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HB816HIEngrossed 2026 Regular Session

Relating To Emergency Response.

Last status update Mar 5, 2026

What this measure contains

Authorizes licensed paramedics in a county with a population of 100,000 or less to administer buprenorphine after administration of an opioid antagonist in cases of opioid overdoses, under certain conditions. Requires the Department of Health to implement a two-year phased pilot program beginning in one county with a population of 100,000 or less and authorizes expansion of the program statewide as additional treatment resources become available. Requires a report to the Legislature evaluating program outcomes. Appropriates funds. Sunsets 6/30/2028. (SD1)

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

  • SB851— Same As
  • HB816— Carry Over

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. SD1by HHS

Companion measures: SB851, HB816. 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

    8 aye · 0 no · 1 excused

  2. House second reading on HD1: Passed

    49 aye · 0 no · 2 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

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

Senate members along the path

Senate members' votes at each stage of HB816
MemberHHS
HD1		Change along the path
Kurt FevellaSD-020Excused
Dru KanuhaSD-003Aye
Jarrett KeohokaloleSD-024Excused
Angus McKelveySD-006Aye
Joy San BuenaventuraSD-002Aye

House members along the path

House members' votes at each stage of HB816
MemberHLT
Introduced		Second reading
HD1		FIN
HD1		Third reading
HD1		Change along the path
David AlcosHD-041AyeAyeAyeAye
Terez AmatoHD-011AyeAyeAye
Cory ChunHD-035AyeAyeAye
Elle CochranHD-014ExcusedAye
Diamond GarciaHD-042ExcusedAyeAye
Joe GedeonHD-018AyeAye
Daisy HartsfieldHD-036AyeAye
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
Gene WardHD-018Excused
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
Luke EvslinHD-016AyeAye
Rachele Fernandez LamosaoSD-019Aye
Andrew GarrettHD-022AyeAye
Tina GrandinettiHD-020AyeAye
Mark HashemHD-019AyeAye
Daniel HoltHD-028Aye
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. Pending introduction.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, FIN, referral sheet 3

  4. Bill scheduled to be heard by HLT on Wednesday, 02-05-25 9:30AM 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: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Garcia.

  6. Reported from HLT (Stand. Com. Rep. No. 327) 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 Representative(s) Cochran, Ward excused (2).

  8. Carried over to 2026 Regular Session.

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

  10. 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..

  11. Reported from FIN (Stand. Com. Rep. No. 846-26), recommending passage on Third Reading.

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

  13. Received from House (Hse. Com. No. 9).

  14. Passed First Reading.

  15. Referred to HHS, WAM.

  16. The committee(s) on HHS has scheduled a public hearing on 03-16-26 1:10PM; Conference Room 225 & Videoconference.

  17. The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Keohokalole, Fevella.

  18. Reported from HHS (Stand. Com. Rep. No. 3125) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.

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

Bill sponsors