HawaiiSB 22772025–2026 Regular Session (Year 2)Senate

RELATING TO HOSPITAL PRICE TRANSPARENCY.

Sponsored By: Joy A. San Buenaventura (Democratic)

Passed

Summary

Requires each hospital licensed in the State to provide an annual attestation to the State Health Planning and Development Agency that the hospital is in compliance with federal hospital price transparency requirements. Permits patients to file a counterclaim against debt collection actions filed by hospitals to determine if the hospital is in compliance with federal hospital price transparency requirements. Requires hospitals to provide patients with an easy-to-understand itemized bill statement before initiating a debt collection action against a patient. Effective 1/30/2050. (HD1)

SHPDAHealth CareHospitalsPrice TransparencyConsumer ProtectionFederal RequirementsHLT, CPC, FIN

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Joy A. San Buenaventura

    Democratic • Senate

Cosponsors

  • Stanley Chang

    Democratic • Senate

  • Troy N. Hashimoto

    Democratic • Senate

  • Jarrett Keohokalole

    Democratic • Senate

  • Michelle N. Kidani

    Democratic • Senate

  • Angus L.K. McKelvey

    Democratic • Senate

  • III Richards

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 103 • No: 0

House vote 3/19/2026

Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...

Yes: 51 • No: 0

Senate vote 3/10/2026

Senate Floor Vote

Yes: 25 • No: 0

Senate vote 3/4/2026

The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...

Yes: 13 • No: 0

Senate vote 3/4/2026

The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The...

Yes: 5 • No: 0

Senate vote 2/6/2026

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 5 • No: 0

Senate vote 2/6/2026

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 4 • No: 0

Actions Timeline

  1. Reported from HLT (Stand. Com. Rep. No. 1241-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

    3/19/2026House
  2. 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 none excused (0).

    3/19/2026House
  3. 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, Amato, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.

    3/18/2026House
  4. Pass First Reading

    3/12/2026House
  5. Referred to HLT, CPC, FIN, referral sheet 17

    3/12/2026House
  6. Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

    3/12/2026House
  7. Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

    3/10/2026Senate
  8. Received from Senate (Sen. Com. No. 205) in amended form (SD 1).

    3/10/2026House
  9. Reported from JDC/WAM (Stand. Com. Rep. No. 3035) with recommendation of passage on Third Reading.

    3/6/2026Senate
  10. One Day Notice 03-10-26.

    3/6/2026Senate
  11. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. 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.

    3/4/2026Senate
  12. The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. 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.

    3/4/2026Senate
  13. The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.

    3/2/2026Senate
  14. Reported from HHS/CPN (Stand. Com. Rep. No. 2554) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.

    2/20/2026Senate
  15. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.

    2/20/2026Senate
  16. 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, McKelvey, Kanuha, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

    2/6/2026Senate
  17. The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

    2/6/2026Senate
  18. The committee(s) on HHS/CPN has scheduled a public hearing on 02-06-26 9:00AM; Conference Room 229 & Videoconference.

    2/2/2026Senate
  19. Referred to HHS/CPN, JDC/WAM.

    1/26/2026Senate
  20. Introduced and passed First Reading.

    1/21/2026Senate
  21. Pending Introduction.

    1/15/2026Senate

Bill Text

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