Relating To The Department Of Health.
Last status update May 28, 2026
What this measure contains
Exempts certain positions in the Developmental Disabilities Division of the Department of Health and Hawaii State Hospital from civil service. Authorizes the Director of Health to appoint two additional associate administrators and two project managers for the Hawaii State Hospital or a secure psychiatric rehabilitation facility. Requires the Department of Health to convert certain positions in the Hawaii State Hospital to civil service no later than 6/30/2031. (CD1)
Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.
Read the full bill at its source ↗Bill text and versions
Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.
- Introduced · Official document ↗· Jan 14, 2026
- Amended · Official document ↗· Feb 5, 2026
- Amended · Official document ↗· Feb 19, 2026
- Amended · Official document ↗· Mar 27, 2026
- Amended · Official document ↗· May 2, 2026
Related measures
- SB3273— Same As
Related measures may contain different language or follow different histories.
Legislative path
Each stage below is a recorded decision from the official measure history, attached to the draft it considered. A member's row follows their votes from the first draft to the latest, and a highlighted vote marks where it changed. Committee and conference votes list every member by name. Floor votes list only exceptions; members serving that day who aren't named are shown as ayes in a dashed outline.
- Introduced
- HD1by HLT
- HD2by LAB
- SD1by HHS
- CD1by Conference
Companion measure: SB3273. A companion follows its own path; its votes are not combined with this one.
Decision stages
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House HLT committee on the introduced draft: Passed, with amendments, reported as HD1
5 aye · 4 aye with reservations · 0 no · 0 excused
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House second reading on HD1: Passed
47 aye · 3 aye with reservations · 1 no · 0 excused
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House LAB committee on HD1: Passed, with amendments, reported as HD2
5 aye · 0 no · 1 excused
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House report adoption on HD2: Report adopted
47 aye · 2 aye with reservations · 0 no · 1 excused
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House FIN committee on HD2: Passed, unamended
12 aye · 3 aye with reservations · 0 no · 1 excused
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House third reading on HD2: Passed
45 aye · 3 aye with reservations · 1 no · 1 excused
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Labor and Technology (LBT) on HD2: Passed, with amendments, reported as SD1
3 aye · 0 no · 2 excused · Source roll call
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Health and Human Services (HHS) on HD2: Passed, with amendments, reported as SD1
3 aye · 1 aye with reservations · 0 no · 1 excused · Source roll call
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Ways and Means (WAM) on SD1: Passed, unamended
10 aye · 2 aye with reservations · 0 no · 1 excused · Source roll call
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Senate third reading on SD1: Passed
25 aye · 0 no · 0 excused
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House conference managers on SD1: Passed, with amendments, reported as CD1
4 aye · 0 no · 0 excused · Source roll call
