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---
type: "Bill"
title: "RELATING TO CHAPTER 453, HAWAII REVISED STATUTES."
description: "Establishes requirements for licensure by endorsement for physicians, surgeons, and osteopathic physicians beginning on 12/31/2018. Appropriates moneys. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2018 Regular Session"
identifier: "SB 2653"
citation: "Hawaii SB 2653 (2018 Regular Session)"
classification: ["bill"]
subjects: ["Physicians", "Surgeons", "Osteopathic Physicians", "Licensure", "Licensure by Endorsement", "Appropriation ($)"]
status: "enacted"
primary_sponsors: ["BAKER", "ENGLISH", "Espero", "Gabbard", "Galuteria", "INOUYE", "KEITH-AGARAN", "Kim", "Nishihara", "RUDERMAN", "S. Chang"]
version_count: 3
action_count: 55
vote_count: 8
first_action: "2018-01-19"
last_action: "2018-06-14"
source: "openstates"
source_identifier: "ocd-bill/ee74ffb1-06e8-4b44-803d-5480e637fc45"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=SB&billnumber=2653&year=2018"
source_hash: "f04258819c2c868ba2e826d0d2314a6fa9869572f65cfae524eaa66f4456f0e0"
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 2653 (2018 Regular Session) — RELATING TO CHAPTER 453, HAWAII REVISED STATUTES.
Establishes requirements for licensure by endorsement for physicians, surgeons, and osteopathic physicians beginning on 12/31/2018. Appropriates moneys. (CD1)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **SB2653** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2653_.HTM)
2. **SB2653_CD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2653_CD1_.HTM)
3. **SB2653_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2653_HD1_.HTM)
## Votes
- The committee(s) on CPH recommend(s) that the measure be PASSED, UNAMENDED. — **50** (pass) · upper
- The committees on CPC recommend that the measure be PASSED, UNAMENDED. — **80** (pass) · lower
- The committees on IAC recommend that the measure be PASSED, UNAMENDED. — **60** (pass) · lower
- The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **100** (pass) · upper
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **40** (pass) · upper
- The committees on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — **120** (pass) · lower
- The Conference Committee recommends that the measure be Passed, with Amendments. — **50** (pass) · lower
- The committees on HHS recommend that the measure be PASSED, UNAMENDED. — **40** (pass) · lower
## Sponsors
- BAKER — primary (person)
- ENGLISH — primary (person)
- Espero — primary (person)
- Gabbard — primary (person)
- Galuteria — primary (person)
- INOUYE — primary (person)
- KEITH-AGARAN — primary (person)
- Kim — primary (person)
- Nishihara — primary (person)
- RUDERMAN — primary (person)
- S. Chang — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-19** Introduced. `introduction`
- **2018-01-22** Passed First Reading. `reading-1`
- **2018-01-24** Referred to CPH, WAM. `referral-committee`
- **2018-01-25** The committee(s) on CPH has scheduled a public hearing on 02-02-18 9:30AM in conference room 229.
- **2018-01-29** The committee(s) on CPH has rescheduled its public hearing to 02-02-18 9:00AM in conference room 229.
- **2018-02-02** The committee(s) on CPH recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPH were as follows: 5 Aye(s): Senator(s) Baker, Tokuda, S. Chang, Espero, Ruderman; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Ihara, Nishihara. `committee-passage-favorable`
- **2018-02-08** Reported from CPH (Stand. Com. Rep. No. 2104) with recommendation of passage on Second Reading and referral to WAM.
- **2018-02-08** Report adopted; Passed Second Reading and referred to WAM.
- **2018-02-20** The committee(s) on WAM will hold a public decision making on 02-23-18 11:00AM in conference room 211.
- **2018-02-23** The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 10 Aye(s): Senator(s) Dela Cruz, Keith-Agaran, English, Galuteria, Harimoto, Inouye, K. Kahele, Kidani, Riviere, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Shimabukuro. `committee-passage-favorable`
- **2018-03-02** Reported from WAM (Stand. Com. Rep. No. 2851) with recommendation of passage on Third Reading, as amended (SD 1).
- **2018-03-02** 48 Hrs. Notice 03-06-18.
- **2018-03-06** Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2018-03-06** Received from Senate (Sen. Com. No. 249) in amended form (SD 1). `introduction`
- **2018-03-08** Pass First Reading `reading-1`
- **2018-03-08** Referred to IAC/HHS, CPC, FIN, referral sheet 36 `referral-committee`
- **2018-03-12** Bill scheduled to be heard by IAC/HHS on Wednesday, 03-14-18 8:30AM in House conference room 329.
