---
type: "Bill"
title: "RELATING TO VACCINATIONS."
description: "Clarifies that pharmacists may perform certain vaccinations or immunizations and are required to maintain immunization records. (SB203 HD2)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2019 Regular Session"
identifier: "SB 203"
citation: "Hawaii SB 203 (2019 Regular Session)"
classification: ["bill"]
subjects: ["Vaccinations", "Pharmacists"]
status: "enacted"
primary_sponsors: ["BAKER", "DELA CRUZ", "K. RHOADS", "KEITH-AGARAN"]
version_count: 2
action_count: 34
vote_count: 3
first_action: "2019-01-18"
last_action: "2019-07-09"
source: "openstates"
source_identifier: "ocd-bill/c9fbee76-6f96-4179-97ca-0b152940a0b9"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=SB&billnumber=203&year=2019"
source_hash: "96807551368f35811e8f1dbdb1a1559c24f9943260f5c4cd878f900e12a4ce75"
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 SB 203 (2019 Regular Session) — RELATING TO VACCINATIONS.

Clarifies that pharmacists may perform certain vaccinations or immunizations and are required to maintain immunization records. (SB203 HD2)

## Version chain

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

1. **SB203** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB203_.HTM)
2. **SB203_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB203_HD1_.HTM)

## Votes

- The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, UNAMENDED. — **4–0** (pass) · upper
- The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · lower

## Sponsors

- BAKER — primary (person)
- DELA CRUZ — primary (person)
- K. RHOADS — primary (person)
- KEITH-AGARAN — primary (person)

## Timeline

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

- **2019-01-18** Introduced. `introduction`
- **2019-01-18** Passed First Reading. `reading-1`
- **2019-01-22** Referred to CPH. `referral-committee`
- **2019-02-15** The committee(s) on CPH has scheduled a public hearing on 02-21-19 9:00AM in conference room 229.
- **2019-02-21** The committee(s) on CPH recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPH were as follows: 4 Aye(s): Senator(s) Baker, S. Chang, J.Keohokalole, L. Thielen; Aye(s) with reservations: none ; 0 No(es): none; and 3 Excused: Senator(s) Nishihara, Ruderman, Fevella. `committee-passage-favorable`
- **2019-02-28** Reported from CPH (Stand. Com. Rep. No. 758) with recommendation of passage on Second Reading and placement on the calendar for Third Reading.
- **2019-02-28** Report adopted; Passed Second Reading.
- **2019-02-28** One Day Notice 03-01-19.
- **2019-03-01** Passed Third Reading. Ayes, 24; Aye(s) with reservations: Senator(s) Inouye, Ruderman . Noes, 0 (none). Excused, 1 (Senator(s) Harimoto). Transmitted to House. `passage`
- **2019-03-01** Received from Senate (Sen. Com. No. 17). `introduction`
- **2019-03-05** Pass First Reading `reading-1`
- **2019-03-07** Referred to HLT, CPC, referral sheet 27 `referral-committee`
- **2019-03-15** Bill scheduled to be heard by HLT on Tuesday, 03-19-19 10:00AM in House conference room 329.
- **2019-03-19** The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Mizuno, B. Kobayashi, Nakamura, Say, Ward; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Belatti, San Buenaventura, Tokioka. `committee-passage-favorable`
- **2019-03-21** Reported from HLT (Stand. Com. Rep. No. 1523) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2019-03-21** 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 Representative(s) Belatti, Cabanilla Arakawa, Holt, Tokioka, Yamane excused (5). `reading-2, referral-committee`
- **2019-03-22** Bill scheduled to be heard by CPC on Thursday, 03-28-19 2:00PM in House conference room 329.
- **2019-03-28** The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Takumi, Ichiyama, Aquino, Belatti, Cachola, Har, Kong, Mizuno, Onishi, Matsumoto; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Cabanilla Arakawa. `committee-passage-favorable`
- **2019-04-02** Reported from CPC (Stand. Com. Rep. No. 1937) as amended in HD 2, recommending passage on Third Reading.
- **2019-04-02** Forty-eight (48) hours notice Thursday, 04-04-19.
- **2019-04-04** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Nishimoto, Quinlan excused (2). Transmitted to Senate. `passage`
- **2019-04-05** Received from House (Hse. Com. No. 574). `introduction`
- **2019-04-05** Senate disagrees with House amendments.
- **2019-04-05** Received notice of disagreement (Sen. Com. No. 685).
- **2019-04-17** Reconsideration of action taken on 04-05-19 in disagreeing to the House amendments.
- **2019-04-17** Senate agrees with House amendments. Placed on the calendar for Final Reading on 04-18-19.
- **2019-04-17** One Day Notice 04-18-19.
- **2019-04-17** House Conferees Appointed: Mizuno, Takumi Co-Chairs; Belatti, Ward.
- **2019-04-18** Received notice of appointment of House conferees (Hse. Com. No. 813).
- **2019-04-18** Passed Final Reading. Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- **2019-04-18** Received notice of reconsideration, Senate agreement, and Final Reading (Sen. Com. No. 914).
- **2019-04-18** Enrolled to Governor. `executive-receipt`
- **2019-07-09** Act 218, on 07/02/2019 (Gov. Msg. No. 1320). `executive-signature`
- **2019-07-09** Act 218, 07/02/2019 (Gov. Msg. No. 1320). `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c9fbee76-6f96-4179-97ca-0b152940a0b9`. Confidence: reported (aggregated from official Hawaii legislature records).