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HB 2319 Hawaii House · 2026 Regular Session

RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.

Summary
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)
Issues: ✓ HealthcareSupports HealthcareExempts DOH from certificate of need requirements and increases bed change thresholds, reducing regulatory barriers to healthcare expansion and access.85% confidence
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Jan 26, 2026 Signed May 27, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

HB2319_HD2 → HB2319_SD1 · 5 edits
MODERATE
This bill updates the definition of 'health care' to explicitly include oral, behavioral, and long-term care. It significantly expands the State Health Planning and Development Agency's mission to prioritize universal access to high-quality, equitable, and affordable care. The bill also modernizes the Certificate of Need exemption list by removing outdated categories like dental clinics and spiritual healing facilities, while clarifying exemptions for primary care clinics and research equipment. Finally, it adjusts the effective date of the law from the year 3000 to January 30, 2050.
Scope change
The bill broadens the scope of 'health care' services covered under state planning and expands the State Health Planning and Development Agency's responsibilities to include a broader vision of equitable access. It also narrows the scope of exemptions from Certificate of Need requirements by removing specific categories like dental clinics and spiritual healing facilities.
DEFINITION

Added explicit inclusion of oral health, behavioral health, and long-term care to the definition of 'health care'.

REQUIREMENT

Replaced the original mission statement with a new mandate to promote universal access to high-quality, equitable, and affordable health care.

ELIGIBILITY

Removed exemptions for dental clinics, nonpatient areas, and facilities relying on spiritual healing from the Certificate of Need requirements.

Clarified that primary care clinics and research equipment remain exempt from Certificate of Need requirements.

TIMELINE

Changed the effective date of the Act from July 1, 3000, to January 30, 2050.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
46
Key actions
16
Committee
16
Amendments
3
May 6, 2026
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
lower
May 6, 2026
Upper · Passed
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
upper
May 1, 2026
Introduced
48 Hrs. Notice (as amended CD 1) 05-06-26
upper
May 1, 2026
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 100-26).
upper
May 1, 2026
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 100-26) as amended in (CD 1).
lower
Apr 29, 2026
Lower · Passed
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.
lower
Apr 29, 2026
Upper · Passed
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.
upper
Apr 28, 2026
Upper · Passed
Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
upper
Apr 20, 2026
Committee
Re-referred to HLT, CPC, FIN, referral sheet 30
lower
Apr 14, 2026
Amended
House disagrees with Senate amendment (s).
lower
Apr 10, 2026
Introduced
Returned from Senate (Sen. Com. No. 555) in amended form (SD 1).
lower
Apr 10, 2026
Upper · Passed
Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House.
upper
Apr 6, 2026
Upper · Passed
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..
upper
Apr 1, 2026
Upper · Passed
The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference.
upper
Mar 25, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
upper
Mar 25, 2026
Committee
Reported from HHS (Stand. Com. Rep. No. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
upper
Mar 18, 2026
Upper · Passed
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.
upper
Mar 13, 2026
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
upper
Mar 12, 2026
Committee
Referred to HHS, WAM.
upper
Mar 12, 2026
Introduced
Received from House (Hse. Com. No. 396).
upper
Mar 10, 2026
Lower · Passed
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.
lower
Mar 3, 2026
Lower · Passed
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.
lower
Feb 18, 2026
Committee
Reported from HLT (Stand. Com. Rep. No. 363-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Feb 13, 2026
Lower · Passed
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.
lower
Feb 2, 2026
Committee
Referred to HLT, CPC, referral sheet 6
lower
Jan 28, 2026
Introduced
Introduced and Pass First Reading.
lower
Jan 26, 2026
Introduced
Pending introduction.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Nadine Nakamura
Nadine Nakamura
DDemocratic
HI
15