republic-os/legislation/us/states/hi/2023-regular-session/sb-404.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	RELATING TO THE HOSPITAL SUSTAINABILITY PROGRAM.	Makes various updates to the Hospital Sustainability Program, including amending the definition of "private hospital"; clarifying the uses of the Hospital Sustainability Program Special Fund; increasing various hospital sustainability fee caps; requiring the Department of Human Services to consult and negotiate with the hospital trade association regarding fee participation and rates; clarifying when the hospital sustainability fee shall be discontinued and the distribution of remaining funds; repealing the sunset dates of Act 217, SLH 2012, and Act 123, SLH 2014, to make the program permanent and permanently exempting the program from the central service and administrative expenses assessments; and appropriating funds out of the Hospital Sustainability Program Special Fund. (CD1)	us/states/hi	Hawaii Legislature	2023 Regular Session	SB 404	Hawaii SB 404 (2023 Regular Session)	bill	Appropriation ($) DHS Hospital Sustainability Fee Hospital Sustainability Program Hospital Sustainability Program Special Fund Hospital Trade Association	enacted	KEITH-AGARAN KEOHOKALOLE MCKELVEY SAN BUENAVENTURA	6	50	7	2023-01-20	2023-06-22	openstates	ocd-bill/0feda622-c4a8-465d-9c65-ab52aff48136	https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=404&year=2023	343bdaccde42645c702b935c0edaa3833b72c70cd53b2e157fd5af7ac64c709a	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-hi

Hawaii SB 404 (2023 Regular Session) — RELATING TO THE HOSPITAL SUSTAINABILITY PROGRAM.

Makes various updates to the Hospital Sustainability Program, including amending the definition of "private hospital"; clarifying the uses of the Hospital Sustainability Program Special Fund; increasing various hospital sustainability fee caps; requiring the Department of Human Services to consult and negotiate with the hospital trade association regarding fee participation and rates; clarifying when the hospital sustainability fee shall be discontinued and the distribution of remaining funds; repealing the sunset dates of Act 217, SLH 2012, and Act 123, SLH 2014, to make the program permanent and permanently exempting the program from the central service and administrative expenses assessments; and appropriating funds out of the Hospital Sustainability Program Special Fund. (CD1)

Version chain

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

1. SB404 (committee substitute) — source
2. SB404_CD1 (committee substitute) — source
3. SB404_HD1 (committee substitute) — source
4. SB404_HD2 (committee substitute) — source
5. SB404_SD1 (committee substitute) — source
6. SB404_SD2 (committee substitute) — source

Votes

• 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. — 5–0 (pass) · lower
• The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — 7–0 (pass) · lower
• The committee on HUS recommend that the measure be PASSED, WITH AMENDMENTS. — 7–0 (pass) · lower
• The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — 3–0 (pass) · upper
• The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 13–0 (pass) · upper
• The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — 14–0 (pass) · lower

Sponsors

• KEITH-AGARAN — primary (person)
• KEOHOKALOLE — primary (person)
• MCKELVEY — primary (person)
• SAN BUENAVENTURA — primary (person)

