# Hawaii SCR 149: REQUESTING THE DEPARTMENT OF HEALTH TO ASSESS THE SERVICES AND FUNDING NECESSARY TO ADDRESS THE NEEDS OF COMPLEX PATIENTS WHO HAVE TWO OR MORE DIAGNOSES THAT INCLUDE SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, OR CHRONIC PHYSICAL ILLNESSES.

Hawaii SCR 149, REQUESTING THE DEPARTMENT OF HEALTH TO ASSESS THE SERVICES AND FUNDING NECESSARY TO ADDRESS THE NEEDS OF COMPLEX PATIENTS WHO HAVE TWO OR MORE DIAGNOSES THAT INCLUDE SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, OR CHRONIC PHYSICAL ILLNESSES., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by SAN BUENAVENTURA (Introduced by request of another party); status adopted, last action 2026-05-12 (Certified copies of resolutions sent, 05-12-26.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SCR149-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SCR 149
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: REQUESTING THE DEPARTMENT OF HEALTH TO ASSESS THE SERVICES AND FUNDING NECESSARY TO ADDRESS THE NEEDS OF COMPLEX PATIENTS WHO HAVE TWO OR MORE DIAGNOSES THAT INCLUDE SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, OR CHRONIC PHYSICAL ILLNESSES.
- Status: adopted
- Chamber: Senate
- Introduced: 2026-03-16
- Last action: 2026-05-12, Certified copies of resolutions sent, 05-12-26.
- Sponsor: SAN BUENAVENTURA (Introduced by request of another party)
- Cosponsors: 0
- Subjects: DOH, Complex Patients, Co-Occurring Multiple Diagnoses, Substance Use Disorders, Mental Health Disorders, Chronic Physical Illness, Working Group, HLT
- Touches household money: no
- Roll calls: 2 (12 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: SAN BUENAVENTURA (Introduced by request of another party)

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-17 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 0 |   |
| 2026-03-30 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (25)

- 2026-05-12: Certified copies of resolutions sent, 05-12-26. (Senate)
- 2026-05-08: Resolution adopted in final form. (Senate)
- 2026-05-08: Received notice of Adoption (Sen. Com. No. 819). (House)
- 2026-05-06: Reconsideration of action taken on 4-22-26 in disagreeing to the House amendments. (Senate)
- 2026-05-06: Senate agrees with House amendments. Placed on the calendar for Final Adoption on 05-08-26. (Senate)
- 2026-05-06: One Day Notice 05-08-26 (Senate)
- 2026-05-06: Received notice of reconsideration and Senate agreement (Sen. Com. No. 818). (House)
- 2026-04-22: Received from House (Hse. Com. No. 809). (Senate)
- 2026-04-22: Senate disagrees with House amendments. (Senate)
- 2026-04-22: Received notice of disagreement (Sen. Com. No. 721). (House)
- 2026-04-21: Reported from HLT (Stand. Com. Rep. No. 2238-26) as amended in HD 1, recommending adoption. (House)
- 2026-04-21: Adopted as amended in HD 1 with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-04-21: Transmitted to Senate. (House)
- 2026-04-17: Re-referred to HLT, referral sheet 29 (House)
- 2026-04-17: 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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Amato. (House)
- 2026-04-15: Resolution scheduled to be heard by HLT on Friday, 04-17-26 10:30AM in conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-04-10: Referred to HLT, FIN, referral sheet 28 (House)
- 2026-04-09: Report and Resolution Adopted, as amended (SD 1). Transmitted to House. (Senate)
- 2026-04-09: Received from Senate (Sen. Com. No. 488) in amended form (SD 1). (House)
- 2026-04-08: Reported from HHS (Stand. Com. Rep. No. 3496) with recommendation of adoption, as amended (SD 1). (Senate)
- 2026-04-08: One Day Notice 04-09-26. (Senate)
- 2026-03-30: 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, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Keohokalole. (Senate)
- 2026-03-27: The committee(s) on HHS has scheduled a public hearing on 03-30-26 1:07PM; Conference Room 225 & Videoconference. (Senate)
- 2026-03-19: Referred to HHS. (Senate)
- 2026-03-16: Offered. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_HD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_.PDF)
- SCR149_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_HD1_.HTM)
- SCR149_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_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 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_HD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_.PDF)
- [SCR149_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_HD1_.HTM)
- [SCR149_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SCR149_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 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-SCR149-2026 (as of 2026-11-01).