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SB2277HIEngrossed 2026 Regular Session

Relating To Hospital Price Transparency.

Last status update Mar 10, 2026

What this measure contains

Requires each hospital licensed in the State to provide an annual attestation to the State Health Planning and Development Agency that the hospital is in compliance with federal hospital price transparency requirements. Permits patients to file a counterclaim against debt collection actions filed by hospitals to determine if the hospital is in compliance with federal hospital price transparency requirements. Requires hospitals to provide patients with an easy-to-understand itemized bill statement before initiating a debt collection action against a patient. Effective 1/30/2050. (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. SD1by CPN
  3. HD1by HLT

Decision stages

  1. Health and Human Services (HHS) on the introduced draft: Passed, with amendments, reported as SD1

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

  2. Commerce and Consumer Protection (CPN) on the introduced draft: Passed, with amendments, reported as SD1

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

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

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

  4. Ways and Means (WAM) on SD1: Passed, unamended

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

  5. Senate third reading on SD1: Passed

    25 aye · 0 no · 0 excused

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

    8 aye · 0 no · 1 excused

  7. House second reading on HD1: Passed

    50 aye · 0 no · 0 excused

Senate members along the path

Senate members' votes at each stage of SB2277
MemberHHS
Introduced		CPN
Introduced		JDC
SD1		WAM
SD1		Third reading
SD1		Change along the path
Brenton AwaSD-023AyeAyeAye
Stanley ChangSD-009AyeAye
Lynn DecoiteSD-007AyeAye
Donovan CruzSD-017AyeAye
Brandon ElefanteSD-016AyeAye
Kurt FevellaSD-020ExcusedAyeAye
Carol FukunagaSD-011AyeAye
Mike GabbardSD-021AyeAye
Troy HashimotoSD-005AyeAye
Lorraine InouyeSD-001AyeAye
Dru KanuhaSD-003AyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Michelle KidaniSD-018AyeAye
Donna KimSD-014AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Chris LeeSD-025AyeAye
Angus McKelveySD-006AyeAyeAye
Sharon MoriwakiSD-012AyeAye
Karl RhoadsSD-013AyeAye
Tim RichardsSD-004AyeAye
Joy San BuenaventuraSD-002AyeAyeAye
Glenn WakaiSD-015AyeAye
3 more Senate members only counted as floor ayes
MemberHHS
Introduced		CPN
Introduced		JDC
SD1		WAM
SD1		Third reading
SD1		Change along the path
Samantha DeCorteSD-022Aye
Les IharaSD-010Aye
Ronald KouchiSD-008Aye

House members along the path

House members' votes at each stage of SB2277
MemberHLT
SD1		Second reading
HD1		Change along the path
David AlcosHD-041AyeAye
Terez AmatoHD-011AyeAye
Diamond GarciaHD-042AyeAye
Daisy HartsfieldHD-036ExcusedAye
Sue Keohokapu-Lee LoyHD-002AyeAye
Lisa MartenHD-051AyeAye
Ikaika OldsHD-023AyeAye
Gregg TakayamaHD-034AyeAye
Jenna TakenouchiHD-027AyeAye
41 more House members only counted as floor ayes
MemberHLT
SD1		Second reading
HD1		Change along the path
Della au BelattiHD-026Aye
Cory ChunHD-035Aye
Elle CochranHD-014Aye
Luke EvslinHD-016Aye
Andrew GarrettHD-022Aye
Joe GedeonHD-018Aye
Tina GrandinettiHD-020Aye
Mark HashemHD-019Aye
Ikaika HusseyHD-029Aye
Linda IchiyamaHD-031Aye
Greggor IlaganHD-004Aye
Kim IwamotoHD-025Aye
Kirstin KahaloaHD-006Aye
Jeanne KapelaHD-005Aye
Darius KilaHD-044Aye
Lisa KitagawaHD-048Aye
Sam KongHD-033Aye
Matthias KuschHD-001Aye
Trish La ChicaHD-037Aye
Mike LeeHD-050Aye
Nicole LowenHD-007Aye
Scot MatayoshiHD-049Aye
Lauren MatsumotoHD-038Aye
Tyson MiyakeHD-010Aye
Daynette MorikawaHD-017Aye
Chris MuraokaHD-045Aye
Nadine NakamuraHD-015Aye
Amy PerrusoHD-046Aye
Elijah PierickHD-039Aye
Mahina PoepoeHD-013Aye
Sean QuinlanHD-047Aye
Julie Reyes OdaHD-040Aye
Jackson SayamaHD-021Aye
Garner ShimizuHD-032Aye
Kanani SouzaHD-043Aye
Adrian TamHD-024Aye
David TarnasHD-008Aye
Shirley Ann TemploHD-030Aye
Chris ToddHD-003Aye
Justin WoodsonHD-009Aye
Kyle YamashitaHD-012Aye

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/CPN, JDC/WAM.

  4. The committee(s) on HHS/CPN has scheduled a public hearing on 02-06-26 9:00AM; Conference Room 229 & Videoconference.

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

  6. The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

  7. Reported from HHS/CPN (Stand. Com. Rep. No. 2554) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.

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

  9. The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.

  10. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

  11. The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. 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.

  12. Reported from JDC/WAM (Stand. Com. Rep. No. 3035) with recommendation of passage on Third Reading.

  13. One Day Notice 03-10-26.

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

  15. Received from Senate (Sen. Com. No. 205) in amended form (SD 1).

  16. Pass First Reading

  17. Referred to HLT, CPC, FIN, referral sheet 17

  18. Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  19. 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, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.

  20. Reported from HLT (Stand. Com. Rep. No. 1241-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  21. 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).

Bill sponsors