Timeline

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

• 2023-06-22 Act 110, 06/22/2023 (Gov. Msg. No. 1211). became-law
• 2023-06-22 Act 110, on 06/22/2023 (Gov. Msg. No. 1211). became-law
• 2023-05-05 Enrolled to Governor. executive-receipt
• 2023-05-04 Received notice of passage on Final Reading in House (Hse. Com. No. 901). receipt
• 2023-05-04 Received notice of Final Reading (Sen. Com. No. 996). receipt
• 2023-05-04 Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Lowen, Martinez excused (2). passage
• 2023-05-04 Passed Final Reading, as amended (CD 1) Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). passage
• 2023-05-02 Forty-eight (48) hours notice Thursday, 05-04-23.
• 2023-05-02 Reported from Conference Committee (Conf Com. Rep. No. 176) as amended in (CD 1).
• 2023-05-02 48 Hrs. Notice (as amended CD 1) 05-04-23.
• 2023-05-02 Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 176).
• 2023-04-28 The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Mizuno, Belatti, Morikawa, Amato, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
• 2023-04-28 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, Inouye, Aquino; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. committee-passage-favorable
• 2023-04-28 Conference Committee Meeting will reconvene on Friday, 04-28-23 at 04:40pm in Conference Room 329.
• 2023-04-27 Conference committee meeting to reconvene on 04-28-23 1:30PM; Conference Room 329.
• 2023-04-26 Conference committee meeting to reconvene on 04-27-23 1:30PM; Conference Room 329.
• 2023-04-25 Conference committee meeting to reconvene on 04-26-23 1:30PM; Conference Room 329.
• 2023-04-24 Conference committee meeting scheduled for 04-25-23 1:30PM; Conference Room 329.
• 2023-04-24 Received notice of appointment of House conferees (Hse. Com. No. 840). receipt
• 2023-04-21 House Conferees Appointed: Mizuno, Belatti, Morikawa Co-Chairs; Amato, Garcia.
• 2023-04-20 Received notice of Senate conferees (Sen. Com. No. 915). receipt
• 2023-04-20 Senate Conferees Appointed: San Buenaventura Chair; Inouye Co-Chair; Aquino.
• 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. 734). introduction, receipt
• 2023-04-11 Passed Third Reading as amended in HD 2 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. 2097) as amended in HD 2, recommending passage on Third Reading.
• 2023-04-04 The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 14 Ayes: Representative(s) Yamashita, Kitagawa, Aiu, Chun, Cochran, Garrett, Kahaloa, Kila, Kobayashi, Lamosao, Morikawa, Poepoe, Takenouchi, Alcos; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Nishimoto, Ward. committee-passage-favorable
• 2023-03-31 Bill scheduled to be heard by FIN on Tuesday, 04-04-23 3:00PM in House conference room 308 VIA VIDEOCONFERENCE.
• 2023-03-24 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) Ilagan excused (1). reading-2, referral-committee
• 2023-03-24 Reported from HUS/HLT (Stand. Com. Rep. No. 1484) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
• 2023-03-21 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, Kobayashi, Mizuno, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Nishimoto. committee-passage-favorable
• 2023-03-21 The committee on HUS recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Mizuno, Amato, Belatti, Ilagan, Kobayashi, Takenouchi, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Nishimoto. committee-passage-favorable
• 2023-03-14 Bill scheduled to be heard by HUS/HLT on Tuesday, 03-21-23 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
• 2023-03-09 Referred to HUS/HLT, FIN, referral sheet 17 referral-committee
• 2023-03-09 Pass First Reading reading-1
• 2023-03-07 Received from Senate (Sen. Com. No. 158) in amended form (SD 2). introduction, receipt
• 2023-03-07 Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 24; Aye(s) with reservations: none . Noes, 0 (none). Excused, 1 (Senator(s) Fukunaga). Transmitted to House. passage
• 2023-03-03 48 Hrs. Notice 03-07-23.
• 2023-03-03 Reported from WAM (Stand. Com. Rep. No. 933) with recommendation of passage on Third Reading, as amended (SD 2).
• 2023-02-22 The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Keith-Agaran, Aquino, DeCoite, Inouye, Kanuha, Kidani, Kim, Lee, Moriwaki, Shimabukuro, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. committee-passage-favorable
• 2023-02-16 The committee(s) on WAM will hold a public decision making on 02-22-23 10:00AM; Conference Room 211 & Videoconference.
• 2023-02-07 Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. reading-2, referral-committee
• 2023-02-07 Reported from HHS (Stand. Com. Rep. No. 61) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
• 2023-02-03 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, Aquino, Moriwaki, Shimabukuro, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. committee-passage-favorable
• 2023-01-31 The committee(s) on HHS has scheduled a public hearing on 02-03-23 1:00PM; Conference Room 225 & Videoconference.
• 2023-01-25 Referred to HHS, WAM. referral-committee
• 2023-01-20 Passed First Reading. reading-1
• 2023-01-20 Introduced. introduction

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/0feda622-c4a8-465d-9c65-ab52aff48136. Confidence: reported (aggregated from official Hawaii legislature records).