Relating To Syndromic Surveillance.
Last status update Jul 10, 2026
What this measure contains
Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health. Authorizes the Department of Health to establish a state syndromic surveillance data reporting system. (CD1)
Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.
Read the full bill at its source ↗Bill text and versions
Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.
- Introduced · Official document ↗· Feb 4, 2026
- Amended · Official document ↗· Feb 13, 2026
- Amended · Official document ↗· Mar 24, 2026
- Amended · Official document ↗· Apr 10, 2026
- Amended · Official document ↗· May 2, 2026
Related measures
- HB2312— Same As
Related measures may contain different language or follow different histories.
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.
- Introduced
- SD1by HHS
- HD1by HLT
- HD2by CPC
- CD1by Conference
Companion measure: HB2312. A companion follows its own path; its votes are not combined with this one.
Decision stages
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Health and Human Services (HHS) on the introduced draft: Passed, with amendments, reported as SD1
4 aye · 0 no · 1 excused · Source roll call
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Judiciary (JDC) on SD1: Passed, unamended
5 aye · 0 no · 0 excused · Source roll call
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Ways and Means (WAM) on SD1: Passed, unamended
13 aye · 0 no · 0 excused · Source roll call
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Senate third reading on SD1: Passed
25 aye · 0 no · 0 excused
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House HLT committee on SD1: Passed, with amendments, reported as HD1
9 aye · 0 no · 0 excused
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House second reading on HD1: Passed
47 aye · 1 no · 2 excused
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House CPC committee on HD1: Passed, with amendments, reported as HD2
11 aye · 0 no · 0 excused
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House third reading on HD2: Passed
49 aye · 1 no · 1 excused
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Senate conference managers on HD2: Passed, with amendments, reported as CD1
3 aye · 0 no · 1 excused · Source roll call
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House conference managers on HD2: Passed, with amendments, reported as CD1
4 aye · 0 no · 0 excused · Source roll call
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Senate final reading on CD1: Passed
25 aye · 0 no · 0 excused
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House final reading on CD1: Passed
50 aye · 0 no · 1 excused
Senate members along the path
| Member | HHS Introduced | JDC SD1 | WAM SD1 | Third reading SD1 | Conference HD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Brenton AwaSD-023 | Aye | Aye | Aye | ||||
| Stanley ChangSD-009 | Aye | Aye | Aye | ||||
| Lynn DecoiteSD-007 | Aye | Aye | Aye | ||||
| Donovan CruzSD-017 | Aye | Aye | Aye | ||||
| Brandon ElefanteSD-016 | Aye | Aye | Aye | ||||
| Kurt FevellaSD-020 | Aye | Aye | Aye | Excused | Aye | ||
| Mike GabbardSD-021 | Aye | Aye | Aye | ||||
| Troy HashimotoSD-005 | Aye | Aye | Aye | ||||
| Lorraine InouyeSD-001 | Aye | Aye | Aye | ||||
| Dru KanuhaSD-003 | Excused | Aye | Aye | Aye | Aye | ||
| Jarrett KeohokaloleSD-024 | Aye | Aye | Aye | ||||
| Michelle KidaniSD-018 | Aye | Aye | Aye | ||||
| Donna KimSD-014 | Aye | Aye | Aye | ||||
| Chris LeeSD-025 | Aye | Aye | Aye | ||||
| Angus McKelveySD-006 | Aye | Aye | Aye | ||||
| Sharon MoriwakiSD-012 | Aye | Aye | Aye | ||||
| Karl RhoadsSD-013 | Aye | Aye | Aye | Aye | |||
| Tim RichardsSD-004 | Aye | Aye | Aye | ||||
| Joy San BuenaventuraSD-002 | Aye | Aye | Aye | Aye | Aye | ||
| Glenn WakaiSD-015 | Aye | Aye | Aye |
5 more Senate members only counted as floor ayes
| Member | HHS Introduced | JDC SD1 | WAM SD1 | Third reading SD1 | Conference HD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Samantha DeCorteSD-022 | Aye | Aye | |||||
| Rachele Fernandez LamosaoSD-019 | Aye | Aye | |||||
| Carol FukunagaSD-011 | Aye | Aye | |||||
| Les IharaSD-010 | Aye | Aye | |||||
| Ronald KouchiSD-008 | Aye | Aye |
House members along the path
| Member | HLT SD1 | Second reading HD1 | CPC HD1 | Third reading HD2 | Conference HD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Elijah PierickHD-039 | No | Aye | No | Aye | No → Aye at House CPC committee (HD1)Aye → No at House third reading (HD2)No → Aye at House final reading (CD1) | ||
| David AlcosHD-041 | Aye | Aye | Aye | Aye | Excused | ||
| Terez AmatoHD-011 | Aye | Aye | Aye | Aye | |||
| Cory ChunHD-035 | Aye | Aye | Aye | Aye | |||
| Diamond GarciaHD-042 | Aye | Aye | Aye | Aye | |||
| Tina GrandinettiHD-020 | Aye | Aye | Aye | Aye | Aye | ||
| Daisy HartsfieldHD-036 | Aye | Aye | Aye | Aye | |||
| Linda IchiyamaHD-031 | Aye | Aye | Aye | Aye | |||
| Greggor IlaganHD-004 | Aye | Aye | Aye | Aye | |||
| Kim IwamotoHD-025 | Aye | Aye | Aye | Aye | |||
| Sue Keohokapu-Lee LoyHD-002 | Aye | Aye | Aye | Aye | Aye | ||
| Sam KongHD-033 | Aye | Aye | Aye | Aye | |||
| Nicole LowenHD-007 | Aye | Aye | Aye | Aye | |||
| Lisa MartenHD-051 | Aye | Aye | Aye | Aye | Aye | ||
| Scot MatayoshiHD-049 | Aye | Aye | Aye | Aye | |||
| Lauren MatsumotoHD-038 | Excused | Aye | Aye | ||||
| Ikaika OldsHD-023 | Aye | Aye | Aye | Aye | |||
| Amy PerrusoHD-046 | Excused | Aye | Aye | ||||
| Sean QuinlanHD-047 | Aye | Excused | Aye | ||||
| Gregg TakayamaHD-034 | Aye | Aye | Aye | Aye | Aye | ||
| Jenna TakenouchiHD-027 | Aye | Aye | Aye | Aye | |||
| Adrian TamHD-024 | Aye | Aye | Aye | Aye |
29 more House members only counted as floor ayes
| Member | HLT SD1 | Second reading HD1 | CPC HD1 | Third reading HD2 | Conference HD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Della au BelattiHD-026 | Aye | Aye | Aye | ||||
| Elle CochranHD-014 | Aye | Aye | Aye | ||||
| Luke EvslinHD-016 | Aye | Aye | Aye | ||||
| Andrew GarrettHD-022 | Aye | Aye | Aye | ||||
| Joe GedeonHD-018 | Aye | Aye | Aye | ||||
| Mark HashemHD-019 | Aye | Aye | Aye | ||||
| Ikaika HusseyHD-029 | Aye | Aye | Aye | ||||
| Kirstin KahaloaHD-006 | Aye | Aye | Aye | ||||
| Jeanne KapelaHD-005 | Aye | Aye | Aye | ||||
| Darius KilaHD-044 | Aye | Aye | Aye | ||||
| Lisa KitagawaHD-048 | Aye | Aye | Aye | ||||
| Matthias KuschHD-001 | Aye | Aye | Aye | ||||
