---
type: "Bill"
title: "RELATING TO THE ELECTRONIC PRESCRIPTION ACCOUNTABILITY SYSTEM."
description: "Specifies that a health care provider shall not be required to consult the electronic prescription accountability system for patients when the prescription will be directly administered under the supervision of a health care provider, provided that the system is consulted when the patients are initially admitted at a hospital, for patients in post-operative care with a prescription limited to a three-day supply, or for patients with a terminal disease receiving hospice or other palliative care. (HB665 CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2019 Regular Session"
identifier: "HB 665"
citation: "Hawaii HB 665 (2019 Regular Session)"
classification: ["bill"]
subjects: ["Electronic Prescription Accountability System", "Hospice", "Palliative Care", "Exemptions"]
status: "enacted"
primary_sponsors: ["MIZUNO", "SAY", "TOKIOKA"]
version_count: 4
action_count: 48
vote_count: 7
first_action: "2019-01-18"
last_action: "2019-07-09"
source: "openstates"
source_identifier: "ocd-bill/9ca35a4e-451b-40c4-a4e9-10248d572bf4"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=HB&billnumber=665&year=2019"
source_hash: "455363252378718bdedbf3954b2814d3077fbb31c130bf64232ceede7f75d86a"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-hi"]
---

# Hawaii HB 665 (2019 Regular Session) — RELATING TO THE ELECTRONIC PRESCRIPTION ACCOUNTABILITY SYSTEM.

Specifies that a health care provider shall not be required to consult the electronic prescription accountability system for patients when the prescription will be directly administered under the supervision of a health care provider, provided that the system is consulted when the patients are initially admitted at a hospital, for patients in post-operative care with a prescription limited to a three-day supply, or for patients with a terminal disease receiving hospice or other palliative care. (HB665 CD1)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **HB665** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/HB665_.HTM)
2. **HB665_CD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/HB665_CD1_.HTM)
3. **HB665_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/HB665_HD1_.HTM)
4. **HB665_HD2** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/HB665_HD2_.HTM)

## Votes

- The Conference Committee recommends that the measure be Passed, with Amendments. — **5–0** (pass) · lower
- The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — **3–0** (pass) · upper
- The committees on JUD recommend that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **6–0** (pass) · upper
- The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **3–0** (pass) · upper
- The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower

## Sponsors

- MIZUNO — primary (person)
- SAY — primary (person)
- TOKIOKA — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-01-18** Pending introduction.
- **2019-01-22** Introduced and Pass First Reading. `introduction, reading-1`
- **2019-01-24** Referred to HLT, JUD/CPC, referral sheet 5 `referral-committee`
- **2019-02-04** Bill scheduled to be heard by HLT on Thursday, 02-07-19 8:30AM in House conference room 329.
- **2019-02-07** The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Mizuno, B. Kobayashi, Belatti, Say, Tokioka, Ward; Ayes with reservations: Representative(s) San Buenaventura; Noes: none; and 1 Excused: Representative(s) Nakamura. `committee-passage-favorable`
- **2019-02-12** Reported from HLT (Stand. Com. Rep. No. 276) as amended in HD 1, recommending passage on Second Reading and referral to JUD/CPC.
- **2019-02-12** Deferred one day 02-13-19.
- **2019-02-13** Passed Second Reading as amended in HD 1 and referred to the committee(s) on JUD/CPC with none voting aye with reservations; none voting no (0) and Representative(s) Holt, McDermott, Nakamura, Ward excused (4). `reading-2, referral-committee`
- **2019-02-19** Bill scheduled to be heard by JUD/CPC on Thursday, 02-21-19 2:00PM in House conference room 325.
- **2019-02-21** Bill re-scheduled to be heard by JUD/CPC on Thursday, 02-21-19 2:00PM in conference room 329.
- **2019-02-21** The committees on JUD recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) C. Lee, San Buenaventura, Brower, Creagan, Lowen, Morikawa, Say, Takayama, Yamane, Thielen; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) McKelvey. `committee-passage-favorable`
- **2019-02-21** The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takumi, Ichiyama, Belatti, Cabanilla Arakawa, Cachola, Har, Kong, Onishi, Matsumoto; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Aquino, Mizuno. `committee-passage-favorable`
- **2019-03-01** Reported from JUD/CPC (Stand. Com. Rep. No. 1191) as amended in HD 2, recommending passage on Third Reading.
- **2019-03-01** Forty-eight (48) hours notice Tuesday, 03-05-19.
- **2019-03-05** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cabanilla Arakawa, Quinlan excused (2). Transmitted to Senate. `passage`
- **2019-03-07** Received from House (Hse. Com. No. 396). `introduction`
- **2019-03-07** Passed First Reading. `reading-1`
- **2019-03-07** Referred to CPH, JDC. `referral-committee`
- **2019-03-15** The committee(s) on CPH has scheduled a public hearing on 03-19-19 9:05AM in conference room 229.
- **2019-03-19** The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPH were as follows: 6 Aye(s): Senator(s) Baker, S. Chang, J.Keohokalole, Nishihara, Ruderman, L. Thielen; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2019-03-22** Reported from CPH (Stand. Com. Rep. No. 1448) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
- **2019-03-22** Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
- **2019-03-22** The committee(s) on JDC will hold a public decision making on 03-28-19 9:45AM in conference room 016.
- **2019-03-28** The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 3 Aye(s): Senator(s) K. Rhoads, Gabbard, Kim; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Wakai, Fevella. `committee-passage-favorable`
- **2019-04-04** Reported from JDC (Stand. Com. Rep. No. 1857) with recommendation of passage on Third Reading.
- **2019-04-04** One Day Notice 04-05-19.
- **2019-04-05** Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2019-04-05** Returned from Senate (Sen. Com. No. 676) in amended form (SD 1).
- **2019-04-09** House disagrees with Senate amendment (s).
- **2019-04-11** Received notice of disagreement (Hse. Com. No. 719).
- **2019-04-15** House Conferees Appointed: Mizuno, C. Lee, Takumi Co-Chairs; Tokioka, Ward.
- **2019-04-15** Received notice of appointment of House conferees (Hse. Com. No. 808).
- **2019-04-17** Senate Conferees Appointed: Baker Chair; K. Rhoads Co-Chair; Fevella.
- **2019-04-17** Received notice of Senate conferees (Sen. Com. No. 909).
- **2019-04-18** Conference committee meeting scheduled for 04-22-19 9:30AM in conference room 229.
- **2019-04-22** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Mizuno, C. Lee, Takumi, Tokioka, Ward; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2019-04-22** 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) Baker, K. Rhoads, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2019-04-25** Reported from Conference Committee (Conf Com. Rep. No. 43) as amended in (CD 1).
- **2019-04-25** Forty-eight (48) hours notice Tuesday, 04-30-19.
- **2019-04-25** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 43).
- **2019-04-25** 48 Hrs. Notice (as amended CD 1) 04-30-19.
- **2019-04-30** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
- **2019-04-30** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- **2019-05-01** Received notice of Final Reading (Sen. Com. No. 968).
- **2019-05-02** Received notice of passage on Final Reading in House (Hse. Com. No. 883).
- **2019-05-01** Transmitted to Governor.
- **2019-07-09** Act 251, on 07/05/2019 (Gov. Msg. No. 1353). `executive-signature`
- **2019-07-09** Act 251, 07/05/2019 (Gov. Msg. No. 1353). `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9ca35a4e-451b-40c4-a4e9-10248d572bf4`. Confidence: reported (aggregated from official Hawaii legislature records).