---
type: "Bill"
title: "RELATING TO LONG-TERM CARE."
description: "Requires the Executive Office on Aging, in coordination with the State Health Planning and Development Agency, to create a comprehensive long-term care plan to accomplish certain long-term care policy goals that ensure the availability of a full continuum of institutional and community-based services. Establishes and appropriates funds for one long-term care planner position within the Executive Office on Aging to oversee the development and implementation of the long-term care plan. Requires the Executive Office on Aging to submit a report to the Legislature. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2024"
identifier: "HB 2224"
citation: "Hawaii HB 2224 (2024)"
classification: ["bill"]
subjects: ["Appropriation ($)", "EOA", "Long-Term Care Plan", "Position", "Report", "SHPDA"]
status: "enacted"
primary_sponsors: ["AMATO", "BELATTI", "CHUN", "COCHRAN", "GARRETT", "GATES", "HOLT", "HUSSEY-BURDICK", "KAPELA", "KILA", "KITAGAWA", "KOBAYASHI", "LAMOSAO", "MARTEN", "MATAYOSHI", "MIYAKE", "NISHIMOTO", "PERRUSO", "POEPOE", "SAYAMA", "TAKAYAMA", "TAKENOUCHI", "TAM", "TODD", "WARD"]
version_count: 5
action_count: 45
vote_count: 6
first_action: "2024-01-22"
last_action: "2024-07-02"
source: "openstates"
source_identifier: "ocd-bill/fe7ee7dc-299f-430a-a195-27ff0a24881b"
source_url: "https://capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=HB&billnumber=2224&year=2024"
source_hash: "ef10a15bea94b231347af78cbea87eb8998594e587dcbf7b97d1f04e7e2148db"
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 2224 (2024) — RELATING TO LONG-TERM CARE.

Requires the Executive Office on Aging, in coordination with the State Health Planning and Development Agency, to create a comprehensive long-term care plan to accomplish certain long-term care policy goals that ensure the availability of a full continuum of institutional and community-based services. Establishes and appropriates funds for one long-term care planner position within the Executive Office on Aging to oversee the development and implementation of the long-term care plan. Requires the Executive Office on Aging to submit a report to the Legislature. (CD1)

## Version chain

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

1. **HB2224** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB2224_.HTM)
2. **HB2224_CD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB2224_CD1_.HTM)
3. **HB2224_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB2224_HD1_.HTM)
4. **HB2224_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB2224_HD2_.HTM)
5. **HB2224_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB2224_SD1_.HTM)

## Votes

- The committee on HUS recommend that the measure be PASSED, WITH AMENDMENTS. — **6–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **2–0** (pass) · upper
- The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. — **5–0** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **6–0** (pass) · lower
- The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **12–0** (pass) · upper
- The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — **15–0** (pass) · lower

## Sponsors

- AMATO — primary (person)
- BELATTI — primary (person)
- CHUN — primary (person)
- COCHRAN — primary (person)
- GARRETT — primary (person)
- GATES — primary (person)
- HOLT — primary (person)
- HUSSEY-BURDICK — primary (person)
- KAPELA — primary (person)
- KILA — primary (person)
- KITAGAWA — primary (person)
- KOBAYASHI — primary (person)
- LAMOSAO — primary (person)
- MARTEN — primary (person)
- MATAYOSHI — primary (person)
- MIYAKE — primary (person)
- NISHIMOTO — primary (person)
- PERRUSO — primary (person)
- POEPOE — primary (person)
- SAYAMA — primary (person)
- TAKAYAMA — primary (person)
- TAKENOUCHI — primary (person)
- TAM — primary (person)
- TODD — primary (person)
- WARD — primary (person)

