---
type: "Bill"
title: "RELATING TO THE INTERSTATE MEDICAL LICENSURE COMPACT."
description: "Adopts the Interstate Medical Licensure Compact to create a comprehensive process that complements the existing licensing and regulatory authority of state medical boards and provides a streamlined process that allows physicians to become licensed in multiple states. Requires the Department of Commerce and Consumer Affairs to adopt rules to implement and administer the Compact. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2023 Regular Session"
identifier: "SB 674"
citation: "Hawaii SB 674 (2023 Regular Session)"
classification: ["bill"]
subjects: ["Adoption", "Department of Commerce and Consumer Affairs", "Hawaii Medical Board", "Interstate Medical Licensure Compact", "Rules"]
status: "enacted"
primary_sponsors: ["KEITH-AGARAN", "SAN BUENAVENTURA"]
version_count: 5
action_count: 54
vote_count: 8
first_action: "2023-01-20"
last_action: "2023-06-22"
source: "openstates"
source_identifier: "ocd-bill/5d5dd050-1855-4aef-99dc-be8ec7f93d3a"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=674&year=2023"
source_hash: "d280880c51a6fe12e5b936b1b48bb7619ab6faae64030aacedc58f4d3f3eecc8"
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 674 (2023 Regular Session) — RELATING TO THE INTERSTATE MEDICAL LICENSURE COMPACT.

Adopts the Interstate Medical Licensure Compact to create a comprehensive process that complements the existing licensing and regulatory authority of state medical boards and provides a streamlined process that allows physicians to become licensed in multiple states. Requires the Department of Commerce and Consumer Affairs to adopt rules to implement and administer the Compact. (CD1)

## Version chain

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

1. **SB674** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB674_.HTM)
2. **SB674_CD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB674_CD1_.HTM)
3. **SB674_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB674_HD1_.HTM)
4. **SB674_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB674_HD2_.HTM)
5. **SB674_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB674_SD1_.HTM)

## Votes

- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **4–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **3–0** (pass) · upper
- The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. — **4–1** (pass) · upper
- The committee on CPC recommend that the measure be PASSED, UNAMENDED. — **11–0** (pass) · lower
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower
- The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. — **13–0** (pass) · upper
- The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — **16–0** (pass) · lower

## Sponsors

- KEITH-AGARAN — primary (person)
- SAN BUENAVENTURA — primary (person)
- Inouye — cosponsor (person)
- Keohokalole — cosponsor (person)
- Wakai — cosponsor (person)

