Rooted in Hawaiʻi. Built for participation.
← All legislation
SB2281HIIntroduced 2026 Regular Session

Relating To The Use Of Artificial Intelligence In Health Care.

Last status update Jan 21, 2026

What this measure contains

Requires health care providers using artificial intelligence (AI) in patient interactions to disclose to the patient that the patient is interacting with artificial intelligence. Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements to the patient; maintain a qualified AI oversight personnel who shall be a natural person that reviews, evaluates, and validates or overrides AI outputs; monitor and conduct regular performance evaluations of their AI systems; implement procedures to address identified deficiencies; and maintain certain records. Requires the Department of Health to adopt rules. Implementation effective 7/1/2028. Effective 1/30/2050. (SD1)

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.

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

Decision stages

  1. Labor and Technology (LBT) on the introduced draft: Passed, with amendments, reported as SD1

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

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

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

Senate members along the path

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 ↗

Your district, this measure

Your lawmakers and participating residents.

Match an address to see your state lawmakers' recorded votes on this bill. This address is used for matching and is not saved with a pilot response.

Enter your street number and street name, plus your city or ZIP code. Hawaiʻi is supported first.

No special formatting needed. Example: 415 S Beretania St, Honolulu, HI 96813.

Your search address isn’t saved to your account. Privacy details

Legislative history

  1. Pending Introduction.

  2. Introduced and passed First Reading.

  3. Referred to HHS/LBT, CPN/WAM.

  4. The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference.

  5. The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in LBT were as follows: 4 Aye(s): Senator(s) Elefante, Lamosao, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Ihara.

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

  7. Reported from HHS/LBT (Stand. Com. Rep. No. 2357) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

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

Bill sponsors