All Roll Calls
Yes: 243 • No: 0
HawaiiSB 32032025–2026 Regular Session (Year 2)SenateWALLET
RELATING TO AIR MEDICAL SERVICES.
Sponsored By: SAN BUENAVENTURA
Signed by Governor
Summary
Establishes the Statewide Air Medical Services Program within Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. Effective 7/1/3000. (HD1)
DOHState Emergency Medical Services SystemStatewide Air Medical Services ProgramPositionsEmergency Medical Services Special FundHLT, FIN
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Hawaii coordinates air medical services
Hawaii’s health department establishes a statewide program for emergency and hospital-to-hospital air medical services. The program can coordinate transports across counties, set clinical policies, review service quality, and support disaster response. The law creates three permanent, recurring positions: a director, a manager, and a coordinator. The director must be a Hawaii-licensed physician with experience in emergency medicine, trauma care, or critical care transport.
New fees and rules for air ambulances
Air medical providers in Hawaii must join state coordination, data reporting, and quality improvement activities to keep their licenses. The health department also charges providers annual, reasonable, non-refundable licensure and accreditation fees. The fees must cover program oversight and related work. Fee money goes into the Emergency Medical Services Special Fund and can only support the statewide program, its staff, and emergency coordination.
Sponsors & Cosponsors
Sponsor
SAN BUENAVENTURA
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/8/2026
House Floor Vote
Yes: 51 • No: 0
Senate vote • 5/8/2026
Senate Floor Vote
Yes: 24 • No: 0
Senate vote • 5/1/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 2 • No: 0
House vote • 5/1/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 3 • No: 0
House vote • 4/14/2026
House Floor Vote
Yes: 51 • No: 0
House vote • 4/7/2026
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 16 • No: 0
House vote • 3/30/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...
Yes: 46 • No: 0
House vote • 3/25/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Senate vote • 3/6/2026
Senate Floor Vote
Yes: 24 • No: 0
Senate vote • 3/3/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 12 • No: 0
Senate vote • 2/13/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 5 • No: 0
Actions Timeline
Act 084, 06/04/2026 (Gov. Msg. No. 1184).
6/4/2026SenateAct 084, on 06/04/2026 (Gov. Msg. No. 1184).
6/4/2026HousePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
5/8/2026HousePassed Final Reading, as amended (CD 1). Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) San Buenaventura).
5/8/2026SenateReceived notice of Final Reading (Sen. Com. No. 820).
5/8/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 889).
5/8/2026SenateEnrolled to Governor.
5/8/2026SenateReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 239-26).
5/6/2026Senate48 Hrs. Notice (as amended CD 1) 05-08-26.
5/6/2026SenateReported from Conference Committee (Conf Com. Rep. No. 239-26) as amended in (CD 1).
5/6/2026HouseForty-eight (48) hours notice Friday, 05-08-26.
5/6/2026HouseThe 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 0 Excused: none.
5/1/2026HouseThe 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) McKelvey, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
5/1/2026SenateConference Committee Meeting will reconvene on Friday 05-01-26 3:45PM in conference room 329.
4/30/2026HouseConference committee meeting to reconvene on 04-30-26 4:10PM; Conference Room 329.
4/29/2026SenateConference committee meeting scheduled for 04-29-26 3:15PM; Conference Room 329.
4/28/2026SenateReceived notice of appointment of House conferees (Hse. Com. No. 839).
4/27/2026SenateReceived notice of Senate conferees (Sen. Com. No. 742).
4/24/2026HouseHouse Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos.
4/24/2026HouseSenate Conferees Appointed: McKelvey Chair; Kanuha Co-Chair; Fevella.
4/23/2026SenateReceived from House (Hse. Com. No. 759).
4/16/2026SenateSenate disagrees with House amendments.
4/16/2026SenateReceived notice of disagreement (Sen. Com. No. 710).
4/16/2026HousePassed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.
4/14/2026HouseReported from FIN (Stand. Com. Rep. No. 2093-26), recommending passage on Third Reading.
4/10/2026House
Bill Text
Bill Text
Original
SB3203_CD1
SB3203_HD1
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