# Hawaii SB 3134: RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.

Hawaii SB 3134, RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status failed, last action 2026-03-12 (Pass First Reading) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB3134-2026
- 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 3134
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-26
- Last action: 2026-03-12, Pass First Reading
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: Department of Health, Emergency Medical Services Systems of Care, HLT, CPC
- Touches household money: no
- Roll calls: 3 (34 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Modernizes the State's emergency medical services statutes to align with current best practices. (SD2)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

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

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-10 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-03-05 | Senate | The committee(s) on JDC 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 (16)

- 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 2). 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. 368) in amended form (SD 2). (House)
- 2026-03-06: Reported from JDC (Stand. Com. Rep. No. 3022) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2026-03-06: 48 Hrs. Notice 03-10-26. (Senate)
- 2026-03-05: 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)
- 2026-02-25: The committee(s) on JDC will hold a public decision making on 03-05-26 10:01AM; Conference Room 016 & Videoconference. (Senate)
- 2026-02-17: Reported from HHS (Stand. Com. Rep. No. 2289) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate)
- 2026-02-17: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (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, 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)
- 2026-02-02: Referred to HHS, JDC. (Senate)
- 2026-01-28: Introduced. (Senate)
- 2026-01-28: Passed First Reading. (Senate)
- 2026-01-26: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD2_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_.PDF)
- SB3134_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD1_.HTM)
- SB3134_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD2_.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 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD2_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_.PDF)
- [SB3134_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD1_.HTM)
- [SB3134_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3134_SD2_.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 2964: RELATING TO PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB2964-2026)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB3134-2026 (as of 2026-11-01).