-03-20: 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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2026-03-17: Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-12: Pass First Reading (House)
- 2026-03-12: Referred to HLT, CPC, referral sheet 17 (House)
- 2026-03-10: Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2026-03-10: Received from Senate (Sen. Com. No. 203) in amended form (SD 1). (House)
- 2026-03-05: Reported from WAM (Stand. Com. Rep. No. 2848) with recommendation of passage on Third Reading, as amended (SD 1). (Senate)
- 2026-03-05: 48 Hrs. Notice 03-10-26. (Senate)
- 2026-03-02: 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, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2026-02-27: The committee on WAM has rescheduled its decision making to 03-02-26 10:02AM; CR 211 & Videoconference. (Senate)
- 2026-02-23: The committee(s) on WAM will hold a public decision making on 03-02-26 10:31AM; Conference Room 211 & Videoconference. (Senate)
- 2026-02-17: Reported from HHS (Stand. Com. Rep. No. 2294) with recommendation of passage on Second Reading and referral to WAM. (Senate)
- 2026-02-17: Report adopted; Passed Second Reading and referred to WAM. (Senate)
- 2026-02-06: The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Kanuha. (Senate)
- 2026-02-03: The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2026-01-26: Referred to HHS, WAM. (Senate)
- 2026-01-21: Introduced and passed First Reading. (Senate)
- 2026-01-15: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1323_.PDF)
- SB2271_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_CD1_.HTM)
- SB2271_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_HD1_.HTM)
- SB2271_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_HD2_.HTM)
- SB2271_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_SD1_.HTM)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2031: RELATING TO CONSUMER PROTECTION. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1323_.PDF)
- [SB2271_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_CD1_.HTM)
- [SB2271_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_HD1_.HTM)
- [SB2271_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_HD2_.HTM)
- [SB2271_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2271_SD1_.HTM)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [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 2031: RELATING TO CONSUMER PROTECTION.](https://policyrisk.com/state-bill/HI-SB2031-2026)
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- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB2271-2026 (as of 2026-11-01).