## Timeline

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

- **2023-06-22** Act 112, 06/22/2023 (Gov. Msg. No. 1213). `became-law`
- **2023-06-22** Act 112, on 06/22/2023 (Gov. Msg. No. 1213). `became-law`
- **2023-05-05** Enrolled to Governor. `executive-receipt`
- **2023-05-04** Received notice of passage on Final Reading in House (Hse. Com. No. 901). `receipt`
- **2023-05-04** Received notice of Final Reading (Sen. Com. No. 996). `receipt`
- **2023-05-04** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Lowen, Martinez excused (2). `passage`
- **2023-05-04** Passed Final Reading, as amended (CD 1) Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). `passage`
- **2023-05-02** Forty-eight (48) hours notice Thursday, 05-04-23.
- **2023-05-02** Reported from Conference Committee (Conf Com. Rep. No. 179) as amended in (CD 1).
- **2023-05-02** 48 Hrs. Notice (as amended CD 1) 05-04-23.
- **2023-05-02** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 179).
- **2023-04-28** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Belatti, Sayama, Takenouchi, Pierick; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2023-04-28** 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, Keohokalole, Keith-Agaran; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2023-04-28** Conference Committee Meeting will reconvene on Friday 04-28-23 4:30PM in conference room 309.
- **2023-04-27** Conference Committee Meeting will reconvene on Friday 04-28-23 2:30PM in conference room 329.
- **2023-04-25** Conference Committee Meeting will reconvene on Thursday 04-27-23 2:30PM in conference room 329.
- **2023-04-24** Bill scheduled for Conference Committee Meeting on Tuesday, 04-25-23 3:30PM in conference room 329.
- **2023-04-24** Received notice of appointment of House conferees (Hse. Com. No. 840). `receipt`
- **2023-04-21** House Conferees Appointed: Belatti, Sayama, Takenouchi Co-Chairs; Pierick.
- **2023-04-19** Received notice of Senate conferees (Sen. Com. No. 911). `receipt`
- **2023-04-19** Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Keith-Agaran Co-Chairs.
- **2023-04-13** Received notice of disagreement (Sen. Com. No. 888). `receipt`
- **2023-04-13** Senate disagrees with House amendments. `amendment-failure`
- **2023-04-13** Received from House (Hse. Com. No. 745). `introduction, receipt`
- **2023-04-11** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Todd excused (1). Transmitted to Senate. `passage`
- **2023-04-06** Forty-eight (48) hours notice Tuesday, 04-11-23.
- **2023-04-06** Reported from FIN (Stand. Com. Rep. No. 2086) as amended in HD 2, recommending passage on Third Reading.
- **2023-03-30** The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 16 Ayes: Representative(s) Yamashita, Kitagawa, Aiu, Chun, Cochran, Garrett, Kahaloa, Kila, Kobayashi, Lamosao, Morikawa, Nishimoto, Poepoe, Takenouchi, Alcos, Ward; Ayes with reservations: none; Noes: none; and Excused: none. `committee-passage-favorable`
- **2023-03-28** Bill scheduled to be heard by FIN on Thursday, 03-30-23 3:00PM in House conference room 308 VIA VIDEOCONFERENCE.
- **2023-03-24** Report adopted; referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Ilagan excused (1).
- **2023-03-24** Reported from CPC (Stand. Com. Rep. No. 1527), recommending referral to FIN.
- **2023-03-21** The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 11 Ayes: Representative(s) Nakashima, Sayama, Amato, Belatti, Hashem, Hussey-Burdick, Gates, Lowen, Onishi, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none. `committee-passage-favorable`
- **2023-03-17** Bill scheduled to be heard by CPC on Tuesday, 03-21-23 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- **2023-03-17** 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) Cochran excused (1). `reading-2, referral-committee`
- **2023-03-17** Reported from HLT (Stand. Com. Rep. No. 1306) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2023-03-15** The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Belatti, Takenouchi, Amato, Ilagan, Mizuno, Nishimoto, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Kobayashi. `committee-passage-favorable`
- **2023-03-10** Bill scheduled to be heard by HLT on Wednesday, 03-15-23 8:30AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2023-03-09** Referred to HLT, CPC, FIN, referral sheet 17 `referral-committee`
- **2023-03-09** Pass First Reading `reading-1`
- **2023-03-07** Received from Senate (Sen. Com. No. 226) in amended form (SD 1). `introduction, receipt`
- **2023-03-07** Report Adopted; Passed Third Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 1 (Senator(s) Fukunaga). Transmitted to House. `passage`
- **2023-03-03** One Day Notice 03-07-23.
- **2023-03-03** Reported from CPN/WAM (Stand. Com. Rep. No. 913) with recommendation of passage on Third Reading.
- **2023-03-01** 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, Keith-Agaran, Aquino, DeCoite, Inouye, Kanuha, Kidani, Kim, Lee, Moriwaki, Shimabukuro, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2023-03-01** The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. `committee-passage-favorable`
- **2023-02-27** The committee(s) on CPN/WAM will hold a public decision making on 03-01-23 9:50AM; Conference Room 211 & Videoconference.
- **2023-02-17** Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM. `reading-2, referral-committee`
- **2023-02-17** Reported from HHS (Stand. Com. Rep. No. 487) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.
- **2023-02-10** 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, Moriwaki, Shimabukuro; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. `committee-passage-favorable`
- **2023-02-07** The committee(s) on HHS has scheduled a public hearing on 02-10-23 1:00PM; Conference Room 225 & Videoconference.
- **2023-01-27** Re-Referred to HHS, CPN/WAM. `referral-committee`
- **2023-01-25** Referred to HHS, CPN. `referral-committee`
- **2023-01-23** Passed First Reading. `reading-1`
- **2023-01-20** Introduced. `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5d5dd050-1855-4aef-99dc-be8ec7f93d3a`. Confidence: reported (aggregated from official Hawaii legislature records).