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SB228HIEngrossed 2026 Regular Session

Relating To Excited Delirium.

Last status update Mar 4, 2025

What this measure contains

Prohibits excited delirium from being recognized as a valid medical diagnosis or cause of death in the State. Prohibits a medical examiner, coroner, or health care provider from stating on a certificate of death or in any report that the cause of death was excited delirium. Prohibits law enforcement officers from using the term excited delirium to describe an individual in an incident report. Establishes a new Hawaii Rule of Evidence that deems evidence that a person experienced or suffered an excited delirium inadmissible in a civil action. Effective 7/1/3000. (HD2)

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

  • SB228— 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. SD1by HHS
  3. HD1by HLT
  4. HD2by JHA

Companion measure: SB228. A companion follows its own path; its votes are not combined with this one.

Decision stages

  1. Public Safety, Intergovernmental and Military Affairs (PSM) on the introduced draft: Passed, with amendments, reported as SD1

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

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

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

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

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

  4. Senate third reading on SD1: Passed

    23 aye · 2 no · 0 excused

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

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

  6. House second reading on HD1: Passed

    44 aye · 2 aye with reservations · 0 no · 5 excused

  7. House JHA committee on HD1: Passed, with amendments, reported as HD2

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

  8. House third reading on HD2: Passed

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

Senate members along the path

Senate members' votes at each stage of SB228
MemberPSM
Introduced		HHS
Introduced		JDC
SD1		Third reading
SD1		Change along the path
Brenton AwaSD-023AyeNoAye → No at Senate third reading (SD1)
Henry AquinoSD-019AyeAye
Stanley ChangSD-009AyeAye
Samantha DeCorteSD-022NoNo
Brandon ElefanteSD-016AyeAye
Kurt FevellaSD-020ExcusedAye
Carol FukunagaSD-011AyeAye
Mike GabbardSD-021ExcusedAye
Troy HashimotoSD-005AyeAye
Jarrett KeohokaloleSD-024AyeAye
Karl RhoadsSD-013AyeAyeAye
Joy San BuenaventuraSD-002AyeAyeAye
Glenn WakaiSD-015AyeAye
12 more Senate members only counted as floor ayes
MemberPSM
Introduced		HHS
Introduced		JDC
SD1		Third reading
SD1		Change along the path
Donovan CruzSD-017Aye
Lynn DecoiteSD-007Aye
Les IharaSD-010Aye
Lorraine InouyeSD-001Aye
Dru KanuhaSD-003Aye
Michelle KidaniSD-018Aye
Donna KimSD-014Aye
Ronald KouchiSD-008Aye
Chris LeeSD-025Aye
Angus McKelveySD-006Aye
Sharon MoriwakiSD-012Aye
Tim RichardsSD-004Aye

