---
type: "Bill"
title: "RELATING TO EMERGENCY MEDICAL SERVICES."
description: "Repeals the sunset date of section 2 of Act 119, Session Laws of Hawaii 2021, making permanent the requirement that the Hawaii Medical Board issue licenses in four levels of emergency response practice in counties with a population of five hundred thousand or greater and the creation of an additional licensure category for Emergency Medical Technicians 1 who are certified at a higher practice level than Emergency Medical Technicians but do not provide ambulance services. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2023 Regular Session"
identifier: "SB 390"
citation: "Hawaii SB 390 (2023 Regular Session)"
classification: ["bill"]
subjects: ["Emergency Ambulance Service Personnel", "Emergency Medical Responders", "Hawaii Medical Board", "Licensure"]
status: "enacted"
primary_sponsors: ["DELA CRUZ", "KANUHA", "KEITH-AGARAN", "RHOADS"]
version_count: 5
action_count: 46
vote_count: 6
first_action: "2023-01-20"
last_action: "2023-07-05"
source: "openstates"
source_identifier: "ocd-bill/014fc708-172f-4a68-97cc-4a9eac82820d"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=390&year=2023"
source_hash: "bc8dbc3f30ad219327f96104f844e005117ad21e515c5d355aa9284bbfc19777"
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 390 (2023 Regular Session) — RELATING TO EMERGENCY MEDICAL SERVICES.

Repeals the sunset date of section 2 of Act 119, Session Laws of Hawaii 2021, making permanent the requirement that the Hawaii Medical Board issue licenses in four levels of emergency response practice in counties with a population of five hundred thousand or greater and the creation of an additional licensure category for Emergency Medical Technicians 1 who are certified at a higher practice level than Emergency Medical Technicians but do not provide ambulance services. (CD1)

## Version chain

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

1. **SB390** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB390_.HTM)
2. **SB390_CD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB390_CD1_.HTM)
3. **SB390_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB390_HD1_.HTM)
4. **SB390_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB390_HD2_.HTM)
5. **SB390_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/SB390_SD1_.HTM)

## Votes

- The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. — **5–0** (pass) · upper
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **6–0** (pass) · lower
- The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The committee 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 Conference Committee recommends that the measure be Passed, with Amendments. — **3–0** (pass) · lower

## Sponsors

- DELA CRUZ — primary (person)
- KANUHA — primary (person)
- KEITH-AGARAN — primary (person)
- RHOADS — primary (person)
- Kidani — cosponsor (person)
- Richards — cosponsor (person)

## Timeline

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

- **2023-07-05** Act 193, 07/03/2023 (Gov. Msg. No. 1296). `became-law`
- **2023-07-05** Act 193, on 07/03/2023 (Gov. Msg. No. 1296). `became-law`
- **2023-05-03** Enrolled to Governor. `executive-receipt`
- **2023-05-04** Received notice of passage on Final Reading in House (Hse. Com. No. 900). `receipt`
- **2023-05-02** Received notice of Final Reading (Sen. Com. No. 993). `receipt`
- **2023-05-02** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). `passage`
- **2023-05-02** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. `passage`
- **2023-04-27** Forty-eight (48) hours notice Tuesday, 05-02-23.
- **2023-04-27** Reported from Conference Committee (Conf Com. Rep. No. 37) as amended in (CD 1).
- **2023-04-27** 48 Hrs. Notice (as amended CD 1) 05-02-23.
- **2023-04-27** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 37).
- **2023-04-27** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Belatti, Sayama, Hussey-Burdick; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.
- **2023-04-27** 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) Aquino, Keohokalole, Moriwaki; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2023-04-26** Bill scheduled for Conference Committee Meeting on Thursday, 04-27-23 4:15PM in conference room 329.
- **2023-04-25** Received notice of appointment of House conferees (Hse. Com. No. 868). `receipt`
- **2023-04-24** House Conferees Appointed: Belatti, Sayama Co-Chairs; Hussey-Burdick, Pierick.
- **2023-04-19** Received notice of Senate conferees (Sen. Com. No. 911). `receipt`
- **2023-04-19** Senate Conferees Appointed: Aquino Chair; Keohokalole Co-Chair; Moriwaki.
- **2023-04-11** Received notice of disagreement (Sen. Com. No. 882). `receipt`
- **2023-04-11** Senate disagrees with House amendments. `amendment-failure`
- **2023-04-11** Received from House (Hse. Com. No. 680). `introduction, receipt`
- **2023-04-06** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Nishimoto excused (1). Transmitted to Senate. `passage`
- **2023-04-05** Deferred one day 04-06-23. `deferral`
- **2023-04-03** Forty-eight (48) hours notice Wednesday, 04-05-23.
- **2023-04-03** Reported from CPC (Stand. Com. Rep. No. 1883) as amended in HD 2, recommending passage on Third Reading.
- **2023-03-28** The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Nakashima, Sayama, Amato, Belatti, Hashem, Hussey-Burdick, Gates, Tam, Pierick; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Lowen, Onishi. `committee-passage-favorable`
- **2023-03-24** Bill scheduled to be heard by CPC on Tuesday, 03-28-23 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- **2023-03-21** 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) Quinlan excused (1). `reading-2, referral-committee`
- **2023-03-21** Reported from HLT (Stand. Com. Rep. No. 1364) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2023-03-17** The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Belatti, Takenouchi, Amato, Ilagan, Kobayashi, Mizuno; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Nishimoto, Garcia. `committee-passage-favorable`
- **2023-03-14** Bill scheduled to be heard by HLT on Friday, 03-17-23 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2023-03-09** Referred to HLT, CPC, referral sheet 17 `referral-committee`
- **2023-03-09** Pass First Reading `reading-1`
- **2023-03-07** Received from Senate (Sen. Com. No. 152) in amended form (SD 1). `introduction, receipt`
- **2023-03-07** Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 24; Aye(s) with reservations: none . Noes, 0 (none). Excused, 1 (Senator(s) Fukunaga). Transmitted to House. `passage`
- **2023-03-03** 48 Hrs. Notice 03-07-23.
- **2023-03-03** Reported from CPN (Stand. Com. Rep. No. 752) with recommendation of passage on Third Reading, as amended (SD 1).
- **2023-02-28** The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2023-02-24** The committee(s) on CPN will hold a public decision making on 02-28-23 9:50AM; Conference Room 229 & Videoconference.
- **2023-02-16** Report adopted; Passed Second Reading and referred to CPN. `reading-2, referral-committee`
- **2023-02-16** Reported from HHS (Stand. Com. Rep. No. 401) with recommendation of passage on Second Reading and referral to CPN.
- **2023-02-10** The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Moriwaki, Shimabukuro, Awa; Aye(s) with reservations: none ; 0 No(es): none; 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.
- **2023-01-25** Referred to HHS, CPN. `referral-committee`
- **2023-01-20** 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/014fc708-172f-4a68-97cc-4a9eac82820d`. Confidence: reported (aggregated from official Hawaii legislature records).