SB2271Introduced in the Senate
Relating To Hospital Licensing.
Introduced by Joy San Buenaventura, District 2
What does this bill do?
Plain-English breakdown
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Official description
Requires the Department of Health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization approved by the Centers for Medicare and Medicaid Services. (CD1)
Where it stands
Act 221, on 07/09/2026 (Gov. Msg. No. 1323).
July 10, 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 · May 1, 2026
2
Yes
0
No
1
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
| Senator | District | Vote |
|---|---|---|
| Joy San Buenaventura | 2 | Yes |
| Dru Kanuha | 3 | Yes |
| Kurt Fevella | 20 | Absent |
Bill history
Pending Introduction.
Introduced and passed First Reading.
Referred to HHS, WAM.
The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.
The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Kanuha.
Reported from HHS (Stand. Com. Rep. No. 2294) with recommendation of passage on Second Reading and referral to WAM.
Report adopted; Passed Second Reading and referred to WAM.
The committee(s) on WAM will hold a public decision making on 03-02-26 10:31AM; Conference Room 211 & Videoconference.
The committee on WAM has rescheduled its decision making to 03-02-26 10:02AM; CR 211 & Videoconference.
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
Reported from WAM (Stand. Com. Rep. No. 2848) with recommendation of passage on Third Reading, as amended (SD 1).
48 Hrs. Notice 03-10-26.
Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
Received from Senate (Sen. Com. No. 203) in amended form (SD 1).
Pass First Reading
Referred to HLT, CPC, referral sheet 17
Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.
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; 0 Noes: none; and 0 Excused: none.
Reported from HLT (Stand. Com. Rep. No. 1350-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
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 Representative(s) Garrett, Quinlan excused (2).
Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE.
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: Representative(s) Iwamoto; Noes: none; and Excused: none.
Reported from CPC (Stand. Com. Rep. No. 2116-26) as amended in HD 2, recommending passage on Third Reading.
Forty-eight (48) hours notice Tuesday, 04-14-26.
Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1). Transmitted to Senate.
Received from House (Hse. Com. No. 642).
Senate disagrees with House amendments.
Received notice of disagreement (Sen. Com. No. 710).
Re-referred to HLT, CPC, FIN, referral sheet 30
House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos.
Received notice of appointment of House conferees (Hse. Com. No. 787).
Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.
Received notice of Senate conferees (Sen. Com. No. 720).
Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
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) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
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 1 Excused: Representative(s) Matayoshi.
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 221-26).
48 Hrs. Notice (as amended CD 1) 05-06-26.
Reported from Conference Committee (Conf Com. Rep. No. 221-26) as amended in (CD 1).
Forty-eight (48) hours notice Wednesday, 05-06-26.
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
Received notice of Final Reading (Sen. Com. No. 816).
Received notice of passage on Final Reading in House (Hse. Com. No. 888).
Enrolled to Governor.
Act 221, 07/09/2026 (Gov. Msg. No. 1323).
Act 221, on 07/09/2026 (Gov. Msg. No. 1323).
Verify the information
- Official page on the Hawaii Legislature website
- Testimony (supplement)
- Committee Report (supplement)
- Testimony (supplement)
- Committee Report (supplement)
- Testimony (supplement)
- Committee Report (supplement)
- Testimony (supplement)
- Committee Report (supplement)
- Committee Report (supplement)
- Introduced (text)
- Amended (text)
- Amended (text)
- Amended (text)
- Amended (text)
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