House members along the path

House members' votes at each stage of SB228
MemberHLT
SD1		Second reading
HD1		JHA
HD1		Third reading
HD2		Change along the path
David AlcosHD-041Aye*Aye*AyeDropped reservations at House third reading (HD2)
Terez AmatoHD-011AyeAyeAye
Della au BelattiHD-026AyeAyeAye
Cory ChunHD-035AyeAyeAye
Elle CochranHD-014ExcusedAyeExcused
Diamond GarciaHD-042Aye*Aye*Aye*Aye*
Andrew GarrettHD-022ExcusedAye
Mark HashemHD-019AyeAyeAye
Kirstin KahaloaHD-006AyeExcusedAye
Jeanne KapelaHD-005ExcusedAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAye
Lisa KitagawaHD-048ExcusedAye
Lisa MartenHD-051AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Amy PerrusoHD-046AyeAyeAye
Mahina PoepoeHD-013AyeAyeAye
Garner ShimizuHD-032AyeAyeAye
Gregg TakayamaHD-034AyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAye
David TarnasHD-008AyeAyeAye
Chris ToddHD-003AyeAyeAye
Gene WardHD-018Excused
29 more House members only counted as floor ayes
MemberHLT
SD1		Second reading
HD1		JHA
HD1		Third reading
HD2		Change along the path
Luke EvslinHD-016AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Tina GrandinettiHD-020AyeAye
Daniel HoltHD-028AyeAye
Ikaika HusseyHD-029AyeAye
Linda IchiyamaHD-031AyeAye
Greggor IlaganHD-004AyeAye
Kim IwamotoHD-025AyeAye
Darius KilaHD-044AyeAye
Sam KongHD-033AyeAye
Matthias KuschHD-001AyeAye
Trish La ChicaHD-037AyeAye
Mike LeeHD-050AyeAye
Nicole LowenHD-007AyeAye
Scot MatayoshiHD-049AyeAye
Lauren MatsumotoHD-038AyeAye
Tyson MiyakeHD-010AyeAye
Daynette MorikawaHD-017AyeAye
Chris MuraokaHD-045AyeAye
Nadine NakamuraHD-015AyeAye
Elijah PierickHD-039AyeAye
Sean QuinlanHD-047AyeAye
Julie Reyes OdaHD-040AyeAye
Jackson SayamaHD-021AyeAye
Kanani SouzaHD-043AyeAye
Adrian TamHD-024AyeAye
Shirley Ann TemploHD-030AyeAye
Justin WoodsonHD-009AyeAye
Kyle YamashitaHD-012AyeAye

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/PSM, JDC.

  4. The committee(s) on HHS/PSM has scheduled a public hearing on 02-07-25 3:10PM; Conference Room 225 & Videoconference.

  5. The committee(s) on PSM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in PSM were as follows: 4 Aye(s): Senator(s) Elefante, Wakai, Fukunaga, Rhoads; Aye(s) with reservations: none ; 1 No(es): Senator(s) DeCorte; and 0 Excused: none.

  6. 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, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  7. Reported from HHS/PSM (Stand. Com. Rep. No. 528) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

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

  9. The committee(s) on JDC will hold a public decision making on 02-20-25 10:01AM; CR 016 & Videoconference.

  10. 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, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Gabbard.

  11. Reported from JDC (Stand. Com. Rep. No. 954) with recommendation of passage on Third Reading.

  12. One Day Notice 03-04-25.

  13. Report Adopted; Passed Third Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none). Transmitted to House.

  14. Received from Senate (Sen. Com. No. 112) in amended form (SD 1).

  15. Pass First Reading

  16. Referred to HLT, JHA, referral sheet 19

  17. Bill scheduled to be heard by HLT on Wednesday, 03-19-25 9:05AM 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, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Alcos, Garcia; Noes: none; and Excused: none.

  19. Reported from HLT (Stand. Com. Rep. No. 1425) as amended in HD 1, recommending passage on Second Reading and referral to JHA.

  20. Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Alcos, Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran, Garrett, Kapela, Kitagawa, Ward excused (5).

  21. Bill scheduled to be heard by JHA on Tuesday, 03-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.

  22. The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Shimizu; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Kahaloa.

  23. Reported from JHA (Stand. Com. Rep. No. 1784) as amended in HD 2, recommending passage on Third Reading.

  24. Forty-eight (48) hours notice Friday, 04-04-25.

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

  26. Received from House (Hse. Com. No. 573).

  27. Senate disagrees with House amendments.

  28. Received notice of disagreement (Sen. Com. No. 774).

  29. House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia.

  30. Received notice of appointment of House conferees (Hse. Com. No. 731).

  31. Senate Conferees Appointed: San Buenaventura Chair; Elefante, Chang Co-Chairs.

  32. Received notice of Senate conferees (Sen. Com. No. 809).

  33. Carried over to 2026 Regular Session.

  34. Senate Conferee(s) discharged.

  35. Received notice of all Senate conferees being discharged (Sen. Com. No. 409).

  36. House Conferee(s) discharged.

  37. Received notice of the discharge of all House Conferees (Hse. Com. No. 457).

Bill sponsors