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Senate conference managers on SD1: Passed, with amendments, reported as CD1
3 aye · 0 no · 0 excused · Source roll call
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Senate final reading on CD1: Passed
25 aye · 0 no · 0 excused
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House final reading on CD1: Passed
49 aye · 2 no · 0 excused
Senate members along the path
| Member | LBT HD2 | HHS HD2 | WAM SD1 | Third reading SD1 | Conference SD1 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Lynn DecoiteSD-007 | Aye | Aye | Aye | ||||
| Donovan CruzSD-017 | Aye | Aye | Aye | ||||
| Brandon ElefanteSD-016 | Aye | Aye | Aye | Aye | Aye | ||
| Kurt FevellaSD-020 | Aye | Aye | Aye* | Aye | Aye | Added reservations at Ways and Means (WAM) (SD1)Dropped reservations at Senate third reading (SD1) | |
| Troy HashimotoSD-005 | Aye | Aye | Aye | ||||
| Les IharaSD-010 | Excused | Aye | Aye | ||||
| Lorraine InouyeSD-001 | Aye* | Aye | Aye | Dropped reservations at Senate third reading (SD1) | |||
| Dru KanuhaSD-003 | Aye | Aye | Aye | Aye | Aye | ||
| Jarrett KeohokaloleSD-024 | Excused | Aye | Aye | ||||
| Michelle KidaniSD-018 | Aye | Aye | Aye | ||||
| Donna KimSD-014 | Aye | Aye | Aye | ||||
| Rachele Fernandez LamosaoSD-019 | Aye | Aye | Aye | ||||
| Chris LeeSD-025 | Excused | Aye | Aye | ||||
| Angus McKelveySD-006 | Aye* | Aye | Aye | Dropped reservations at Senate third reading (SD1) | |||
| Sharon MoriwakiSD-012 | Excused | Aye | Aye | Aye | |||
| Tim RichardsSD-004 | Aye | Aye | Aye | ||||
| Joy San BuenaventuraSD-002 | Aye | Aye | Aye | Aye | |||
| Glenn WakaiSD-015 | Aye | Aye | Aye |
7 more Senate members only counted as floor ayes
| Member | LBT HD2 | HHS HD2 | WAM SD1 | Third reading SD1 | Conference SD1 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Brenton AwaSD-023 | Aye | Aye | |||||
| Stanley ChangSD-009 | Aye | Aye | |||||
| Samantha DeCorteSD-022 | Aye | Aye | |||||
| Carol FukunagaSD-011 | Aye | Aye | |||||
| Mike GabbardSD-021 | Aye | Aye | |||||
| Ronald KouchiSD-008 | Aye | Aye | |||||
| Karl RhoadsSD-013 | Aye | Aye |
House members along the path
| Member | HLT Introduced | Second reading HD1 | LAB HD1 | Report adoption HD2 | FIN HD2 | Third reading HD2 | Conference SD1 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|---|---|
| Kim IwamotoHD-025 | Aye | Aye | Aye | No | Aye → No at House final reading (CD1) | ||||
| Elijah PierickHD-039 | No | Aye | No | No | No → Aye at House report adoption (HD2)Aye → No at House third reading (HD2) | ||||
| David AlcosHD-041 | Aye* | Aye* | Aye* | Aye* | Aye* | Aye | Aye | Dropped reservations at House conference managers (SD1) | |
| Terez AmatoHD-011 | Aye* | Aye* | Aye | Aye* | Aye | Dropped reservations at House report adoption (HD2)Added reservations at House third reading (HD2)Dropped reservations at House final reading (CD1) | |||
| Diamond GarciaHD-042 | Aye* | Aye* | Aye* | Aye* | Aye | Dropped reservations at House final reading (CD1) | |||
| Andrew GarrettHD-022 | Aye | Aye | Aye | Aye | Aye | ||||
| Joe GedeonHD-018 | Aye | Aye | Aye* | Aye | Aye | Added reservations at House FIN committee (HD2)Dropped reservations at House third reading (HD2) | |||
| Daisy HartsfieldHD-036 | Aye | Aye | Aye | Aye | Aye | Aye | |||
| Ikaika HusseyHD-029 | Aye | Aye | Aye | Aye | Aye | ||||
| Jeanne KapelaHD-005 | Aye | Aye | Aye | Aye | Aye | ||||
