--- type: "Bill" title: "RELATING TO NURSES." description: "Effective 1/1/2025, allows the Board of Nursing to issue temporary permits to out-of-state licensed registered nurses and practical nurses and nurses who hold a multistate license issued by another state, territory, or country, under certain circumstances. Beginning 7/1/2025, allows an out-of-state licensed practical nurse or registered nurse to apply for a temporary permit simultaneously with an application for a license to practice in the State. Excepts from license requirements nurses who are licensed in another state, territory, or country accompanying a patient from out-of-state for a period of less than two weeks and not employed or affiliated with a health care entity in the State. Takes effect 1/1/2025. (CD2)" jurisdiction: "us/states/hi" legislature: "Hawaii Legislature" session: "2024" identifier: "SB 63" citation: "Hawaii SB 63 (2024)" classification: ["bill"] subjects: ["Board of Nursing", "Exceptions", "Licenses", "Nurses", "Practical Nurses", "Registered Nurses", "Temporary Permits"] status: "enacted" primary_sponsors: ["ELEFANTE", "FUKUNAGA", "KEITH-AGARAN", "KEOHOKALOLE", "RHOADS"] version_count: 10 action_count: 75 vote_count: 8 first_action: "2023-01-14" last_action: "2024-06-28" source: "openstates" source_identifier: "ocd-bill/3c7810a0-6272-49aa-b589-10bf9b882981" source_url: "https://capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=SB&billnumber=63&year=2024" source_hash: "f8b734957f615376e922bbe8483311cce011adf59c53dc7aadd8046b9fe1173c" 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 63 (2024) — RELATING TO NURSES. Effective 1/1/2025, allows the Board of Nursing to issue temporary permits to out-of-state licensed registered nurses and practical nurses and nurses who hold a multistate license issued by another state, territory, or country, under certain circumstances. Beginning 7/1/2025, allows an out-of-state licensed practical nurse or registered nurse to apply for a temporary permit simultaneously with an application for a license to practice in the State. Excepts from license requirements nurses who are licensed in another state, territory, or country accompanying a patient from out-of-state for a period of less than two weeks and not employed or affiliated with a health care entity in the State. Takes effect 1/1/2025. (CD2) ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **SB63** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_.HTM) 2. **SB63_CD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_CD1_.HTM) 3. **SB63_CD1_HFA9** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_CD1_HFA9_.HTM) 4. **SB63_CD1_SFA7** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_CD1_SFA7_.HTM) 5. **SB63_CD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_CD2_.HTM) 6. **SB63_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_HD1_.HTM) 7. **SB63_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_HD2_.HTM) 8. **SB63_HD3** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_HD3_.HTM) 9. **SB63_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_SD1_.HTM) 10. **SB63_SD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB63_SD2_.HTM) ## Votes - The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower - The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **12–0** (pass) · upper - 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. — **4–0** (pass) · lower - The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower - The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper - The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — **16–0** (pass) · lower - The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper ## Sponsors - ELEFANTE — primary (person) - FUKUNAGA — primary (person) - KEITH-AGARAN — primary (person) - KEOHOKALOLE — primary (person) - RHOADS — primary (person) - Dela Cruz — cosponsor (person) - Shimabukuro — cosponsor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2024-06-28** Act 095, 06/27/2024 (Gov. Msg. No. 1196). `became-law` - **2024-06-28** Act 095, on 06/27/2024 (Gov. Msg. No. 1196). `became-law` - **2024-05-03** Received notice of passage on Final Reading in House (Hse. Com. No. 832). `receipt` - **2024-05-03** Enrolled to Governor. `executive-receipt` - **2024-05-03** Received notice of Final Reading (Sen. Com. No. 802). `receipt` - **2024-05-03** Passed Final Reading as amended in CD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Pierick excused (1). `passage` - **2024-05-03** Passed Final Reading, as amended (CD 2). Ayes, 23; Aye(s) with reservations: none . 