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SB2271HIPassed 2026 Regular Session

Relating To Hospital Licensing.

Last status update Jul 10, 2026

What this measure contains

Requires the Department of Health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization approved by the Centers for Medicare and Medicaid Services. (CD1)

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

Read the latest imported text

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

  • HB1538— 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. SD1by WAM
  3. HD1by HLT
  4. HD2by CPC
  5. CD1by Conference

Companion measure: HB1538. A companion follows its own path; its votes are not combined with this one.

Decision stages

  1. Health and Human Services (HHS) on the introduced draft: Passed, unamended

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

  2. Ways and Means (WAM) on the introduced draft: Passed, with amendments, reported as SD1

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

  3. Senate third reading on SD1: Passed

    25 aye · 0 no · 0 excused

  4. House HLT committee on SD1: Passed, with amendments, reported as HD1

    9 aye · 0 no · 0 excused

  5. House second reading on HD1: Passed

    48 aye · 0 no · 2 excused

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

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

  7. House third reading on HD2: Passed

    50 aye · 0 no · 1 excused

  8. Senate conference managers on HD2: Passed, with amendments, reported as CD1

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

  9. House conference managers on HD2: Passed, with amendments, reported as CD1

    3 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 SB2271
MemberHHS
Introduced		WAM
Introduced		Third reading
SD1		Conference
HD2		Final reading
CD1		Change along the path
Lynn DecoiteSD-007AyeAyeAye
Donovan CruzSD-017AyeAyeAye
Brandon ElefanteSD-016AyeAyeAye
Kurt FevellaSD-020AyeAyeAyeExcusedAye
Troy HashimotoSD-005AyeAyeAye
Lorraine InouyeSD-001AyeAyeAye
Dru KanuhaSD-003ExcusedAyeAyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Michelle KidaniSD-018AyeAyeAye
Donna KimSD-014AyeAyeAye
Chris LeeSD-025AyeAyeAye
Angus McKelveySD-006AyeAyeAye
Sharon MoriwakiSD-012AyeAyeAye
Tim RichardsSD-004AyeAyeAye
Joy San BuenaventuraSD-002AyeAyeAyeAye
Glenn WakaiSD-015AyeAyeAye
9 more Senate members only counted as floor ayes
MemberHHS
Introduced		WAM
Introduced		Third reading
SD1		Conference
HD2		Final reading
CD1		Change along the path
Brenton AwaSD-023AyeAye
Stanley ChangSD-009AyeAye
Samantha DeCorteSD-022AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Carol FukunagaSD-011AyeAye
Mike GabbardSD-021AyeAye
Les IharaSD-010AyeAye
Ronald KouchiSD-008AyeAye
Karl RhoadsSD-013AyeAye

House members along the path

House members' votes at each stage of SB2271
MemberHLT
SD1		Second reading
HD1		CPC
HD1		Third reading
HD2		Conference
HD2		Final reading
CD1		Change along the path
David AlcosHD-041AyeAyeAyeAyeAye
Terez AmatoHD-011AyeAyeAyeAye
Cory ChunHD-035AyeAyeAyeAye
Diamond GarciaHD-042AyeAyeAyeAye
Andrew GarrettHD-022ExcusedAyeAye
Tina GrandinettiHD-020AyeAyeAyeAye
Daisy HartsfieldHD-036AyeAyeAyeAye
Linda IchiyamaHD-031AyeAyeAyeAye
Greggor IlaganHD-004AyeAyeAyeAye
Kim IwamotoHD-025AyeAye*AyeAyeAdded reservations at House CPC committee (HD1)Dropped reservations at House third reading (HD2)
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAyeAye
Sam KongHD-033AyeAyeAyeAye
Nicole LowenHD-007AyeAyeAyeAye
Lisa MartenHD-051AyeAyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAyeExcusedAye
Ikaika OldsHD-023AyeAyeAyeAye
Elijah PierickHD-039AyeAyeAyeAye
Sean QuinlanHD-047ExcusedExcusedAye
Gregg TakayamaHD-034AyeAyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAye
Adrian TamHD-024AyeAyeAyeAye
30 more House members only counted as floor ayes
MemberHLT
SD1		Second reading
HD1		CPC
HD1		Third reading
HD2		Conference
HD2		Final reading
CD1		Change along the path
Della au BelattiHD-026AyeAyeAye
Elle CochranHD-014AyeAyeAye
Luke EvslinHD-016AyeAyeAye
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
Michael RatcliffeHD-028AyeAye
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 passed First Reading.

  3. Referred to HHS, WAM.

  4. The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.

  5. The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Kanuha.

  6. Reported from HHS (Stand. Com. Rep. No. 2294) with recommendation of passage on Second Reading and referral to WAM.

  7. Report adopted; Passed Second Reading and referred to WAM.

  8. The committee(s) on WAM will hold a public decision making on 03-02-26 10:31AM; Conference Room 211 & Videoconference.

  9. The committee on WAM has rescheduled its decision making to 03-02-26 10:02AM; CR 211 & Videoconference.

  10. The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

  11. Reported from WAM (Stand. Com. Rep. No. 2848) with recommendation of passage on Third Reading, as amended (SD 1).

  12. 48 Hrs. Notice 03-10-26.

  13. Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

  14. Received from Senate (Sen. Com. No. 203) in amended form (SD 1).

  15. Pass First Reading

  16. Referred to HLT, CPC, referral sheet 17

  17. Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.

  18. 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; 0 Noes: none; and 0 Excused: none.

  19. Reported from HLT (Stand. Com. Rep. No. 1350-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  20. 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 Representative(s) Garrett, Quinlan excused (2).

  21. Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE.

  22. The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: Representative(s) Iwamoto; Noes: none; and Excused: none.

  23. Reported from CPC (Stand. Com. Rep. No. 2116-26) as amended in HD 2, recommending passage on Third Reading.

  24. Forty-eight (48) hours notice Tuesday, 04-14-26.

  25. Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1). Transmitted to Senate.

  26. Received from House (Hse. Com. No. 642).

  27. Senate disagrees with House amendments.

  28. Received notice of disagreement (Sen. Com. No. 710).

  29. Re-referred to HLT, CPC, FIN, referral sheet 30

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

  31. Received notice of appointment of House conferees (Hse. Com. No. 787).

  32. Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.

  33. Received notice of Senate conferees (Sen. Com. No. 720).

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

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

  36. 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) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  37. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Matayoshi.

  38. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 221-26).

  39. 48 Hrs. Notice (as amended CD 1) 05-06-26.

  40. Reported from Conference Committee (Conf Com. Rep. No. 221-26) as amended in (CD 1).

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

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

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

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

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

  46. Enrolled to Governor.

  47. Act 221, 07/09/2026 (Gov. Msg. No. 1323).

  48. Act 221, on 07/09/2026 (Gov. Msg. No. 1323).

Bill sponsors