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HB1591HIEngrossed 2026 Regular Session

Relating To Health Care.

Last status update Mar 5, 2026

What this measure contains

Expands the definitions of "preceptor" and "volunteerbased supervised clinical training rotation" applicable to the Healthcare Preceptor Tax Credit to improve accessibility for providers to receive income tax credits for acting as preceptors, including removing "primary care" from the criteria to qualify as a preceptor. Adds physician assistants, dietitians, and social workers to the list of preceptors and eligible students. Expands eligibility for the tax credit to include accredited residency programs that require preceptor support. Adds the Director of Health and representatives of residency programs with eligible students to the Preceptor Credit Assurance Committee. Applies to taxable years beginning after 12/31/2026. Effective 7/1/2050. (SD2)

Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.

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Read the full bill at its source ↗
Source: legiscan· Loaded Oct 30, 2026· Snapshot export date not suppliedOriginal record ↗

Bill text and versions

Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.

How this measure moved

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.

  1. Introduced
  2. HD1by HLT
  3. SD1by HHS
  4. SD2by CPN

Decision stages

  1. House HLT committee on the introduced draft: Passed, with amendments, reported as HD1

    9 aye · 0 no · 0 excused

  2. House second reading on HD1: Passed

    50 aye · 0 no · 0 excused

  3. House FIN committee on HD1: Passed, unamended

    15 aye · 0 no · 1 excused

  4. House third reading on HD1: Passed

    49 aye · 0 no · 1 excused

  5. Health and Human Services (HHS) on HD1: Passed, with amendments, reported as SD1

    5 aye · 0 no · 0 excused · Source roll call

  6. Ways and Means (WAM) on SD1: Passed, with amendments, reported as SD2

    11 aye · 0 no · 2 excused · Source roll call

  7. Commerce and Consumer Protection (CPN) on SD1: Passed, with amendments, reported as SD2

    4 aye · 0 no · 1 excused · Source roll call

  8. Senate third reading on SD2: Passed

    25 aye · 0 no · 0 excused

Senate members along the path

Senate members' votes at each stage of HB1591
MemberHHS
HD1		WAM
SD1		CPN
SD1		Third reading
SD2		Change along the path
Brenton AwaSD-023ExcusedAye
Lynn DecoiteSD-007AyeAye
Donovan CruzSD-017AyeAye
Brandon ElefanteSD-016AyeAye
Kurt FevellaSD-020AyeAyeAye
Carol FukunagaSD-011AyeAye
Troy HashimotoSD-005AyeAye
Lorraine InouyeSD-001AyeAye
Dru KanuhaSD-003AyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Michelle KidaniSD-018AyeAye
Donna KimSD-014AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Chris LeeSD-025ExcusedAye
Angus McKelveySD-006AyeAyeAye
Sharon MoriwakiSD-012AyeAye
Tim RichardsSD-004ExcusedAye
Joy San BuenaventuraSD-002AyeAye
Glenn WakaiSD-015AyeAye
6 more Senate members only counted as floor ayes
MemberHHS
HD1		WAM
SD1		CPN
SD1		Third reading
SD2		Change along the path
Stanley ChangSD-009Aye
Samantha DeCorteSD-022Aye
Mike GabbardSD-021Aye
Les IharaSD-010Aye
Ronald KouchiSD-008Aye
Karl RhoadsSD-013Aye

House members along the path

House members' votes at each stage of HB1591
MemberHLT
Introduced		Second reading
HD1		FIN
HD1		Third reading
HD1		Change along the path
David AlcosHD-041AyeAyeAyeAye
Terez AmatoHD-011AyeAyeAye
Diamond GarciaHD-042AyeAyeAye
Joe GedeonHD-018AyeAyeAye
Daisy HartsfieldHD-036AyeAyeAyeAye
Ikaika HusseyHD-029AyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAye
Lisa KitagawaHD-048AyeAyeAye
Matthias KuschHD-001AyeAyeAye
Mike LeeHD-050AyeExcusedAye
Lisa MartenHD-051AyeAyeAye
Tyson MiyakeHD-010AyeAyeAye
Daynette MorikawaHD-017AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Amy PerrusoHD-046AyeAyeExcused
Julie Reyes OdaHD-040AyeAyeAye
Gregg TakayamaHD-034AyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAye
Shirley Ann TemploHD-030AyeAyeAye
Chris ToddHD-003AyeAyeAye
Kyle YamashitaHD-012AyeAyeAye
29 more House members only counted as floor ayes
MemberHLT
Introduced		Second reading
HD1		FIN
HD1		Third reading
HD1		Change along the path
Della au BelattiHD-026AyeAye
Cory ChunHD-035AyeAye
Elle CochranHD-014AyeAye
Luke EvslinHD-016AyeAye
Andrew GarrettHD-022AyeAye
Tina GrandinettiHD-020AyeAye
Mark HashemHD-019AyeAye
Linda IchiyamaHD-031AyeAye
Greggor IlaganHD-004AyeAye
Kim IwamotoHD-025AyeAye
Kirstin KahaloaHD-006AyeAye
Jeanne KapelaHD-005AyeAye
Darius KilaHD-044AyeAye
Sam KongHD-033AyeAye
Trish La ChicaHD-037AyeAye
Nicole LowenHD-007AyeAye
Scot MatayoshiHD-049AyeAye
Lauren MatsumotoHD-038AyeAye
Chris MuraokaHD-045AyeAye
Nadine NakamuraHD-015AyeAye
Elijah PierickHD-039AyeAye
Mahina PoepoeHD-013AyeAye
Sean QuinlanHD-047AyeAye
Jackson SayamaHD-021AyeAye
Garner ShimizuHD-032AyeAye
Kanani SouzaHD-043AyeAye
Adrian TamHD-024AyeAye
David TarnasHD-008AyeAye
Justin WoodsonHD-009AyeAye

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

  1. Prefiled.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, FIN, referral sheet 1

  4. Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  5. 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.

  6. Reported from HLT (Stand. Com. Rep. No. 364-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

  7. Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and none excused (0).

  8. Bill scheduled to be heard by FIN on Friday, 02-27-26 10:00AM in House conference room 308 VIA VIDEOCONFERENCE.

  9. 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, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Lee, M..

  10. Reported from FIN (Stand. Com. Rep. No. 848-26), recommending passage on Third Reading.

  11. Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Perruso excused (1). Transmitted to Senate.

  12. Received from House (Hse. Com. No. 24).

  13. Passed First Reading.

  14. Referred to HHS, CPN/WAM.

  15. The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.

  16. 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.

  17. Reported from HHS (Stand. Com. Rep. No. 3336) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

  18. Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.

  19. The committee(s) on CPN/WAM will hold a public decision making on 04-07-26 10:30AM; Conference Room 211 & Videoconference.

  20. The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Lee, C., Richards.

  21. The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

  22. Reported from CPN/WAM (Stand. Com. Rep. No. 3712) with recommendation of passage on Third Reading, as amended (SD 2).

  23. 48 Hrs. Notice 04-14-26.

  24. Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

  25. Returned from Senate (Sen. Com. No. 590) in amended form (SD 2).

  26. House disagrees with Senate amendment (s).

  27. Received notice of disagreement (Hse. Com. No. 780).

  28. House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos.

  29. Received notice of appointment of House conferees (Hse. Com. No. 786).

  30. Senate Conferees Appointed: San Buenaventura Chair; Lamosao, Kanuha Co-Chairs.

  31. Received notice of Senate conferees (Sen. Com. No. 725).

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

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

  34. Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.

Bill sponsors