0 No(es): none. 2 Excused: Senator(s) Awa, Fukunaga. `passage` - **2024-05-01** 48 Hrs. Notice (as amended CD 2) 05-03-24 - **2024-05-01** Report filed. - **2024-05-01** Separated Committee Report. - **2024-05-01** Floor amendment adopted as amended (CD 2). `amendment-passage` - **2024-05-01** Floor Amendment No. 7 offered. - **2024-05-01** Forty-eight (48) hours notice Friday, May 3, 2024. - **2024-05-01** Floor amendment adopted as amended CD 2 with none voting no and Representative(s) Ichiyama excused. `amendment-passage` - **2024-05-01** Floor Amendment No. 9 offered by Rep. Belatti. - **2024-04-26** Forty-eight (48) hours notice Wednesday, 05-01-24. - **2024-04-26** Reported from Conference Committee (Conf Com. Rep. No. 182-24) as amended in (CD 1). - **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. 182-24). - **2024-04-26** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Belatti, Matayoshi, Nakashima, Takenouchi; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Alcos. - **2024-04-26** 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, Shimabukuro; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable` - **2024-04-25** Conference committee meeting to reconvene on 04-26-24 3:10PM; Conference Room 329. - **2024-04-24** Conference committee meeting to reconvene on 04-25-24 3:30PM; Conference Room 329. - **2024-04-23** Bill scheduled for Conference Committee Meeting on Wednesday, 04-24-24 3:30PM in conference room 329. - **2024-04-23** Received notice of appointment of House conferees (Hse. Com. No. 808). `receipt` - **2024-04-22** House Conferees Appointed: Belatti, Matayoshi, Nakashima, Takenouchi Co-Chairs; Alcos. - **2024-04-22** Re-referred to HLT/LGO, CPC, FIN, referral sheet 37 `referral-committee` - **2024-04-22** Received notice of Senate conferees (Sen. Com. No. 733). `receipt` - **2024-04-22** Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Shimabukuro Co-Chairs. - **2024-03-25** Received notice of discharge of all conferees (Hse. Com. No. 457). `receipt` - **2024-03-22** House Conferee(s) discharged. - **2024-03-20** Received notice of all Senate conferees being discharged (Sen. Com. No. 340). `receipt` - **2024-03-20** Senate Conferee(s) discharged. - **2023-12-11** Carried over to 2024 Regular Session. `carried-over` - **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; Onishi, Pierick. - **2023-04-19** Received notice of Senate conferees (Sen. Com. No. 911). `receipt` - **2023-04-19** Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Shimabukuro 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. 725). `introduction, receipt` - **2023-04-11** Passed Third Reading as amended in HD 3 with none voting aye with reservations; none voting no (0) and Representative(s) Martinez, Todd excused (2). 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. 2088) as amended in HD 3, 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 as amended in HD 2 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. 1570) as amended in HD 2, recommending referral to FIN. - **2023-03-22** 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, Hussey-Burdick, Gates, Lowen, Onishi, Pierick; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Hashem, Tam. `committee-passage-favorable` - **2023-03-20** Bill scheduled to be heard by CPC on Wednesday, 03-22-23 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. 1305) 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. 71) in amended form (SD 2). `introduction, receipt` - **2023-03-07** Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 23; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 1 (Senator(s) Fukunaga). Transmitted to House. `passage` - **2023-03-03** 48 Hrs. Notice 03-07-23. - **2023-03-03** Reported from CPN/WAM (Stand. Com. Rep. No. 916) with recommendation of passage on Third Reading, as amended (SD 2). - **2023-03-01** 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, Keith-Agaran, Aquino, DeCoite, Inouye, Kanuha, Kidani, Kim, Lee, Moriwaki, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Shimabukuro. `committee-passage-favorable` - **2023-03-01** The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. 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` - **2023-02-24** The committee(s) on CPN/WAM will hold a public decision making on 03-01-23 9:30AM; 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. 482) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. - **2023-02-14** Re-Referred to HHS, CPN/WAM. `referral-committee` - **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. - **2023-01-20** Referred to HHS, CPN. `referral-committee` - **2023-01-18** Introduced and passed First Reading. `introduction` - **2023-01-14** Pending Introduction. ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3c7810a0-6272-49aa-b589-10bf9b882981`. Confidence: reported (aggregated from official Hawaii legislature records).