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HB2314Introduced in the House

Relating To Emergency Medical Systems Of Care.

Passed

Introduced by Nadine Nakamura, District 15

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

Modernizes Hawaii's emergency medical services laws to align with current best practices and adopt a time-sensitive emergency medical systems of care model. Expands the Community Paramedicine Program to include integrated mobile health care; permit additional partnerships with professional organizations and educational institutions; and authorize certain telehealth services by providers located in or out of the State, under certain circumstances. Renames the State Emergency Medical Services Advisory Council the Hawaii Emergency Medical Systems of Care Advisory Council and amends its membership. (CD1)

Where it stands

Act 085, on 06/04/2026 (Gov. Msg. No. 1185).

June 4, 2026

How did lawmakers vote?

House votes

1 recorded vote · each counted separately

Senate votes

3 recorded votes · each counted separately

HouseStage: House Conference: Passed, With Amendments · April 24, 2026

4

Yes

0

No

0

Absent or Not Voting

4 representatives recorded in this House vote. Colors show vote categories only, not whether a vote was good or bad.

See how each representative voted

RepresentativeDistrictVote
Sue Keohokapu-Lee Loy2Yes
Tina Grandinetti20Yes
Gregg Takayama34Yes
David Alcos41Yes

Bill history

  1. Pending introduction.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, CPC, referral sheet 5

  4. Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  5. 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.

  6. Reported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  7. Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and none excused (0).

  8. Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  9. The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.

  10. Reported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading.

  11. Forty-eight (48) hours notice Tuesday, 03-10-26.

  12. Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate.

  13. Received from House (Hse. Com. No. 395).

  14. Passed First Reading.

  15. Referred to HHS, JDC.

  16. The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.

  17. 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, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

  18. Reported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

  19. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.

  20. The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.

  21. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

  22. Reported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.

  23. One Day Notice 04-14-26.

  24. Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

  25. Returned from Senate (Sen. Com. No. 679) in amended form (SD 1).

  26. House disagrees with Senate amendment (s).

  27. Received notice of disagreement (Hse. Com. No. 780).

  28. House Conferees Appointed: Takayama, Grandinetti Co-Chairs; Keohokapu-Lee Loy, Alcos.

  29. Received notice of appointment of House conferees (Hse. Com. No. 786).

  30. Senate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.

  31. Received notice of Senate conferees (Sen. Com. No. 725).

  32. Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.

  33. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

  34. 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, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  35. Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).

  36. Forty-eight (48) hours notice Wednesday, 05-06-26.

  37. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).

  38. 48 Hrs. Notice (as amended CD 1) 05-06-26

  39. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

  40. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

  41. Received notice of Final Reading (Sen. Com. No. 816).

  42. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

  43. Transmitted to Governor.

  44. Act 085, 06/04/2026 (Gov. Msg. No. 1185).

  45. Act 085, on 06/04/2026 (Gov. Msg. No. 1185).

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