- **2018-03-14** The committees on IAC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 6 Ayes: Representative(s) Ohno, Choy, Cachola, Ito, Woodson, Ward; Ayes with reservations: none; Noes: none; and 4 Excused: Representative(s) Fukumoto, LoPresti, Onishi, Tokioka. `committee-passage-favorable`
- **2018-03-14** The committees on HHS recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 4 Ayes: Representative(s) Mizuno, Kobayashi, Belatti, Learmont; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Tupola. `committee-passage-favorable`
- **2018-03-16** Reported from IAC/HHS (Stand. Com. Rep. No. 1184-18), recommending passage on Second Reading and referral to CPC.
- **2018-03-16** Passed Second Reading and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) DeCoite, Fukumoto, Har, Holt, Nakashima, Souki, Tokioka excused (7). `reading-2, referral-committee`
- **2018-03-19** Bill scheduled to be heard by CPC on Wednesday, 03-21-18 2:15PM in House conference room 329.
- **2018-03-21** The committees on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 8 Ayes: Representative(s) Takumi, Ichiyama, Aquino, Ito, Say, Tokioka, Yamane, McDermott; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Johanson, LoPresti, Mizuno. `committee-passage-favorable`
- **2018-03-23** Reported from CPC (Stand. Com. Rep. No. 1333-18), recommending referral to FIN.
- **2018-03-23** Report adopted; referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) C. Lee, Lowen, McDermott, Souki, Tokioka excused (5).
- **2018-04-02** Bill scheduled to be heard by FIN on Wednesday, 04-04-18 1:30PM in House conference room 308.
- **2018-04-04** The committees on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) Luke, Cullen, DeCoite, Gates, Keohokalole, Kobayashi, Lowen, Nakamura, Yamashita, Tupola, Ward; Ayes with reservations: Representative(s) Cachola; Noes: none; and 3 Excused: Representative(s) Fukumoto, Holt, Todd. `committee-passage-favorable`
- **2018-04-06** Reported from FIN (Stand. Com. Rep. No. 1976-18) as amended in HD 1, recommending passage on Third Reading.
- **2018-04-06** Forty-eight (48) hours notice Tuesday, 04-10-18.
- **2018-04-10** Passed Third Reading as amended in HD 1 with Representative(s) Tokioka voting aye with reservations; Representative(s) Choy voting no (1) and none excused (0). Transmitted to Senate. `passage`
- **2018-04-10** Received from House (Hse. Com. No. 588). `introduction`
- **2018-04-12** Senate disagrees with House amendments.
- **2018-04-12** Received notice of disagreement (Sen. Com. No. 784).
- **2018-04-16** House Conferees Appointed: Ohno, Mizuno, Takumi, Cullen Co-Chairs; Ward.
- **2018-04-16** Received notice of appointment of House conferees (Hse. Com. No. 610).
- **2018-04-17** Senate Conferees Appointed: Baker Chair; English Co-Chair; S. Chang, Ruderman, Tokuda.
- **2018-04-17** Received notice of Senate conferees (Sen. Com. No. 788).
- **2018-04-20** Conference committee meeting scheduled for 04-23-18 1:30PM in conference room 229.
- **2018-04-23** Conference committee meeting to reconvene on 04-25-18 2:30PM in conference room 229.
- **2018-04-25** Conference committee meeting to reconvene on 04-26-18 2:30PM in conference room 229.
- **2018-04-26** Conference committee meeting to reconvene on 04-27-18 2:45PM in conference room 229.
- **2018-04-27** Conference committee meeting to reconvene on 04-27-18 4:30pm in conference room 229.
- **2018-04-27** The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) Baker, English, S. Chang, Ruderman; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Tokuda. `committee-passage-favorable`
- **2018-04-27** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Ohno, Mizuno, Takumi, Cullen, Ward; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2018-04-27** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 157-18).
- **2018-04-27** 48 Hrs. Notice (as amended CD 1) 05-01-18.
- **2018-04-27** Reported from Conference Committee (Conf Com. Rep. No. 157-18) as amended in (CD 1).
- **2018-04-27** Forty-eight (48) hours notice Tuesday 05-01-18.
- **2018-05-01** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- **2018-05-01** Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Choy voting no (1) and Representative(s) Takumi excused (1).
- **2018-05-01** Received notice of Final Reading (Sen. Com. No. 849).
- **2018-05-03** Received notice of passage on Final Reading in House (Hse. Com. No. 705).
- **2018-05-03** Enrolled to Governor. `executive-receipt`
- **2018-06-14** Act 044, on 06/13/2018 (Gov. Msg. No. 1144). `executive-signature`
- **2018-06-14** Act 044, 06/13/2018 (Gov. Msg. No. 1144). `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ee74ffb1-06e8-4b44-803d-5480e637fc45`. Confidence: reported (aggregated from official Hawaii legislature records).