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SB 3132 Hawaii Senate · 2026 Regular Session

RELATING TO SYNDROMIC SURVEILLANCE.

Summary
Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health. Authorizes the Department of Health to establish a state syndromic surveillance data reporting system. (CD1)
Issues: ✓ HealthcareSupports HealthcareRequires hospitals to submit syndromic surveillance data to DOH, strengthening state-level public health monitoring and disease detection under healthcare's public health programs.90% confidence
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
Jul 2026
Introduced Jan 26, 2026 Signed Jul 10, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

SB3132_HD2 → SB3132_SD1 · 6 edits
MODERATE
This bill was revised to shift from a House draft to a Senate version, updating administrative details like authorship and dates. The core policy language was strengthened to explicitly require hospitals to report data to the Department of Health and to establish a state-run surveillance system that operates independently of federal programs, ensuring the state retains full control over public health data.
Scope change
The bill's scope was expanded to explicitly include urgent care facilities, emergency medical service providers, and poison control centers as entities that may be required to submit data via future rules.
REQUIREMENT

Changed the reporting requirement from a general authorization to a mandatory requirement for hospitals with emergency departments to submit syndromic surveillance data.

SCOPE

Added the authority to require additional entities, such as urgent care centers and EMS providers, to submit data through future administrative rules.

Added language to ensure the state system is independent of federal systems and under state jurisdiction.

TECHNICAL

Updated the effective date from a distant future date (July 1, 3000) to immediate effect upon approval.

DEFINITION

Reorganized the definition section to clarify that 'syndromic surveillance data' is defined for the purposes of the part.

ENFORCEMENT

Strengthened the confidentiality section to explicitly state that data may only be shared pursuant to state and federal privacy regulations or approved research.

Floor votes

How they voted

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

Actions timeline

Total actions
49
Key actions
18
Committee
18
Amendments
2
May 6, 2026
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Alcos excused (1).
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. 223-26) 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. 223-26).
upper
May 1, 2026
Lower · Passed
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.
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: 3 Aye(s): Senator(s) San Buenaventura, Rhoads, 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. 748).
upper
Apr 14, 2026
Lower · Passed
Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1). 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 25, 2026
Committee
Reported from HLT (Stand. Com. Rep. No. 1400-26) 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; Noes: none; and 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. 366) in amended form (SD 1).
lower
Mar 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
Mar 4, 2026
Upper · Passed
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. 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
Mar 4, 2026
Upper · Passed
The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Mar 2, 2026
Upper · Passed
The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.
upper
Feb 17, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.
upper
Feb 17, 2026
Committee
Reported from HHS (Stand. Com. Rep. No. 2288) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.
upper
Feb 6, 2026
Upper · Passed
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. 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
Feb 2, 2026
Committee
Referred to HHS, JDC/WAM.
upper
Jan 28, 2026
Introduced
Introduced.
upper
Jan 26, 2026
Introduced
Pending Introduction.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ron Kouchi
Ron Kouchi
DDemocratic
HI
8