---
type: "Bill"
title: "RELATING TO MEDICAID WAIVER."
description: "Adds an exception to the department of health home care agency licensing requirements for medicaid waiver provider agencies providing services to medicaid waiver participants. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2019 Regular Session"
identifier: "SB 1240"
citation: "Hawaii SB 1240 (2019 Regular Session)"
classification: ["bill"]
subjects: ["Medicaid Waiver", "Department of Health", "Service Provider Agencies", "Home Care Agencies"]
status: "enacted"
primary_sponsors: ["KOUCHI (Introduced by request of another party)"]
version_count: 3
action_count: 43
vote_count: 6
first_action: "2019-01-24"
last_action: "2019-06-12"
source: "openstates"
source_identifier: "ocd-bill/9dab90a5-97de-498e-a3f4-2480a81f1a77"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=SB&billnumber=1240&year=2019"
source_hash: "a5c33727df65e4287252d97ee389670147a0808c661f8da047fc70cb9082d3ad"
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 1240 (2019 Regular Session) — RELATING TO MEDICAID WAIVER.

Adds an exception to the department of health home care agency licensing requirements for medicaid waiver provider agencies providing services to medicaid waiver participants. (CD1)

## Version chain

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

1. **SB1240** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1240_.HTM)
2. **SB1240_CD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1240_CD1_.HTM)
3. **SB1240_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2019/bills/SB1240_HD1_.HTM)

## Votes

- The committees on FIN recommend that the measure be PASSED, UNAMENDED. — **15–0** (pass) · lower
- The committees on HSH recommend that the measure be PASSED, WITH AMENDMENTS. — **7–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **2–0** (pass) · upper
- The committee(s) on HMS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–0** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **3–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–0** (pass) · upper

## Sponsors

- KOUCHI (Introduced by request of another party) — 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/HMS. `referral-committee`
- **2019-02-15** The committee(s) on CPH/HMS has scheduled a public hearing on 02-20-19 9:00AM in conference room 229.
- **2019-02-20** The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPH were as follows: 4 Aye(s): Senator(s) Baker, Ruderman, L. Thielen, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 3 Excused: Senator(s) S. Chang, J.Keohokalole, Nishihara. `committee-passage-favorable`
- **2019-02-20** The committee(s) on HMS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HMS were as follows: 4 Aye(s): Senator(s) Ruderman, K. Rhoads, Riviere, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Ihara. `committee-passage-favorable`
- **2019-03-01** Reported from CPH/HMS (Stand. Com. Rep. No. 825) 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. 413) in amended form (SD 1). `introduction`
- **2019-03-07** Pass First Reading `reading-1`
- **2019-03-07** Referred to HSH, FIN, referral sheet 27 `referral-committee`
- **2019-03-15** Bill scheduled to be heard by HSH on Wednesday, 03-20-19 8:45AM in House conference room 329.
- **2019-03-20** The committees on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) San Buenaventura, Nakamura, B. Kobayashi, Mizuno, Say, Tokioka, Ward; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Belatti. `committee-passage-favorable`
- **2019-03-22** Reported from HSH (Stand. Com. Rep. No. 1616) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
- **2019-03-22** 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) Quinlan, Yamane excused (2). `reading-2, referral-committee`
- **2019-03-27** Bill scheduled to be heard by FIN on Friday, 03-29-19 2:30PM in House conference room 308.
- **2019-03-29** The committees on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Luke, Cullen, Eli, Gates, Hashimoto, Holt, Kitagawa, B. Kobayashi, Matayoshi, Nakamura, Nishimoto, Todd, Wildberger, Yamashita, McDermott; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. `committee-passage-favorable`
- **2019-04-05** Reported from FIN (Stand. Com. Rep. No. 2120), recommending passage on Third Reading.
- **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. 701). `introduction`
- **2019-04-09** Senate disagrees with House amendments.
- **2019-04-09** Received notice of disagreement (Sen. Com. No. 885).
- **2019-04-15** House Conferees Appointed: San Buenaventura, Nakamura Co-Chairs; Ward.
- **2019-04-15** Received notice of appointment of House conferees (Hse. Com. No. 809).
- **2019-04-15** Senate Conferees Appointed: Baker Chair; Ruderman Co-Chair; Fevella.
- **2019-04-15** Received notice of Senate conferees (Sen. Com. No. 901).
- **2019-04-18** Conference committee meeting scheduled for 04-22-19 10:45AM in conference room 229.
- **2019-04-22** Conference committee meeting to reconvene on 04-23-19 10:30AM in conference room 229.
- **2019-04-23** 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) Baker, Ruderman; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2019-04-23** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) San Buenaventura, Nakamura, Ward; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2019-04-25** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 18).
- **2019-04-25** 48 Hrs. Notice (as amended CD 1) 04-30-19.
- **2019-04-25** Reported from Conference Committee (Conf Com. Rep. No. 18) as amended in (CD 1).
- **2019-04-25** Forty-eight (48) hours notice Tuesday, 04-30-19.
- **2019-04-30** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
- **2019-04-30** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- **2019-05-01** Received notice of Final Reading (Sen. Com. No. 968).
- **2019-05-02** Received notice of passage on Final Reading in House (Hse. Com. No. 883).
- **2019-05-06** Enrolled to Governor. `executive-receipt`
- **2019-06-12** Act 091, on 06/07/2019 (Gov. Msg. No. 1192). `executive-signature`
- **2019-06-12** Act 091, 06/07/2019 (Gov. Msg. No. 1192). `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9dab90a5-97de-498e-a3f4-2480a81f1a77`. Confidence: reported (aggregated from official Hawaii legislature records).