## Timeline

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

- **2024-07-02** Act 159, 07/01/2024 (Gov. Msg. No. 1260). `became-law`
- **2024-07-02** Act 159, on 07/01/2024 (Gov. Msg. No. 1260). `became-law`
- **2024-05-02** Transmitted to Governor.
- **2024-05-03** Received notice of passage on Final Reading in House (Hse. Com. No. 830). `receipt`
- **2024-05-01** Received notice of Final Reading (Sen. Com. No. 798). `receipt`
- **2024-05-01** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). `passage`
- **2024-05-01** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. `passage`
- **2024-04-26** 48 Hrs. Notice (as amended CD 1) 05-01-24
- **2024-04-26** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 135-24).
- **2024-04-26** Forty-eight (48) hours notice Wednesday 05-01-24.
- **2024-04-26** Reported from Conference Committee (Conf Com. Rep. No. 135-24) as amended in (CD 1).
- **2024-04-25** The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Aquino; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa. `committee-passage-favorable`
- **2024-04-25** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 6 Ayes: Representative(s) Marten, Chun, Amato, Ilagan, Kobayashi, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2024-04-24** Bill scheduled for Conference Committee Meeting on Thursday, 04-25-24 1:35PM in conference room 329.
- **2024-04-24** Received notice of Senate conferees (Sen. Com. No. 777). `receipt`
- **2024-04-24** Senate Conferees Appointed: San Buenaventura Chair; Aquino Co-Chair; Awa.
- **2024-04-16** Received notice of appointment of House conferees (Hse. Com. No. 738). `receipt`
- **2024-04-15** House Conferees Appointed: Marten, Chun Co-Chairs; Amato, Ilagan, Kobayashi, Garcia.
- **2024-04-12** Received notice of disagreement (Hse. Com. No. 731). `receipt`
- **2024-04-11** House disagrees with Senate amendment (s). `amendment-failure`
- **2024-04-09** Returned from Senate (Sen. Com. No. 566) in amended form (SD 1).
- **2024-04-09** Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 24; Aye(s) with reservations: none . Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House. `passage`
- **2024-04-05** 48 Hrs. Notice 04-09-24.
- **2024-04-05** Reported from WAM (Stand. Com. Rep. No. 3764) with recommendation of passage on Third Reading, as amended (SD 1).
- **2024-04-04** The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, Shimabukuro, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) DeCoite. `committee-passage-favorable`
- **2024-04-02** The committee(s) on WAM will hold a public decision making on 04-04-24 10:15AM; CR 211 & Videoconference.
- **2024-03-21** Report adopted; Passed Second Reading and referred to WAM. `reading-2, referral-committee`
- **2024-03-21** Reported from HHS (Stand. Com. Rep. No. 3209) with recommendation of passage on Second Reading and referral to WAM.
- **2024-03-18** 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, Keohokalole, Shimabukuro, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2024-03-15** The committee(s) on HHS added the measure to the public hearing scheduled on 03-18-24 1:00PM; CR 225 & Videoconference.
- **2024-03-07** Referred to HHS, WAM. `referral-committee`
- **2024-03-07** Passed First Reading. `reading-1`
- **2024-03-07** Received from House (Hse. Com. No. 319). `introduction, receipt`
- **2024-03-05** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Martinez, Woodson excused (3). Transmitted to Senate. `passage`
- **2024-03-01** Forty-eight (48) hours notice Tuesday, 03-05-24.
- **2024-03-01** Reported from FIN (Stand. Com. Rep. No. 986-24) as amended in HD 2, recommending passage on Third Reading.
- **2024-02-26** The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 15 Ayes: Representative(s) Yamashita, Kitagawa, Aiu, Chun, Garrett, Kahaloa, Kila, Kobayashi, Lamosao, Morikawa, Nishimoto, Poepoe, Takenouchi, Alcos, Ward; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Cochran. `committee-passage-favorable`
- **2024-02-23** Bill scheduled to be heard by FIN on Monday, 02-26-24 10:00AM in House conference room 308 VIA VIDEOCONFERENCE.
- **2024-02-05** Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Gates, Kapela, Nakashima excused (4). `reading-2, referral-committee`
- **2024-02-05** Reported from HUS (Stand. Com. Rep. No. 56-24) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
- **2024-01-30** The committee on HUS recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Marten, Amato, Belatti, Kobayashi, Takenouchi, Garcia; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Ilagan, Nishimoto. `committee-passage-favorable`
- **2024-01-26** Bill scheduled to be heard by HUS on Tuesday, 01-30-24 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2024-01-26** Referred to HUS, FIN, referral sheet 3 `referral-committee`
- **2024-01-24** Introduced and Pass First Reading. `introduction, reading-1`
- **2024-01-22** Pending introduction.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fe7ee7dc-299f-430a-a195-27ff0a24881b`. Confidence: reported (aggregated from official Hawaii legislature records).