Relating To Health Care.
Last status update May 29, 2026
What this measure contains
Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care services or gender-affirming health care services. (SD2)
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 23, 2026
- Amended · Official document ↗· Feb 18, 2026
- Amended · Official document ↗· Mar 7, 2026
- Amended · Official document ↗· Mar 27, 2026
- Amended · Official document ↗· Apr 10, 2026
Related measures
- SB2868— 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 CPC
- HD2by JHA
- SD1by CPN
- SD2by JDC
Companion measure: SB2868. 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
6 aye · 2 no · 1 excused
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House CPC committee on the introduced draft: Passed, with amendments, reported as HD1
8 aye · 1 no · 2 excused
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House second reading on HD1: Passed
41 aye · 3 aye with reservations · 6 no · 0 excused
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House JHA committee on HD1: Passed, with amendments, reported as HD2
6 aye · 1 aye with reservations · 1 no · 2 excused
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House third reading on HD2: Passed
40 aye · 4 aye with reservations · 6 no · 0 excused
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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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Commerce and Consumer Protection (CPN) on HD2: Passed, with amendments, reported as SD1
4 aye · 1 no · 0 excused · Source roll call
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Judiciary (JDC) on SD1: Passed, with amendments, reported as SD2
3 aye · 1 no · 1 excused · Source roll call
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Senate third reading on SD2: Passed
21 aye · 4 no · 0 excused
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House final reading on SD2: Passed
40 aye · 2 aye with reservations · 8 no · 1 excused
Senate members along the path
| Member | HHS HD2 | CPN HD2 | JDC SD1 | Third reading SD2 | Change along the path |
|---|---|---|---|---|---|
| Kurt FevellaSD-020 | Aye* | No | Aye with reservations → No at Senate third reading (SD2) | ||
| Brenton AwaSD-023 | No | Excused | No | ||
| Stanley ChangSD-009 | Aye | Aye | |||
| Samantha DeCorteSD-022 | No | ||||
| Carol FukunagaSD-011 | Aye | Aye | |||
| Mike GabbardSD-021 | No | No | |||
| Dru KanuhaSD-003 | Aye | Aye | |||
| Jarrett KeohokaloleSD-024 | Aye | Aye | Aye | ||
| Rachele Fernandez LamosaoSD-019 | Aye | Aye | |||
| Angus McKelveySD-006 | Excused | Aye | Aye | ||
| Karl RhoadsSD-013 | Aye | Aye | |||
| Joy San BuenaventuraSD-002 | Aye | Aye | Aye |
13 more Senate members only counted as floor ayes
| Member | HHS HD2 | CPN HD2 | JDC SD1 | Third reading SD2 | Change along the path |
|---|---|---|---|---|---|
| Donovan CruzSD-017 | Aye | ||||
| Lynn DecoiteSD-007 | Aye | ||||
| Brandon ElefanteSD-016 | Aye | ||||
| Troy HashimotoSD-005 | Aye | ||||
| Les IharaSD-010 | Aye | ||||
| Lorraine InouyeSD-001 | Aye | ||||
| Michelle KidaniSD-018 | Aye | ||||
| Donna KimSD-014 | Aye | ||||
| Ronald KouchiSD-008 | Aye | ||||
| Chris LeeSD-025 | Aye | ||||
| Sharon MoriwakiSD-012 | Aye | ||||
| Tim RichardsSD-004 | Aye | ||||
| Glenn WakaiSD-015 | Aye |
House members along the path
| Member | HLT Introduced | CPC Introduced | Second reading HD1 | JHA HD1 | Third reading HD2 | Final reading SD2 | Change along the path |
|---|---|---|---|---|---|---|---|
| Sam KongHD-033 | No | Aye | No | No | No → Aye at House second reading (HD1)Aye → No at House third reading (HD2) | ||
| Lauren MatsumotoHD-038 | No | Aye* | No | No → Aye with reservations at House third reading (HD2)Aye with reservations → No at House final reading (SD2) | |||
| Chris MuraokaHD-045 | No | Aye | No | No → Aye at House third reading (HD2)Aye → No at House final reading (SD2) | |||
| Garner ShimizuHD-032 | Aye | No | No | No | Aye → No at House JHA committee (HD1) | ||
| David AlcosHD-041 | No | No | No | No | |||
| Terez AmatoHD-011 | Excused | Aye | Aye | Aye | |||
| Della au BelattiHD-026 | Aye | Aye | Aye | Aye | |||
| Cory ChunHD-035 | Aye | Aye | Aye | Aye | |||
| Elle CochranHD-014 | Aye | Aye* | Aye | Aye | Added reservations at House JHA committee (HD1)Dropped reservations at House third reading (HD2) | ||
| Luke EvslinHD-016 | Aye | Aye | Excused | ||||
| Diamond GarciaHD-042 | No | No | Excused | No | No | ||
| Joe GedeonHD-018 | No | No | No | ||||
| Tina GrandinettiHD-020 | Aye | Aye | Aye | Aye | |||
| Daisy HartsfieldHD-036 | Aye | Aye | Aye | Aye | |||
| Mark HashemHD-019 | Aye | Excused | Aye | Aye | |||
| Linda IchiyamaHD-031 | Aye | Aye | Aye | Aye | |||
| Greggor IlaganHD-004 | Aye | Aye | Aye | Aye | |||
| Kim IwamotoHD-025 | Aye | Aye | Aye | Aye | |||
| Kirstin KahaloaHD-006 | Aye | Aye | Aye | Aye | |||
| Sue Keohokapu-Lee LoyHD-002 | Aye | Aye | Aye | Aye | |||
| Darius KilaHD-044 | Aye* | Aye* | Aye* | ||||
| Nicole LowenHD-007 | Excused | Aye | Aye | Aye | |||
| Lisa MartenHD-051 | Aye | Aye | Aye | Aye | Aye | ||
| Scot MatayoshiHD-049 | Aye | Aye | Aye | Aye | |||
| Ikaika OldsHD-023 | Aye | Aye | Aye | Aye | |||
| Elijah PierickHD-039 | Excused | No | No | No | |||
| Mahina PoepoeHD-013 | Aye | Aye | Aye | Aye | |||
| Julie Reyes OdaHD-040 | Aye* | Aye* | Aye | Dropped reservations at House final reading (SD2) | |||
| Jackson SayamaHD-021 | Aye | Aye | Aye | Aye | |||
| Kanani SouzaHD-043 | Aye* | Aye* | Aye* | ||||
| Gregg TakayamaHD-034 | Aye | Aye | Aye | Aye | Aye | ||
| Jenna TakenouchiHD-027 | Aye | Aye | Aye | Aye | |||
| Adrian TamHD-024 | Aye | Aye | Aye | Aye | |||
| David TarnasHD-008 | Aye | Aye | Aye | Aye |
17 more House members only counted as floor ayes
| Member | HLT Introduced | CPC Introduced | Second reading HD1 | JHA HD1 | Third reading HD2 | Final reading SD2 | Change along the path |
|---|---|---|---|---|---|---|---|
| Andrew GarrettHD-022 | Aye | Aye | Aye | ||||
| Ikaika HusseyHD-029 | Aye | Aye | Aye | ||||
| Jeanne KapelaHD-005 | Aye | Aye | Aye | ||||
| Lisa KitagawaHD-048 | Aye | Aye | Aye | ||||
| Matthias KuschHD-001 | Aye | Aye | Aye | ||||
