# Hawaii SB 2281: RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.

Hawaii SB 2281, RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by SAN BUENAVENTURA; status failed, last action 2026-02-18 (Reported from HHS/LBT (Stand. Com. Rep. No. 2357) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB2281-2026
- 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 2281
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-15
- Last action: 2026-02-18, Reported from HHS/LBT (Stand. Com. Rep. No. 2357) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.
- Sponsor: SAN BUENAVENTURA
- Cosponsors: 10
- Subjects: DOH, Health Care Providers, Artificial Intelligence, Patient Interaction, Consequential Decisions, Disclosure, Notice, Oversight, Performance Evaluations, Recordkeeping, Rules, HHS/LBT, CPN/WAM
- Touches household money: no
- Roll calls: 2 (9 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Requires health care providers using artificial intelligence (AI) in patient interactions to disclose to the patient that the patient is interacting with artificial intelligence. Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements to the patient; maintain a qualified AI oversight personnel who shall be a natural person that reviews, evaluates, and validates or overrides AI outputs; monitor and conduct regular performance evaluations of their AI systems; implement procedures to address identified deficiencies; and maintain certain records. Requires the Department of Health to adopt rules. Implementation effective 7/1/2028. Effective 1/30/2050. (SD1)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: SAN BUENAVENTURA
- Cosponsor: Stanley Chang (Democratic), Senate
- Cosponsor: Kurt Fevella (Republican), Senate
- Cosponsor: Carol Fukunaga (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: Sharon Y. Moriwaki (Democratic), Senate
- Cosponsor: Karl Rhoads (Democratic), Senate
- Cosponsor: Herbert M. "Tim" Richards III (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-02-04 | Senate | The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2026-02-04 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |

## Actions (8)

- 2026-02-18: Reported from HHS/LBT (Stand. Com. Rep. No. 2357) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. (Senate)
- 2026-02-18: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM. (Senate)
- 2026-02-04: The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in LBT were as follows: 4 Aye(s): Senator(s) Elefante, Lamosao, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Ihara. (Senate)
- 2026-02-04: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2026-01-30: The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2026-01-26: Referred to HHS/LBT, CPN/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/SB2281_SD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_.PDF)
- SB2281_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_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/SB2281_SD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_.PDF)
- [SB2281_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2281_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-SB2281-2026 (as of 2026-11-01).