SB 2272 Hawaii Senate · 2026 Regular Session

RELATING TO HOME HEALTH LICENSING.

Summary

Authorizes the Department of Health to accept accreditation or certification from an accreditation organization or a certification organization approved by the Centers for Medicare and Medicaid Services as demonstration that a licensed home health agency is in compliance with all licensing inspections required by the State. Specifies conditions under which a home health agency may be exempt from a licensing inspection on a continuing basis throughout the accreditation or certification period. Requires information obtained in reports of survey and accreditation or certification letters to be public information. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

May 2026

Senate Passage

May 2026

House Passage

May 2026

Signed into Law

Jun 2026

Introduced Jan 15, 2026 Signed Jun 9, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

SB2272_HD2 → SB2272_SD1 · 3 edits

MINOR

The bill was revised to update administrative metadata, including the bill author, version numbers, and effective dates. Substantively, the text was edited to improve clarity regarding how home health agencies can use external accreditation to avoid state inspections, with minor grammatical adjustments to enforcement language.

Scope change

The scope of the bill remains focused on home health agency licensing and inspection exemptions; no new entities or jurisdictions were added or removed.

TECHNICAL

Updated bill metadata such as the author name, file version numbers, and specific dates associated with the document history.

REQUIREMENT

Clarified the language describing how home health agencies can use external accreditation or certification to demonstrate compliance with state licensing inspection requirements.

ENFORCEMENT

Adjusted the wording in the enforcement section to specify that the Department of Health may investigate exempt agencies regarding complaints or adverse findings.

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

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

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 222-26) as amended in (CD 1).

lower

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. 222-26).

upper

May 1, 2026

Lower · Passed

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.

lower

May 1, 2026

Upper · Passed

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.

upper

Apr 30, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.

lower

Apr 29, 2026

Lower · Passed

Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.

lower

Apr 20, 2026

Committee

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

lower

Apr 16, 2026

Amended

Senate disagrees with House amendments.

upper

Apr 16, 2026

Introduced

Received from House (Hse. Com. No. 643).

upper

Apr 14, 2026

Lower · Passed

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

lower

Apr 7, 2026

Lower · Passed

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, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Mar 24, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 1351-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Mar 20, 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; 0 Noes: none; and 0 Excused: none.

lower

Mar 12, 2026

Committee

Referred to HLT, CPC, referral sheet 17

lower

Mar 10, 2026

Introduced

Received from Senate (Sen. Com. No. 204) in amended form (SD 1).

lower

Mar 10, 2026

Upper · Passed

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.

upper

Mar 2, 2026

Upper · Passed

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.

upper

Feb 27, 2026

Upper · Passed

The committee on WAM has rescheduled its decision making to 03-02-26 10:02AM; CR 211 & Videoconference.

upper

Feb 23, 2026

Upper · Passed

The committee(s) on WAM will hold a public decision making on 03-02-26 10:31AM; Conference Room 211 & Videoconference.

upper

Feb 18, 2026

Upper · Passed

Report adopted; Passed Second Reading and referred to WAM.

upper

Feb 18, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 2359) with recommendation of passage on Second Reading and referral to WAM.

upper

Feb 6, 2026

Upper · Passed

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.

upper

Feb 3, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 26, 2026

Committee

Referred to HHS, WAM.

upper

Jan 21, 2026

Introduced

Introduced and passed First Reading.

upper

Jan 15, 2026

Introduced

Pending Introduction.

upper

5 primary · 2 co-sponsors