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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 EMERGENCY MEDICAL SYSTEMS OF CARE. Modernizes Hawaii's emergency medical services laws to align with current best practices and adopt a time-sensitive emergency medical systems of care model. Expands the Community Paramedicine Program to include integrated mobile health care; permit additional partnerships with professional organizations and educational institutions; and authorize certain telehealth services by providers located in or out of the State, under certain circumstances. Renames the State Emergency Medical Services Advisory Council the Hawaii Emergency Medical Systems of Care Advisory Council and amends its membership. (CD1) us/states/hi Hawaii Legislature 2026 HB 2314 Hawaii HB 2314 (2026)
bill
Advisory Council
Community Paramedicine Program
Department of Health
Integrated Mobile Health Care
State Emergency Medical Services
State Emergency Medical Systems of Care
enacted
NAKAMURA
5 45 7 2026-01-26 2026-06-04 openstates ocd-bill/83ea1923-651a-42d2-9746-6f32ee327397 https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2314&year=2026 15f1f1f3fa9c3c2c392a8105f29d6c99578ae2ce7a1391c76d456d77d9be90ca 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-hi

Hawaii HB 2314 (2026) — RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.

Modernizes Hawaii's emergency medical services laws to align with current best practices and adopt a time-sensitive emergency medical systems of care model. Expands the Community Paramedicine Program to include integrated mobile health care; permit additional partnerships with professional organizations and educational institutions; and authorize certain telehealth services by providers located in or out of the State, under certain circumstances. Renames the State Emergency Medical Services Advisory Council the Hawaii Emergency Medical Systems of Care Advisory Council and amends its membership. (CD1)

Version chain

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

  1. HB2314 (committee substitute) — source
  2. HB2314_CD1 (committee substitute) — source
  3. HB2314_HD1 (committee substitute) — source
  4. HB2314_HD2 (committee substitute) — source
  5. HB2314_SD1 (committee substitute) — source

Votes

  • The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — 100 (pass) · lower
  • The Conference Committee recommends that the measure be Passed, with Amendments. — 40 (pass) · lower
  • The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — 90 (pass) · lower
  • The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — 20 (pass) · upper
  • Report adopted; Passed Third Reading. — 250 (pass) · upper
  • The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 50 (pass) · upper
  • The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — 40 (pass) · upper

Sponsors

  • NAKAMURA — primary (person)

Timeline

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

  • 2026-06-04 Act 085, on 06/04/2026 (Gov. Msg. No. 1185). became-law
  • 2026-06-04 Act 085, 06/04/2026 (Gov. Msg. No. 1185). 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. 53-26).
  • 2026-04-29 Forty-eight (48) hours notice Wednesday, 05-06-26.
  • 2026-04-29 Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).
  • 2026-04-24 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) McKelvey, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. committee-passage-favorable
  • 2026-04-24 The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
  • 2026-04-23 Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.
  • 2026-04-23 Received notice of Senate conferees (Sen. Com. No. 725). receipt
  • 2026-04-22 Senate Conferees Appointed: McKelvey Chair; Chang Co-Chair; Fevella.
  • 2026-04-20 Received notice of appointment of House conferees (Hse. Com. No. 786). receipt
  • 2026-04-20 House Conferees Appointed: Takayama, Grandinetti 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. 679) in amended form (SD 1).
  • 2026-04-14 Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. passage
  • 2026-04-10 One Day Notice 04-14-26.
  • 2026-04-10 Reported from JDC (Stand. Com. Rep. No. 3759) with recommendation of passage on Third Reading.
  • 2026-04-07 The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa. committee-passage-favorable
  • 2026-04-01 The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; 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. 3178) 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. 395). introduction, receipt
  • 2026-03-10 Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate. passage
  • 2026-03-06 Forty-eight (48) hours notice Tuesday, 03-10-26.
  • 2026-03-06 Reported from CPC (Stand. Com. Rep. No. 1064-26) as amended in HD 2, recommending passage on Third Reading.
  • 2026-03-03 The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick. committee-passage-favorable
  • 2026-02-27 Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
  • 2026-02-18 Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and none excused (0). reading-2, referral-committee
  • 2026-02-18 Reported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
  • 2026-02-11 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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. committee-passage-favorable
  • 2026-02-06 Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
  • 2026-01-30 Referred to HLT, CPC, referral sheet 5 referral-committee
  • 2026-01-28 Introduced and Pass First Reading. introduction, reading-1
  • 2026-01-26 Pending introduction.

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/83ea1923-651a-42d2-9746-6f32ee327397. Confidence: reported (aggregated from official Hawaii legislature records).