---
type: "Bill"
title: "RELATING TO HEALTH."
description: "Requires supervision of physician assistants by physician groups. Permits supervising physicians or groups to establish practice-appropriate record review policies. Establishes continuing education requirements and authorizes audits to enforce compliance. Clarifies provisions relating to forfeiture and reinstatement of a license. (SB1406 HD2)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2019 Regular Session"
identifier: "SB 1406"
citation: "Hawaii SB 1406 (2019 Regular Session)"
classification: ["bill"]
subjects: ["Physician Assistants", "Medical Records", "Continuing Medical Education", "Random Audits"]
status: "enacted"
primary_sponsors: ["KANUHA"]
version_count: 3
action_count: 38
vote_count: 6
first_action: "2019-01-24"
last_action: "2019-07-05"
source: "openstates"
source_identifier: "ocd-bill/dac468c3-9ff3-4239-a768-beff8e47226d"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=SB&billnumber=1406&year=2019"
source_hash: "c6a9dca30fc3851707d2072839c85c37df9d86937411d540ab1250b2a1bf4099"
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 1406 (2019 Regular Session) — RELATING TO HEALTH.

Requires supervision of physician assistants by physician groups. Permits supervising physicians or groups to establish practice-appropriate record review policies. Establishes continuing education requirements and authorizes audits to enforce compliance. Clarifies provisions relating to forfeiture and reinstatement of a license. (SB1406 HD2)

## Version chain

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

1. **SB1406** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1406_.HTM)
2. **SB1406_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1406_HD1_.HTM)
3. **SB1406_HD2** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1406_HD2_.HTM)

## Votes

- The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The committees on IAC recommend that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · lower
- The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower
- The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The committees on FIN recommend that the measure be PASSED, UNAMENDED. — **13–0** (pass) · lower

## Sponsors

- KANUHA — primary (person)

## Timeline

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

- **2019-01-24** Introduced. `introduction`
- **2019-01-24** Passed First Reading. `reading-1`
- **2019-01-28** Referred to CPH/JDC. `referral-committee`
- **2019-02-22** The committee(s) on CPH/JDC has scheduled a public hearing on 02-27-19 9:40AM in conference room 229.
- **2019-02-27** The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPH were as follows: 5 Aye(s): Senator(s) Baker, S. Chang, J.Keohokalole, L. Thielen, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Nishihara, Ruderman. `committee-passage-favorable`
- **2019-02-27** The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 5 Aye(s): Senator(s) K. Rhoads, Wakai, Gabbard, Kim, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2019-03-01** Reported from CPH/JDC (Stand. Com. Rep. No. 887) with recommendation of passage on Second Reading, as amended (SD 1) and placement on the calendar for Third Reading.
- **2019-03-01** Report adopted; Passed Second Reading, as amended (SD 1).
- **2019-03-01** 48 Hrs. Notice 03-05-19.
- **2019-03-05** Passed Third Reading, as amended (SD 1). Ayes, 24; Aye(s) with reservations: none . Noes, 0 (none). Excused, 1 (Senator(s) Harimoto). Transmitted to House. `passage`
- **2019-03-05** Received from Senate (Sen. Com. No. 476) in amended form (SD 1). `introduction`
- **2019-03-07** Pass First Reading `reading-1`
- **2019-03-07** Referred to HLT/IAC, CPC, FIN, referral sheet 27 `referral-committee`
- **2019-03-08** Bill scheduled to be heard by HLT/IAC on Tuesday, 03-12-19 8:30AM in House conference room 329.
- **2019-03-12** 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, Nakamura, San Buenaventura, Tokioka, Ward; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Say. `committee-passage-favorable`
- **2019-03-12** The committees on IAC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Ohno, D. Kobayashi, Kong, Takayama, McDermott; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Gates, Nishimoto. `committee-passage-favorable`
- **2019-03-15** Reported from HLT/IAC (Stand. Com. Rep. No. 1327) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2019-03-15** 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) McKelvey, Nakamura, Quinlan, Takumi excused (4). `reading-2, referral-committee`
- **2019-03-15** Bill scheduled to be heard by CPC on Wednesday, 03-20-19 2:15PM in House conference room 329.
- **2019-03-20** The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takumi, Ichiyama, Cabanilla Arakawa, Cachola, Kong, Onishi, Matsumoto; Ayes with reservations: none; 0 Noes: none; and 4 Excused: Representative(s) Aquino, Belatti, Har, Mizuno. `committee-passage-favorable`
- **2019-03-22** Reported from CPC (Stand. Com. Rep. No. 1602) as amended in HD 2, recommending referral to FIN.
- **2019-03-22** Report adopted. referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan, Yamane excused (2).
- **2019-03-25** Bill scheduled to be heard by FIN on Thursday, 03-28-19 2:00PM in House conference room 308.
- **2019-03-28** The committees on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 13 Ayes: Representative(s) Luke, Cullen, Eli, Gates, Hashimoto, Kitagawa, B. Kobayashi, Matayoshi, Nakamura, Nishimoto, Wildberger, Yamashita, McDermott; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Holt, Todd. `committee-passage-favorable`
- **2019-04-04** Reported from FIN (Stand. Com. Rep. No. 2077), recommending passage on Third Reading.
- **2019-04-04** Deferred one day 04-05-19.
- **2019-04-05** Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Eli, Mizuno, Nishimoto excused (3). Transmitted to Senate. `passage`
- **2019-04-09** Received from House (Hse. Com. No. 711). `introduction`
- **2019-04-09** Senate disagrees with House amendments.
- **2019-04-09** Received notice of disagreement (Sen. Com. No. 885).
- **2019-04-17** Reconsideration of action taken on 04-09-19 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.
- **2019-04-18** 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. 915).
- **2019-04-18** Enrolled to Governor. `executive-receipt`
- **2019-07-05** Act 181, on 07/02/2019 (Gov. Msg. No. 1283). `executive-signature`
- **2019-07-05** Act 181, 07/02/2019 (Gov. Msg. No. 1283). `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dac468c3-9ff3-4239-a768-beff8e47226d`. Confidence: reported (aggregated from official Hawaii legislature records).