republic-os/legislation/us/states/hi/2025/hb-1194.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 MIDWIVES.	Makes laws regulating midwives and the practice of midwifery permanent. Clarifies the scope of practice of midwifery. Establishes licensure requirements for certified midwives and certified professional midwives. Establishes continuing education requirements. Grants global signature authority to midwives. Grants prescriptive authority to licensed midwives practicing as certified midwives and amends the list of approved legend drugs that may be administered by midwives. Establishes peer review and data submission requirements. Affirms that the practice of midwifery does not include Native Hawaiian traditional and customary practices. Clarifies exemptions from licensure and grounds for refusal to grant, renew, reinstate, or restore licenses or for revocation, suspension, denial, or condition of a license. Clarifies medical record availability and retention requirements for the purposes of medical torts. (SD3)	us/states/hi	Hawaii Legislature	2025	HB 1194	Hawaii HB 1194 (2025)	bill	Certified Midwives Certified Professional Midwives Data Submission License Renewal Licensure Medical Records Midwives Native Hawaiian and Customary Practices Peer Review Practice of Midwifery Prescriptive Authority Requirements Scope of Practice	enacted	ICHIYAMA MARTEN MATAYOSHI TAKAYAMA	9	50	7	2025-01-22	2025-05-05	openstates	ocd-bill/4e8200ca-a0c4-40b1-afcc-79a0afbb04d2	https://capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=HB&billnumber=1194&year=2025	3b9cdb72f71633b312e5e9fa54c6a9fd373f5fa3a718e8078023f1fb224fcab6	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-hi

Hawaii HB 1194 (2025) — RELATING TO MIDWIVES.

Makes laws regulating midwives and the practice of midwifery permanent. Clarifies the scope of practice of midwifery. Establishes licensure requirements for certified midwives and certified professional midwives. Establishes continuing education requirements. Grants global signature authority to midwives. Grants prescriptive authority to licensed midwives practicing as certified midwives and amends the list of approved legend drugs that may be administered by midwives. Establishes peer review and data submission requirements. Affirms that the practice of midwifery does not include Native Hawaiian traditional and customary practices. Clarifies exemptions from licensure and grounds for refusal to grant, renew, reinstate, or restore licenses or for revocation, suspension, denial, or condition of a license. Clarifies medical record availability and retention requirements for the purposes of medical torts. (SD3)

Version chain

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

1. HB1194 (committee substitute) — source
2. HB1194_HD1 (committee substitute) — source
3. HB1194_HD2 (committee substitute) — source
4. HB1194_HD2_HFA2 (committee substitute) — source
5. HB1194_HD2_HFA3 (committee substitute) — source
6. HB1194_SD1 (committee substitute) — source
7. HB1194_SD2 (committee substitute) — source
8. HB1194_SD2_SFA8 (committee substitute) — source
9. HB1194_SD3 (committee substitute) — source

Votes

• Reconsider: The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. — 12–3 (pass) · lower
• The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 4–1 (pass) · upper
• The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — 8–1 (pass) · lower
• The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — 7–2 (pass) · lower
• The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 5–0 (pass) · upper
• Reconsider: Passed Third Reading, as amended (SD 3). — 20–4 (pass) · upper
• The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 3–2 (pass) · upper

Sponsors

• ICHIYAMA — primary (person)
• MARTEN — primary (person)
• MATAYOSHI — primary (person)
• TAKAYAMA — primary (person)

