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HB2319Introduced in the House

Relating To The State Health Planning And Development Agency.

Passed

Introduced by Nadine Nakamura, District 15

What does this bill do?

Plain-English breakdown

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Official description

Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for the purposes of health planning and resource development and health care cost control. Increase the certificate of need exemption threshold for bed changes to up to thirty per cent of existing licensed beds. Exempts health care facilities or services operated by the Department of Health from certificate of need requirements. (CD1)

Where it stands

Act 049, on 05/27/2026 (Gov. Msg. No. 1149).

May 27, 2026

How did lawmakers vote?

House votes

1 recorded vote · each counted separately

Senate votes

3 recorded votes · each counted separately

SenateStage: Senate Conference: Passed, With Amendments · April 29, 2026

3

Yes

0

No

0

Absent or Not Voting

3 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

SenatorDistrictVote
Joy San Buenaventura2Yes
Dru Kanuha3Yes
Kurt Fevella20Yes

Bill history

  1. Pending introduction.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, CPC, referral sheet 6

  4. Bill scheduled to be heard by HLT on Friday, 02-13-26 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. 363-26) 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. 1065-26) 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. 396).

  14. Passed First Reading.

  15. Referred to HHS, WAM.

  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. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.

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

  20. The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference.

  21. 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, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C..

  22. Reported from WAM (Stand. Com. Rep. No. 3631) with recommendation of passage on Third Reading.

  23. One Day Notice 04-10-26.

  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. 555) in amended form (SD 1).

  26. House disagrees with Senate amendment (s).

  27. Received notice of disagreement (Hse. Com. No. 599).

  28. Re-referred to HLT, CPC, FIN, referral sheet 30

  29. House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos.

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

  31. Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.

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

  33. Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.

  34. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Kanuha, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

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

  36. Reported from Conference Committee (Conf Com. Rep. No. 100-26) as amended in (CD 1).

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

  38. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 100-26).

  39. 48 Hrs. Notice (as amended CD 1) 05-06-26

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

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

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

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

  44. Transmitted to Governor.

  45. Act 049, 05/27/2026 (Gov. Msg. No. 1149).

  46. Act 049, on 05/27/2026 (Gov. Msg. No. 1149).

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