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HB2314HIPassed 2026 Regular Session

Relating To Emergency Medical Systems Of Care.

Last status update Jun 4, 2026

What this measure contains

Modernizes Hawaii's emergency medical services laws to align with current best practices and adopt a time-sensitive emergency medical systems of care model. Expands the Community Paramedicine Program to include integrated mobile health care; permit additional partnerships with professional organizations and educational institutions; and authorize certain telehealth services by providers located in or out of the State, under certain circumstances. Renames the State Emergency Medical Services Advisory Council the Hawaii Emergency Medical Systems of Care Advisory Council and amends its membership. (CD1)

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.

Related measures

  • SB3134— Same As

Related measures may contain different language or follow different histories.

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. HD2by CPC
  4. SD1by HHS
  5. CD1by Conference

Companion measure: SB3134. A companion follows its own path; its votes are not combined with this one.

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 CPC committee on HD1: Passed, with amendments, reported as HD2

    10 aye · 0 no · 1 excused

  4. House third reading on HD2: Passed

    48 aye · 0 no · 2 excused

  5. Health and Human Services (HHS) on HD2: Passed, with amendments, reported as SD1

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

  6. Judiciary (JDC) on SD1: Passed, unamended

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

  7. Senate third reading on SD1: Passed

    25 aye · 0 no · 0 excused

  8. House conference managers on SD1: Passed, with amendments, reported as CD1

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

  9. Senate conference managers on SD1: Passed, with amendments, reported as CD1

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

  10. Senate final reading on CD1: Passed

    25 aye · 0 no · 0 excused

  11. House final reading on CD1: Passed

    51 aye · 0 no · 0 excused

Senate members along the path

Senate members' votes at each stage of HB2314
MemberHHS
HD2		JDC
SD1		Third reading
SD1		Conference
SD1		Final reading
CD1		Change along the path
Brenton AwaSD-023ExcusedAyeAye
Stanley ChangSD-009AyeAyeAyeAye
Kurt FevellaSD-020AyeAyeExcusedAye
Mike GabbardSD-021AyeAyeAye
Dru KanuhaSD-003AyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Angus McKelveySD-006AyeAyeAyeAye
Karl RhoadsSD-013AyeAyeAye
Joy San BuenaventuraSD-002AyeAyeAyeAye
16 more Senate members only counted as floor ayes
MemberHHS
HD2		JDC
SD1		Third reading
SD1		Conference
SD1		Final reading
CD1		Change along the path
Donovan CruzSD-017AyeAye
Lynn DecoiteSD-007AyeAye
Samantha DeCorteSD-022AyeAye
Brandon ElefanteSD-016AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Carol FukunagaSD-011AyeAye
Troy HashimotoSD-005AyeAye
Les IharaSD-010AyeAye
Lorraine InouyeSD-001AyeAye
Michelle KidaniSD-018AyeAye
Donna KimSD-014AyeAye
Ronald KouchiSD-008AyeAye
Chris LeeSD-025AyeAye
Sharon MoriwakiSD-012AyeAye
Tim RichardsSD-004AyeAye
Glenn WakaiSD-015AyeAye

House members along the path

House members' votes at each stage of HB2314
MemberHLT
Introduced		Second reading
HD1		CPC
HD1		Third reading
HD2		Conference
SD1		Final reading
CD1		Change along the path
David AlcosHD-041AyeAyeAyeAyeAye
Terez AmatoHD-011AyeAyeAyeAye
Cory ChunHD-035AyeAyeAyeAye
Diamond GarciaHD-042AyeAyeAyeAye
Tina GrandinettiHD-020AyeAyeAyeAyeAye
Daisy HartsfieldHD-036AyeAyeAyeAye
Linda IchiyamaHD-031AyeAyeAyeAye
Greggor IlaganHD-004AyeAyeAyeAye
Kim IwamotoHD-025AyeAyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAyeAye
Sam KongHD-033AyeAyeExcusedAye
Nicole LowenHD-007AyeAyeAyeAye
Lisa MartenHD-051AyeAyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAyeAye
Ikaika OldsHD-023AyeAyeAyeAye
Elijah PierickHD-039AyeExcusedExcusedAye
Gregg TakayamaHD-034AyeAyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAye
Adrian TamHD-024AyeAyeAyeAye
32 more House members only counted as floor ayes
MemberHLT
Introduced		Second reading
HD1		CPC
HD1		Third reading
HD2		Conference
SD1		Final reading
CD1		Change along the path
Della au BelattiHD-026AyeAyeAye
Elle CochranHD-014AyeAyeAye
Luke EvslinHD-016AyeAyeAye
Andrew GarrettHD-022AyeAyeAye
Joe GedeonHD-018AyeAyeAye
Mark HashemHD-019AyeAyeAye
Ikaika HusseyHD-029AyeAyeAye
Kirstin KahaloaHD-006AyeAyeAye
Jeanne KapelaHD-005AyeAyeAye
Darius KilaHD-044AyeAyeAye
Lisa KitagawaHD-048AyeAyeAye
Matthias KuschHD-001AyeAyeAye
Trish La ChicaHD-037AyeAyeAye
Mike LeeHD-050AyeAyeAye
Lauren MatsumotoHD-038AyeAyeAye
Tyson MiyakeHD-010AyeAyeAye
Daynette MorikawaHD-017AyeAyeAye
Chris MuraokaHD-045AyeAyeAye
Nadine NakamuraHD-015AyeAyeAye
Amy PerrusoHD-046AyeAyeAye
Mahina PoepoeHD-013AyeAyeAye
Sean QuinlanHD-047AyeAyeAye
Michael RatcliffeHD-028Aye
Julie Reyes OdaHD-040AyeAyeAye
Jackson SayamaHD-021AyeAyeAye
Garner ShimizuHD-032AyeAyeAye
Kanani SouzaHD-043AyeAyeAye
David TarnasHD-008AyeAyeAye
Shirley Ann TemploHD-030AyeAyeAye
Chris ToddHD-003AyeAyeAye
Justin WoodsonHD-009AyeAyeAye
Kyle YamashitaHD-012AyeAyeAye

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. Pending introduction.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, CPC, referral sheet 5

  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. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

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

  8. Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  9. The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.

  10. Reported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading.

  11. Forty-eight (48) hours notice Tuesday, 03-10-26.

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

  13. Received from House (Hse. Com. No. 395).

  14. Passed First Reading.

  15. Referred to HHS, JDC.

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

  17. 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.

  18. Reported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

  19. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.

  20. The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.

  21. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

  22. Reported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.

  23. One Day Notice 04-14-26.

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

  25. Returned from Senate (Sen. Com. No. 679) in amended form (SD 1).

  26. House disagrees with Senate amendment (s).

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

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

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

  30. Senate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.

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

  32. Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.

  33. 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.

  34. 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) McKelvey, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  35. Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).

  36. Forty-eight (48) hours notice Wednesday, 05-06-26.

  37. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).

  38. 48 Hrs. Notice (as amended CD 1) 05-06-26

  39. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

  40. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

  41. Received notice of Final Reading (Sen. Com. No. 816).

  42. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

  43. Transmitted to Governor.

  44. Act 085, 06/04/2026 (Gov. Msg. No. 1185).

  45. Act 085, on 06/04/2026 (Gov. Msg. No. 1185).

Bill sponsors