republic-os/legislation/us/states/hi/2024/sb-3122.md

---
type: "Bill"
title: "RELATING TO PUBLIC HEALTH STANDING ORDERS."
description: "Authorizes the Director of Health to issue public health standing orders for patients to self-refer to certain health care screening services. Establishes requirements for the provision of items or services pursuant to a public health standing order. Establishes the Public Health Standing Orders Working Group. Sunsets 6/30/2027. (HD2)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2024"
identifier: "SB 3122"
citation: "Hawaii SB 3122 (2024)"
classification: ["bill"]
subjects: ["Out-of-Pocket Costs", "Public Health Standing Orders", "Screenings", "United States Preventive Services Task Force", "Working Group"]
status: "enacted"
primary_sponsors: ["KOUCHI"]
version_count: 4
action_count: 36
vote_count: 5
first_action: "2024-01-24"
last_action: "2024-06-28"
source: "openstates"
source_identifier: "ocd-bill/ccbe4f1b-ebea-4e65-ad9e-ac4abd905d09"
source_url: "https://capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=SB&billnumber=3122&year=2024"
source_hash: "0d601006f74621f8cd1801b1efc82a8836d1bee43805aebe54e26f98c89d4f3e"
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 3122 (2024) — RELATING TO PUBLIC HEALTH STANDING ORDERS.

Authorizes the Director of Health to issue public health standing orders for patients to self-refer to certain health care screening services. Establishes requirements for the provision of items or services pursuant to a public health standing order. Establishes the Public Health Standing Orders Working Group. Sunsets 6/30/2027. (HD2)

## Version chain

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

1. **SB3122** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB3122_.HTM)
2. **SB3122_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB3122_HD1_.HTM)
3. **SB3122_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB3122_HD2_.HTM)
4. **SB3122_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/SB3122_SD1_.HTM)

## Votes

- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **8–0** (pass) · lower
- Reconsider: The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. — **4–0** (pass) · upper
- Reconsider: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower
- The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — **5–0** (pass) · upper
- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–0** (pass) · upper

## Sponsors

- KOUCHI — primary (person)

## Timeline

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

- **2024-06-28** Act 090, 06/27/2024 (Gov. Msg. No. 1191). `became-law`
- **2024-06-28** Act 090, on 06/27/2024 (Gov. Msg. No. 1191). `became-law`
- **2024-04-19** Enrolled to Governor. `executive-receipt`
- **2024-04-19** Received notice of reconsideration, Senate agreement, and Final Reading (Sen. Com. No. 723). `receipt`
- **2024-04-19** Passed Final Reading. Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. `passage`
- **2024-04-18** One Day Notice 04/19/24.
- **2024-04-18** Senate agrees with House amendments. Placed on the calendar for Final Reading on 04-19-24.
- **2024-04-18** Reconsideration of action taken on 04-11-24 in disagreeing to the House amendments.
- **2024-04-11** Received notice of disagreement (Sen. Com. No. 673). `receipt`
- **2024-04-11** Senate disagrees with House amendments. `amendment-failure`
- **2024-04-11** Received from House (Hse. Com. No. 723). `introduction, receipt`
- **2024-04-09** Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. `passage`
- **2024-04-05** Forty-eight (48) hours notice Tuesday, 04-09-24.
- **2024-04-05** Reported from JHA (Stand. Com. Rep. No. 1847-24) as amended in HD 2, recommending passage on Third Reading.
- **2024-04-03** The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Tarnas, Takayama, Evslin, Ganaden, Holt, Ichiyama, Ilagan, Miyake; Ayes with reservations: Representative(s) Kong; Noes: none; and 1 Excused: Representative(s) Souza. `committee-passage-favorable`
- **2024-04-01** Bill scheduled to be heard by JHA on Wednesday, 04-03-24 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
- **2024-03-20** Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with none voting aye with reservations; none voting no (0) and Representative(s) Holt, Kitagawa, Lamosao, Lowen, Nakashima excused (5). `reading-2, referral-committee`
- **2024-03-20** Reported from HLT (Stand. Com. Rep. No. 1215-24) as amended in HD 1, recommending passage on Second Reading and referral to JHA.
- **2024-03-15** The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Belatti, Takenouchi, Amato, Ilagan, Kobayashi, Marten, Nishimoto, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. `committee-passage-favorable`
- **2024-03-12** Bill scheduled to be heard by HLT on Friday, 03-15-24 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2024-03-07** Referred to HLT, JHA, referral sheet 16 `referral-committee`
- **2024-03-07** Pass First Reading `reading-1`
- **2024-03-05** Received from Senate (Sen. Com. No. 271) in amended form (SD 1). `introduction, receipt`
- **2024-03-05** Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2024-03-01** One Day Notice 03-05-24.
- **2024-03-01** Reported from CPN/JDC (Stand. Com. Rep. No. 2888) with recommendation of passage on Third Reading.
- **2024-02-23** The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. `committee-passage-favorable`
- **2024-02-23** The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Elefante, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2024-02-16** The committee(s) on CPN/JDC will hold a public decision making on 02-23-24 10:15AM; Conference Room 229 & Videoconference.
- **2024-02-14** Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/JDC. `reading-2, referral-committee`
- **2024-02-14** Reported from HHS (Stand. Com. Rep. No. 2364) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/JDC.
- **2024-02-02** The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Keohokalole, Shimabukuro; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa. `committee-passage-favorable`
- **2024-01-30** The committee(s) on HHS has scheduled a public hearing on 02-02-24 1:00PM; CR 225 & Videoconference.
- **2024-01-26** Referred to HHS, CPN/JDC. `referral-committee`
- **2024-01-24** Passed First Reading. `reading-1`
- **2024-01-24** Introduced. `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ccbe4f1b-ebea-4e65-ad9e-ac4abd905d09`. Confidence: reported (aggregated from official Hawaii legislature records).