Timeline

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

• 2025-05-05 Became law without the Governor's signature, Act 028, 05/02/2025, (Gov. Msg. No. 1128). became-law
• 2025-05-05 Became law without the Governor's signature, Act 028, 05/05/2025, (Gov. Msg. No. 1128). became-law
• 2025-04-14 Transmitted to Governor.
• 2025-04-15 Received notice of House agreement and passage on Final Reading (Hse. Com. No. 730). receipt
• 2025-04-14 Passed Final Reading as amended in SD 3 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Pierick, Poepoe, Reyes Oda, Shimizu, Souza voting no (16) and none excused (0). passage
• 2025-04-14 House agrees to Senate amendment(s).
• 2025-04-14 Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 714). receipt
• 2025-04-11 Reconsideration of action taken on 04-10-25.
• 2025-04-11 Received notice of disagreement (Hse. Com. No. 705). receipt
• 2025-04-10 House disagrees with Senate amendment (s). amendment-failure
• 2025-04-10 Returned from Senate (Sen. Com. No. 777) in amended form (SD 3).
• 2025-04-10 Passed Third Reading, as amended (SD 3). Ayes, 20; Aye(s) with reservations: Senator(s) Ihara, Richards. Noes, 4 (Senator(s) Awa, DeCorte, Gabbard, McKelvey). Excused, 1 (Senator(s) Fevella). Transmitted to House. passage
• 2025-04-08 48 Hrs. Notice 04-10-25
• 2025-04-08 Report filed.
• 2025-04-08 Separated Committee Report.
• 2025-04-08 Floor amendment adopted as amended (SD 3). Ayes, 23. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none). amendment-passage
• 2025-04-08 Floor Amendment No. 8 offered.
• 2025-04-04 48 Hrs. Notice 04-08-25.
• 2025-04-04 Reported from CPN/JDC (Stand. Com. Rep. No. 1738) with recommendation of passage on Third Reading, as amended (SD 2).
• 2025-04-01 The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 2 No(es): Senator(s) Gabbard, Awa; and 0 Excused: none. committee-passage-favorable
• 2025-04-01 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, Richards; Aye(s) with reservations: Senator(s) McKelvey ; 1 No(es): Senator(s) Awa; and 0 Excused: none. committee-passage-favorable
• 2025-03-24 The committee(s) on CPN/JDC will hold a public decision making on 04-01-25 9:30AM; Conference Room 016 & Videoconference.
• 2025-03-21 Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/JDC. reading-2, referral-committee
• 2025-03-21 Reported from HHS (Stand. Com. Rep. No. 1286) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/JDC.
• 2025-03-17 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, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. committee-passage-favorable
• 2025-03-14 The committee(s) on HHS deferred the measure until 03-17-25 1:00PM; Conference Room 225 & Videoconference. deferral
• 2025-03-11 The committee(s) on HHS has scheduled a public hearing on 03-14-25 1:00PM; Auditorium & Videoconference.
• 2025-03-10 Re-Referred to HHS, CPN/JDC. referral-committee
• 2025-03-06 Referred to HHS/CPN, WAM/JDC. referral-committee
• 2025-03-06 Passed First Reading. reading-1
• 2025-03-06 Received from House (Hse. Com. No. 346). introduction, receipt
• 2025-03-04 Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Poepoe, Reyes Oda, Shimizu, Souza voting no (15) and Representative(s) Pierick, Ward excused (2). Transmitted to Senate. passage
• 2025-03-04 Floor amendment failed with Noes, 1 (Representative(s) Takayama). Excused, 2 (Representative(s) Pierick, Ward). amendment-failure
• 2025-03-04 Floor Amendment No. 3 offered by Rep. Belatti.
• 2025-03-04 Floor amendment failed following Roll Call vote: Ayes, 15. Noes, 34 (Representative(s) Chun, Evslin, Garrett, Hashem, Holt, Ichiyama, Ilagan, Kahaloa, Kapela, Keohokapu-Lee Loy, Kila, Kitagawa, Kong, Kusch, La Chica, Lamosao, Lee, M., Lowen, Marten, Matayoshi, Miyake, Morikawa, Nakamura, Olds, Quinlan, Sayama, Takayama, Takenouchi, Tam, Tarnas, Templo, Todd, Woodson, Yamashita). Excused, 2 (Representative(s) Pierick, Ward). amendment-failure
• 2025-03-04 Floor Amendment No. 2 offered by Rep. Belatti.
• 2025-02-28 Forty-eight (48) hours notice Tuesday, 03-04-25.
• 2025-02-28 Reported from FIN (Stand. Com. Rep. No. 1168) as amended in HD 2, recommending passage on Third Reading.
• 2025-02-26 The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo; Ayes with reservations: Representative(s) Grandinetti; 3 Noes: Representative(s) Hussey, Alcos, Reyes Oda; and 1 Excused: Representative(s) Ward. committee-passage-favorable
• 2025-02-24 Bill scheduled for decision making on Wednesday, 02-26-25 10:50AM in conference room 308 VIA VIDEOCONFERENCE.
• 2025-02-21 The committee(s) on FIN recommend(s) that the measure be deferred. deferral
• 2025-02-19 Bill scheduled to be heard by FIN on Friday, 02-21-25 3:00PM in House conference room 308 VIA VIDEOCONFERENCE.
• 2025-02-14 Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with Representative(s) Amato, Belatti, Kong, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Hussey, Perruso, Pierick voting no (5) and Representative(s) Cochran, Matayoshi, Poepoe, Ward excused (4). reading-2, referral-committee
• 2025-02-14 Reported from HLT/CPC (Stand. Com. Rep. No. 794) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
• 2025-02-10 The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Kong; 1 Noes: Representative(s) Iwamoto; and 1 Excused: Representative(s) Pierick. committee-passage-favorable
• 2025-02-10 The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Marten, Takenouchi; Ayes with reservations: Representative(s) Amato, Olds; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none. committee-passage-favorable
• 2025-02-07 Bill scheduled to be heard by HLT/CPC on Monday, 02-10-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
• 2025-01-27 Referred to HLT/CPC, FIN, referral sheet 4 referral-committee
• 2025-01-23 Introduced and Pass First Reading. introduction, reading-1
• 2025-01-22 Pending introduction.

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/4e8200ca-a0c4-40b1-afcc-79a0afbb04d2. Confidence: reported (aggregated from official Hawaii legislature records).