# Hawaii SB 3203: RELATING TO AIR MEDICAL SERVICES.

Hawaii SB 3203, RELATING TO AIR MEDICAL SERVICES., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by SAN BUENAVENTURA; status signed, last action 2026-06-04 (Act 084, 06/04/2026 (Gov. Msg. No. 1184).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB3203-2026
- 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 3203
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO AIR MEDICAL SERVICES.
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-28
- Last action: 2026-06-04, Act 084, 06/04/2026 (Gov. Msg. No. 1184).
- Sponsor: SAN BUENAVENTURA
- Cosponsors: 0
- Subjects: DOH, State Emergency Medical Services System, Statewide Air Medical Services Program, Positions, Emergency Medical Services Special Fund, HLT, FIN
- Touches household money: yes
- Roll calls: 11 (243 yes, 0 no in all)
- Economic provisions PRIA read: 2

## 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)

## Bill overview: provisions PRIA read

- Hawaii coordinates air medical services: benefit, low. 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 pos…
- New fees and rules for air ambulances: cost, low. 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 relate…

## Sponsors and cosponsors

- Sponsor: SAN BUENAVENTURA

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-08 | House | House Floor Vote | pass | 51 | 0 |   |
| 2026-05-08 | Senate | Senate Floor Vote | pass | 24 | 0 |   |
| 2026-05-01 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 2 | 0 |   |
| 2026-05-01 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 3 | 0 |   |
| 2026-04-14 | House | House Floor Vote | pass | 51 | 0 |   |
| 2026-04-07 | House | The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ... | pass | 16 | 0 |   |
| 2026-03-30 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN... | pass | 46 | 0 |   |
| 2026-03-25 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2026-03-06 | Senate | Senate Floor Vote | pass | 24 | 0 |   |
| 2026-03-03 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 12 | 0 |   |
| 2026-02-13 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The... | pass | 5 | 0 |   |

## Actions (49)

- 2026-06-04: Act 084, 06/04/2026 (Gov. Msg. No. 1184). (Senate)
- 2026-06-04: Act 084, on 06/04/2026 (Gov. Msg. No. 1184). (House)
- 2026-05-08: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-05-08: Passed Final Reading, as amended (CD 1). Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) San Buenaventura). (Senate)
- 2026-05-08: Received notice of Final Reading (Sen. Com. No. 820). (House)
- 2026-05-08: Received notice of passage on Final Reading in House (Hse. Com. No. 889). (Senate)
- 2026-05-08: Enrolled to Governor. (Senate)
- 2026-05-06: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 239-26). (Senate)
- 2026-05-06: 48 Hrs. Notice (as amended CD 1) 05-08-26. (Senate)
- 2026-05-06: Reported from Conference Committee (Conf Com. Rep. No. 239-26) as amended in (CD 1). (House)
- 2026-05-06: Forty-eight (48) hours notice Friday, 05-08-26. (House)
- 2026-05-01: The 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. (House)
- 2026-05-01: The 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. (Senate)
- 2026-04-30: Conference Committee Meeting will reconvene on Friday 05-01-26 3:45PM in conference room 329. (House)
- 2026-04-29: Conference committee meeting to reconvene on 04-30-26 4:10PM; Conference Room 329. (Senate)
- 2026-04-28: Conference committee meeting scheduled for 04-29-26 3:15PM; Conference Room 329. (Senate)
- 2026-04-27: Received notice of appointment of House conferees (Hse. Com. No. 839). (Senate)
- 2026-04-24: Received notice of Senate conferees (Sen. Com. No. 742). (House)
- 2026-04-24: House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos. (House)
- 2026-04-23: Senate Conferees Appointed: McKelvey Chair; Kanuha Co-Chair; Fevella. (Senate)
- 2026-04-16: Received from House (Hse. Com. No. 759). (Senate)
- 2026-04-16: Senate disagrees with House amendments. (Senate)
- 2026-04-16: Received notice of disagreement (Sen. Com. No. 710). (House)
- 2026-04-14: Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. (House)
- 2026-04-10: Reported from FIN (Stand. Com. Rep. No. 2093-26), recommending passage on Third Reading. (House)
- 2026-04-07: The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2026-04-02: Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2026-03-30: Reported from HLT (Stand. Com. Rep. No. 1503-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN. (House)
- 2026-03-30: Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4). (House)
- 2026-03-25: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. (House)
- 2026-03-20: Bill scheduled to be heard by HLT on Wednesday, 03-25-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-10: Pass First Reading (House)
- 2026-03-10: Referred to HLT, FIN, referral sheet 16 (House)
- 2026-03-06: Report Adopted; Passed Third Reading. Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House. (Senate)
- 2026-03-06: Received from Senate (Sen. Com. No. 121). (House)
- 2026-03-05: Reported from WAM (Stand. Com. Rep. No. 2730) with recommendation of passage on Third Reading. (Senate)
- 2026-03-05: One Day Notice 03-06-26. (Senate)
- 2026-03-03: The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2026-02-25: The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference. (Senate)
- 2026-02-23: The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference. (Senate)
- 2026-02-18: Reported from HHS (Stand. Com. Rep. No. 2344) with recommendation of passage on Second Reading and referral to WAM. (Senate)
- 2026-02-18: Report adopted; Passed Second Reading and referred to WAM. (Senate)
- 2026-02-13: The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2026-02-09: The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2026-02-08: The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference. (Senate)
- 2026-02-05: The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference. (Senate)
- 2026-02-02: Referred to HHS, WAM. (Senate)
- 2026-01-28: Introduced. (Senate)
- 2026-01-28: Passed First Reading. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1184_.PDF)
- SB3203_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_CD1_.HTM)
- SB3203_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_HD1_.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/SB3203_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1184_.PDF)
- [SB3203_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_CD1_.HTM)
- [SB3203_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_HD1_.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)
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- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB3203-2026 (as of 2026-11-01).