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HB2501HIEngrossed 2026 Regular Session

Relating To Health Care.

Last status update Mar 5, 2026

What this measure contains

Requires hospitals and hospital systems to submit annual certified reports regarding costs associated with Medicare and uninsured patients to the Department of Health, Hawaii Health Systems Corporation, and State Health Planning and Development Agency. Requires the Department of Health, Hawaii Health Systems Corporation, and State Health Planning and Development Agency to review the reports, establish standards and procedures, and adopt rules. Requires the Department of Health to consider the reports when determining the department's budget request and designate financial assistance requests in an equitable way. Requires the Office of the Auditor to conduct periodic audits of the financial assistance distributed to hospitals and hospital systems. Effective 7/1/3000. (HD1)

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 CPC

Decision stages

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

    6 aye · 2 aye with reservations · 0 no · 1 excused

  2. House CPC committee on the introduced draft: Passed, with amendments, reported as HD1

    8 aye · 1 aye with reservations · 0 no · 2 excused

  3. House second reading on HD1: Passed

    48 aye · 2 aye with reservations · 0 no · 0 excused

  4. House FIN committee on HD1: Passed, unamended

    14 aye · 1 aye with reservations · 0 no · 1 excused

  5. House third reading on HD1: Passed

    49 aye · 0 no · 1 excused

House members along the path

House members' votes at each stage of HB2501
MemberHLT
Introduced		CPC
Introduced		Second reading
HD1		FIN
HD1		Third reading
HD1		Change along the path
David AlcosHD-041Aye*Aye*Aye*AyeDropped reservations at House third reading (HD1)
Terez AmatoHD-011ExcusedAyeAye
Cory ChunHD-035AyeAyeAye
Diamond GarciaHD-042Aye*Aye*AyeDropped reservations at House third reading (HD1)
Joe GedeonHD-018AyeAyeAye
Tina GrandinettiHD-020AyeAyeAye
Daisy HartsfieldHD-036AyeAyeAyeAye
Ikaika HusseyHD-029AyeAyeAye
Linda IchiyamaHD-031AyeAyeAye
Greggor IlaganHD-004AyeAyeAye
Kim IwamotoHD-025AyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAye
Lisa KitagawaHD-048AyeAyeAye
Sam KongHD-033Aye*AyeAyeDropped reservations at House second reading (HD1)
Matthias KuschHD-001AyeAyeAye
Mike LeeHD-050AyeExcusedAye
Nicole LowenHD-007ExcusedAyeAye
Lisa MartenHD-051AyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAye
Tyson MiyakeHD-010AyeAyeAye
Daynette MorikawaHD-017AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Amy PerrusoHD-046AyeAyeExcused
Elijah PierickHD-039ExcusedAyeAye
Julie Reyes OdaHD-040AyeAyeAye
Gregg TakayamaHD-034AyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAye
Adrian TamHD-024AyeAyeAye
Shirley Ann TemploHD-030AyeAyeAye
Chris ToddHD-003AyeAyeAye
Kyle YamashitaHD-012AyeAyeAye
19 more House members only counted as floor ayes
MemberHLT
Introduced		CPC
Introduced		Second reading
HD1		FIN
HD1		Third reading
HD1		Change along the path
Della au BelattiHD-026AyeAye
Elle CochranHD-014AyeAye
Luke EvslinHD-016AyeAye
Andrew GarrettHD-022AyeAye
Mark HashemHD-019AyeAye
Kirstin KahaloaHD-006AyeAye
Jeanne KapelaHD-005AyeAye
Darius KilaHD-044AyeAye
Trish La ChicaHD-037AyeAye
Lauren MatsumotoHD-038AyeAye
Chris MuraokaHD-045AyeAye
Nadine NakamuraHD-015AyeAye
Mahina PoepoeHD-013AyeAye
Sean QuinlanHD-047AyeAye
Jackson SayamaHD-021AyeAye
Garner ShimizuHD-032AyeAye
Kanani SouzaHD-043AyeAye
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. Introduced and Pass First Reading.

  2. Referred to HLT, CPC, FIN, referral sheet 6

  3. Bill scheduled to be heard by HLT on Monday, 02-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  4. This measure has been deleted from the meeting scheduled on Monday 02-09-26 2:00PM in conference room 329 VIA VIDEOCONFERENCE.

  5. Bill scheduled to be heard by HLT on Wednesday, 02-11-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  6. Re-referred to HLT/CPC, FIN, referral sheet 9

  7. The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Alcos, Garcia; Noes: none; and 1 Excused: Representative(s) Amato.

  8. The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Marten, Tam; Ayes with reservations: Representative(s) Kong; Noes: none; and 2 Excused: Representative(s) Lowen, Pierick.

  9. Reported from HLT/CPC (Stand. Com. Rep. No. 475-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

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

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

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

  13. Reported from FIN (Stand. Com. Rep. No. 844-26), recommending passage on Third Reading.

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

  15. Received from House (Hse. Com. No. 114).

  16. Passed First Reading.

  17. Referred to HHS/CPN, WAM.

Bill sponsors