| Trish La ChicaHD-037 | Aye | Aye | Aye | ||||
| Mike LeeHD-050 | Aye | Aye | Aye | ||||
| Tyson MiyakeHD-010 | Aye | Aye | Aye | ||||
| Daynette MorikawaHD-017 | Aye | Aye | Aye | ||||
| Chris MuraokaHD-045 | Aye | Aye | Aye | ||||
| Nadine NakamuraHD-015 | Aye | Aye | Aye | ||||
| Mahina PoepoeHD-013 | Aye | Aye | Aye | ||||
| Michael RatcliffeHD-028 | Aye | Aye | |||||
| Julie Reyes OdaHD-040 | Aye | Aye | Aye | ||||
| Jackson SayamaHD-021 | Aye | Aye | Aye | ||||
| Garner ShimizuHD-032 | Aye | Aye | Aye | ||||
| Kanani SouzaHD-043 | Aye | Aye | Aye | ||||
| David TarnasHD-008 | Aye | Aye | Aye | ||||
| Shirley Ann TemploHD-030 | Aye | Aye | Aye | ||||
| Chris ToddHD-003 | Aye | Aye | Aye | ||||
| Justin WoodsonHD-009 | Aye | Aye | Aye | ||||
| Kyle YamashitaHD-012 | Aye | Aye | Aye |
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
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Pending Introduction.
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Introduced.
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Passed First Reading.
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Referred to HHS, JDC/WAM.
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The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.
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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, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Kanuha.
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Reported from HHS (Stand. Com. Rep. No. 2288) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.
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Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.
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The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.
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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.
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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.
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Reported from JDC/WAM (Stand. Com. Rep. No. 3039) with recommendation of passage on Third Reading.
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One Day Notice 03-10-26.
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Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
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Received from Senate (Sen. Com. No. 366) in amended form (SD 1).
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Pass First Reading
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Referred to HLT, CPC, referral sheet 17
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Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.
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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; Noes: none; and Excused: none.
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Reported from HLT (Stand. Com. Rep. No. 1400-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
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Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Matsumoto, Perruso excused (2).
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Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE.
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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, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.
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Reported from CPC (Stand. Com. Rep. No. 2113-26) as amended in HD 2, recommending passage on Third Reading.
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Forty-eight (48) hours notice Tuesday, 04-14-26.
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Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate.
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Received from House (Hse. Com. No. 748).
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Senate disagrees with House amendments.
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Received notice of disagreement (Sen. Com. No. 710).
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Re-referred to HLT, CPC, FIN, referral sheet 30
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House Conferees Appointed: Takayama, Grandinetti, Keohokapu-Lee Loy Co-Chairs; Alcos.
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Received notice of appointment of House conferees (Hse. Com. No. 787).
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Senate Conferees Appointed: San Buenaventura Chair; Rhoads, Kanuha Co-Chairs; Fevella.
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Received notice of Senate conferees (Sen. Com. No. 720).
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Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
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Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
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The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Rhoads, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
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The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
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Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 223-26).
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48 Hrs. Notice (as amended CD 1) 05-06-26.
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Reported from Conference Committee (Conf Com. Rep. No. 223-26) as amended in (CD 1).
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Forty-eight (48) hours notice Wednesday, 05-06-26.
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Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
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Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Alcos excused (1).
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Received notice of Final Reading (Sen. Com. No. 816).
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Received notice of passage on Final Reading in House (Hse. Com. No. 888).
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Enrolled to Governor.
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Act 222, 07/09/2026 (Gov. Msg. No. 1324).
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Act 222, on 07/09/2026 (Gov. Msg. No. 1324).