| Sue Keohokapu-Lee LoyHD-002 | Aye | Aye | Aye | Aye | Aye | Aye | Aye | ||
| Lisa KitagawaHD-048 | Aye | Aye | Aye | Aye | Aye | ||||
| Sam KongHD-033 | Aye | Excused | Aye | Aye | Aye | ||||
| Matthias KuschHD-001 | Aye | Aye | Aye | Aye | Aye | ||||
| Mike LeeHD-050 | Aye | Aye | Aye | Excused | Aye | Aye | |||
| Lisa MartenHD-051 | Aye | Aye | Aye | Aye | Aye | ||||
| Tyson MiyakeHD-010 | Aye | Aye | Aye | Aye | Aye | ||||
| Daynette MorikawaHD-017 | Aye | Aye | Aye | Aye | Aye | ||||
| Ikaika OldsHD-023 | Aye* | Aye | Aye | Aye | Aye | Dropped reservations at House second reading (HD1) | |||
| Amy PerrusoHD-046 | Aye | Aye | Aye* | Excused | Aye | Added reservations at House FIN committee (HD2)Dropped reservations at House final reading (CD1) | |||
| Sean QuinlanHD-047 | Aye | Excused | Aye | Aye | |||||
| Julie Reyes OdaHD-040 | Aye | Aye | Aye | Aye | Aye | Aye | |||
| Jackson SayamaHD-021 | Aye | Aye | Aye | Aye | Aye | Aye | |||
| Gregg TakayamaHD-034 | Aye | Aye | Aye | Aye | Aye | Aye | |||
| Jenna TakenouchiHD-027 | Aye | Aye | Aye | Aye | Aye | Aye | |||
| Shirley Ann TemploHD-030 | Aye | Aye | Aye | Aye | Aye | ||||
| Chris ToddHD-003 | Aye | Aye | Aye | Aye | Aye | ||||
| Kyle YamashitaHD-012 | Aye | Aye | Aye | Aye | Aye |
24 more House members only counted as floor ayes
| Member | HLT Introduced | Second reading HD1 | LAB HD1 | Report adoption HD2 | FIN HD2 | Third reading HD2 | Conference SD1 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|---|---|
| Della au BelattiHD-026 | Aye | Aye | Aye | Aye | |||||
| Cory ChunHD-035 | Aye | Aye | Aye | Aye | |||||
| Elle CochranHD-014 | Aye | Aye | Aye | Aye | |||||
| Luke EvslinHD-016 | Aye | Aye | Aye | Aye | |||||
| Tina GrandinettiHD-020 | Aye | Aye | Aye | Aye | |||||
| Mark HashemHD-019 | Aye | Aye | Aye | Aye | |||||
| Daniel HoltHD-028 | Aye | ||||||||
| Linda IchiyamaHD-031 | Aye | Aye | Aye | Aye | |||||
| Greggor IlaganHD-004 | Aye | Aye | Aye | Aye | |||||
| Kirstin KahaloaHD-006 | Aye | Aye | Aye | Aye | |||||
| Darius KilaHD-044 | Aye | Aye | Aye | Aye | |||||
| Trish La ChicaHD-037 | Aye | Aye | Aye | Aye | |||||
| Nicole LowenHD-007 | Aye | Aye | Aye | Aye | |||||
| Scot MatayoshiHD-049 | Aye | Aye | Aye | Aye | |||||
| Lauren MatsumotoHD-038 | Aye | Aye | Aye | Aye | |||||
| Chris MuraokaHD-045 | Aye | Aye | Aye | Aye | |||||
| Nadine NakamuraHD-015 | Aye | Aye | Aye | Aye | |||||
| Mahina PoepoeHD-013 | Aye | Aye | Aye | Aye | |||||
| Michael RatcliffeHD-028 | Aye | ||||||||
| Garner ShimizuHD-032 | Aye | Aye | Aye | Aye | |||||
| Kanani SouzaHD-043 | Aye | Aye | Aye | Aye | |||||
| Adrian TamHD-024 | Aye | Aye | Aye | Aye | |||||
| David TarnasHD-008 | Aye | Aye | Aye | Aye | |||||
| Justin WoodsonHD-009 | Aye | Aye | Aye | Aye |
Aye named · Aye* with reservations · Aye floor vote, not named as an exception · No · Excused · Changed reversed from the previous vote
Names are matched to legislators only when exactly one person fits; every printed name on this measure was matched. A missing vote means no record was found for that member at that stage, not a no vote. Committee codes follow the Legislature's abbreviations.Official measure history ↗
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Legislative history
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Prefiled.
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Introduced and Pass First Reading.
