# Hawaii SB 2277: RELATING TO HOSPITAL PRICE TRANSPARENCY.

Hawaii SB 2277, RELATING TO HOSPITAL PRICE TRANSPARENCY., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by SAN BUENAVENTURA; status failed, last action 2026-03-19 (Reported from HLT (Stand. Com. Rep. No. 1241-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB2277-2026
- 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 2277
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HOSPITAL PRICE TRANSPARENCY.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-15
- Last action: 2026-03-19, Reported from HLT (Stand. Com. Rep. No. 1241-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- Sponsor: SAN BUENAVENTURA
- Cosponsors: 6
- Subjects: SHPDA, Health Care, Hospitals, Price Transparency, Consumer Protection, Federal Requirements, HLT, CPC, FIN
- Touches household money: no
- Roll calls: 7 (110 yes, 0 no in all)
- Economic provisions PRIA read: 0

## 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)

## 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: Jarrett Keohokalole (Democratic), Senate
- Cosponsor: Michelle N. Kidani (Democratic), Senate
- Cosponsor: Angus L.K. McKelvey (Democratic), Senate
- Cosponsor: Herbert M. "Tim" Richards III (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-19 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 50 | 0 |   |
| 2026-03-18 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 0 |   |
| 2026-03-10 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-03-04 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 5 | 0 |   |
| 2026-03-04 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 13 | 0 |   |
| 2026-02-06 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2026-02-06 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (21)

- 2026-03-19: Reported from HLT (Stand. Com. Rep. No. 1241-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2026-03-19: 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). (House)
- 2026-03-18: 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. (House)
- 2026-03-12: Pass First Reading (House)
- 2026-03-12: Referred to HLT, CPC, FIN, referral sheet 17 (House)
- 2026-03-12: Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-10: Report adopted; Passed Third Reading. 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. 205) in amended form (SD 1). (House)
- 2026-03-06: Reported from JDC/WAM (Stand. Com. Rep. No. 3035) with recommendation of passage on Third Reading. (Senate)
- 2026-03-06: One Day Notice 03-10-26. (Senate)
- 2026-03-04: 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. (Senate)
- 2026-03-04: 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. (Senate)
- 2026-03-02: The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference. (Senate)
- 2026-02-20: 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. (Senate)
- 2026-02-20: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM. (Senate)
- 2026-02-06: 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. (Senate)
- 2026-02-06: 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. (Senate)
- 2026-02-02: The committee(s) on HHS/CPN has scheduled a public hearing on 02-06-26 9:00AM; Conference Room 229 & Videoconference. (Senate)
- 2026-01-26: Referred to HHS/CPN, JDC/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/SB2277_HD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_.PDF)
- SB2277_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_HD1_.HTM)
- SB2277_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_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/SB2277_HD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_.PDF)
- [SB2277_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_HD1_.HTM)
- [SB2277_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2277_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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Source: PRIA, https://policyrisk.com/state-bill/HI-SB2277-2026 (as of 2026-11-01).