| Trish La ChicaHD-037 | Aye | Aye | Aye | ||||
| Mike LeeHD-050 | Aye | Aye | Aye | ||||
| Tyson MiyakeHD-010 | Aye | Aye | Aye | ||||
| Daynette MorikawaHD-017 | Aye | Aye | Aye | ||||
| Nadine NakamuraHD-015 | Aye | Aye | Aye | ||||
| Amy PerrusoHD-046 | Aye | Aye | Aye | ||||
| Sean QuinlanHD-047 | Aye | Aye | Aye | ||||
| Michael RatcliffeHD-028 | Aye | ||||||
| Shirley Ann TemploHD-030 | Aye | Aye | Aye | ||||
| Chris ToddHD-003 | Aye | Aye | Aye | ||||
| Justin WoodsonHD-009 | Aye | Aye | Aye | ||||
| Kyle YamashitaHD-012 | 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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Pending introduction.
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Introduced and Pass First Reading.
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Referred to HLT, CPC, JHA, referral sheet 2
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Re-referred to HLT/CPC, JHA, referral sheet 5
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Bill scheduled to be heard by HLT/CPC on Monday, 02-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
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This measure has been deleted from the meeting scheduled on Monday 02-09-26 2:00PM in conference room 329 VIA VIDEOCONFERENCE.
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Bill scheduled to be heard by HLT/CPC on Wednesday, 02-11-26 2:00PM 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: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 1 Excused: Representative(s) Amato.
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The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Marten, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Kong; and 2 Excused: Representative(s) Lowen, Pierick.
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Reported from HLT/CPC (Stand. Com. Rep. No. 476-26) as amended in HD 1, recommending passage on Second Reading and referral to JHA.
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Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Kila, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick voting no (6) and none excused (0).
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Bill scheduled to be heard by JHA on Tuesday, 02-24-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
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The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Sayama, Takayama; Ayes with reservations: Representative(s) Cochran; 1 Noes: Representative(s) Shimizu; and 2 Excused: Representative(s) Hashem, Garcia.
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Reported from JHA (Stand. Com. Rep. No. 1141-26) as amended in HD 2, recommending passage on Third Reading.
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Forty-eight (48) hours notice Tuesday, 03-10-26.
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Passed Third Reading as amended in HD 2 with Representative(s) Kila, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Pierick, Shimizu voting no (6) and none excused (0). Transmitted to Senate.
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Received from House (Hse. Com. No. 306).
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Passed First Reading.
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Referred to HHS/CPN, JDC.
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The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference.
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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, Keohokalole; Aye(s) with reservations: Senator(s) Fevella ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey.
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The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference.
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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 ; 1 No(es): Senator(s) Awa; and 0 Excused: none.
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Reported from HHS/CPN (Stand. Com. Rep. No. 3338) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
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Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
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The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.
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The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Gabbard; and 1 Excused: Senator(s) Awa.
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Reported from JDC (Stand. Com. Rep. No. 3798) with recommendation of passage on Third Reading, as amended (SD 2).
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48 Hrs. Notice 04-14-26.
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Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 21; Aye(s) with reservations: none. Noes, 4 (Senator(s) Awa, DeCorte, Fevella, Gabbard). Excused, 0 (none). Transmitted to House.
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Returned from Senate (Sen. Com. No. 633) in amended form (SD 2).
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House disagrees with Senate amendment (s).
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Received notice of disagreement (Hse. Com. No. 780).
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Reconsideration of action taken on 04-16-26.
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Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 815).
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House agrees to Senate amendment(s).
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Passed Final Reading as amended in SD 2 with Representative(s) Kila, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and Representative(s) Evslin excused (1).
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Received notice of passage on Final Reading in House (Hse. Com. No. 823).
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Transmitted to Governor.
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Act 059, 05/29/2026 (Gov. Msg. No. 1159).
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Act 059, on 05/29/2026 (Gov. Msg. No. 1159).