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Referred to HLT, LAB, FIN, referral sheet 1
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Bill scheduled to be heard by HLT on Wednesday, 02-04-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
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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, Hartsfield, Marten, Takenouchi; Ayes with reservations: Representative(s) Amato, Olds, Alcos, Garcia; Noes: none; and Excused: none.
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Reported from HLT (Stand. Com. Rep. No. 51-26) as amended in HD 1, recommending passage on Second Reading and referral to LAB.
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Passed Second Reading as amended in HD 1 and referred to the committee(s) on LAB with Representative(s) Alcos, Amato, Garcia voting aye with reservations; Representative(s) Pierick voting no (1) and none excused (0).
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Bill scheduled to be heard by LAB on Thursday, 02-19-26 9:30AM in House conference room 309 VIA VIDEOCONFERENCE.
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The committee on LAB recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Sayama, Lee, M., Garrett, Kapela, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Kong.
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Reported from LAB (Stand. Com. Rep. No. 647-26) as amended in HD 2, recommending referral to FIN.
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Report adopted; referred to the committee(s) on FIN as amended in HD 2 with Representative(s) Alcos, Garcia voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1).
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Bill scheduled to be heard by FIN on Friday, 02-27-26 10:00AM in House conference room 308 VIA VIDEOCONFERENCE.
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The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Miyake, Morikawa, Templo, Yamashita, Reyes Oda; Ayes with reservations: Representative(s) Perruso, Alcos, Gedeon; Noes: none; and 1 Excused: Representative(s) Lee, M..
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Reported from FIN (Stand. Com. Rep. No. 855-26), recommending passage on Third Reading.
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Passed Third Reading with Representative(s) Alcos, Amato, Garcia voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Perruso excused (1). Transmitted to Senate.
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Received from House (Hse. Com. No. 16).
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Passed First Reading.
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Referred to HHS/LBT, WAM.
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The committee(s) on HHS/LBT has scheduled a public hearing on 03-25-26 1:00PM; Conference Room 225 & Videoconference.
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The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in LBT were as follows: 3 Aye(s): Senator(s) Elefante, Lamosao, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Ihara, Moriwaki.
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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, Kanuha, Fevella; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 1 Excused: Senator(s) Keohokalole.
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Reported from HHS/LBT (Stand. Com. Rep. No. 3330) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
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Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
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The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference.
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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, Kanuha, Kidani, Kim, Richards, Wakai; Aye(s) with reservations: Senator(s) Inouye, Fevella ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C..
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Reported from WAM (Stand. Com. Rep. No. 3632) with recommendation of passage on Third Reading.
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One Day Notice 04-10-26.
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Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House.
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Returned from Senate (Sen. Com. No. 521) in amended form (SD 1).
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House disagrees with Senate amendment (s).
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Received notice of disagreement (Hse. Com. No. 599).
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House Conferees Appointed: Takayama, Sayama, Keohokapu-Lee Loy Co-Chairs; Alcos.
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Received notice of appointment of House conferees (Hse. Com. No. 810).
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Senate Conferees Appointed: San Buenaventura Chair; Elefante, Kanuha Co-Chairs.
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Received notice of Senate conferees (Sen. Com. No. 725).
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Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
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Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
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The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Sayama, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
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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, Elefante, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
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Reported from Conference Committee (Conf Com. Rep. No. 167-26) as amended in (CD 1).
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Forty-eight (48) hours notice Wednesday, 05-06-26.
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Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 167-26).
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48 Hrs. Notice (as amended CD 1) 05-06-26
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Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
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Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Iwamoto, Pierick voting no (2) and none excused (0).
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Received notice of Final Reading (Sen. Com. No. 816).
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Received notice of passage on Final Reading in House (Hse. Com. No. 888).
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Transmitted to Governor.
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Act 057, 05/28/2026 (Gov. Msg. No. 1157).
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Act 057, on 05/28/2026 (Gov. Msg. No. 1157).