---
type: "Bill"
title: "RELATING TO BACKGROUND CHECKS."
description: "Clarifies and streamlines background check requirements for healthcare facility applicants, operators, and direct patient access employees. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2026"
identifier: "HB 2576"
citation: "Hawaii HB 2576 (2026)"
classification: ["bill"]
subjects: ["Applicants", "Background Checks", "DOH", "Healthcare Facilities", "Operators"]
status: "enacted"
primary_sponsors: ["AMATO", "HARTSFIELD", "KEOHOKAPU-LEE LOY", "MARTEN", "TAKAYAMA", "TAKENOUCHI"]
version_count: 6
action_count: 44
vote_count: 7
first_action: "2026-01-28"
last_action: "2026-05-26"
source: "openstates"
source_identifier: "ocd-bill/c5d384ff-11b8-4093-a4a4-9d5914eaca52"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2576&year=2026"
source_hash: "cc561c4d5ce9d2087cbbf6f6781be6e2e6068864b61a2ab46807bca988c008de"
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 2576 (2026) — RELATING TO BACKGROUND CHECKS.

Clarifies and streamlines background check requirements for healthcare facility applicants, operators, and direct patient access employees. (CD1)

## Version chain

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

1. **HB2576** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_.HTM)
2. **HB2576_CD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_CD1_.HTM)
3. **HB2576_HD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_HD1_.HTM)
4. **HB2576_HD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_HD2_.HTM)
5. **HB2576_SD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_SD1_.HTM)
6. **HB2576_SD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2576_SD2_.HTM)

## Votes

- Report adopted; Passed Third Reading, as amended (SD 2). — **25–0** (pass) · upper
- The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **3–0** (pass) · upper
- The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. — **8–0** (pass) · lower
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower
- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **4–0** (pass) · lower

## Sponsors

- AMATO — primary (person)
- HARTSFIELD — primary (person)
- KEOHOKAPU-LEE LOY — primary (person)
- MARTEN — primary (person)
- TAKAYAMA — primary (person)
- TAKENOUCHI — primary (person)

## Timeline

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

- **2026-05-26** Act 042, on 05/26/2026 (Gov. Msg. No. 1142). `became-law`
- **2026-05-26** Act 042, 05/26/2026 (Gov. Msg. No. 1142). `became-law`
- **2026-05-07** Transmitted to Governor.
- **2026-05-08** Received notice of passage on Final Reading in House (Hse. Com. No. 888). `receipt`
- **2026-05-06** Received notice of Final Reading (Sen. Com. No. 816). `receipt`
- **2026-05-06** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). `passage`
- **2026-05-06** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. `passage`
- **2026-04-29** 48 Hrs. Notice (as amended CD 1) 05-06-26
- **2026-04-29** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 77-26).
- **2026-04-29** Forty-eight (48) hours notice Wednesday, 05-06-26.
- **2026-04-29** Reported from Conference Committee (Conf Com. Rep. No. 77-26) as amended in (CD 1).
- **2026-04-29** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Tarnas, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Alcos; 0 Noes: none; and 0 Excused: none.
- **2026-04-29** 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, Rhoads, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2026-04-28** Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
- **2026-04-23** Received notice of Senate conferees (Sen. Com. No. 738). `receipt`
- **2026-04-23** Senate Conferees Appointed: San Buenaventura Chair; Rhoads Co-Chair; McKelvey.
- **2026-04-20** Received notice of appointment of House conferees (Hse. Com. No. 786). `receipt`
- **2026-04-20** House Conferees Appointed: Takayama, Tarnas Co-Chairs; Keohokapu-Lee Loy, Alcos.
- **2026-04-17** Received notice of disagreement (Hse. Com. No. 780). `receipt`
- **2026-04-16** House disagrees with Senate amendment (s). `amendment-failure`
- **2026-04-14** Returned from Senate (Sen. Com. No. 704) in amended form (SD 2).
- **2026-04-14** Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2026-04-10** 48 Hrs. Notice 04-14-26.
- **2026-04-10** Reported from JDC (Stand. Com. Rep. No. 3808) with recommendation of passage on Third Reading, as amended (SD 2).
- **2026-04-09** 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) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2026-04-06** The committee(s) on JDC will hold a public decision making on 04-09-26 10:03AM; Conference Room 016 & Videoconference.
- **2026-03-25** Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. `reading-2, referral-committee`
- **2026-03-25** Reported from HHS (Stand. Com. Rep. No. 3173) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
- **2026-03-18** The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2026-03-13** The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
- **2026-03-12** Referred to HHS, JDC. `referral-committee`
- **2026-03-12** Passed First Reading. `reading-1`
- **2026-03-12** Received from House (Hse. Com. No. 438). `introduction, receipt`
- **2026-03-10** Passed Third Reading as amended in HD 2 with Representative(s) Alcos, Garcia voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. `passage`
- **2026-03-06** Forty-eight (48) hours notice Tuesday, 03-10-26.
- **2026-03-06** Reported from JHA (Stand. Com. Rep. No. 1147-26) as amended in HD 2, recommending passage on Third Reading.
- **2026-02-24** The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Kahaloa, Sayama, Takayama, Shimizu; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Hashem, Garcia. `committee-passage-favorable`
- **2026-02-20** Bill scheduled to be heard by JHA on Tuesday, 02-24-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
- **2026-02-19** Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Alcos, Garcia voting aye with reservations; none voting no (0) and none excused (0). `reading-2, referral-committee`
- **2026-02-19** Reported from HLT (Stand. Com. Rep. No. 557-26) as amended in HD 1, recommending passage on Second Reading and referral to JHA.
- **2026-02-13** The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Takenouchi; Ayes with reservations: Representative(s) Hartsfield, Olds, Alcos, Garcia; Noes: none; and Excused: none. `committee-passage-favorable`
- **2026-02-10** Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2026-02-02** Referred to HLT, JHA, referral sheet 6 `referral-committee`
- **2026-01-28** Introduced and Pass First Reading. `introduction, reading-1`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c5d384ff-11b8-4093-a4a4-9d5914eaca52`. Confidence: reported (aggregated from official Hawaii legislature records).