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republic-os/legislation/us/states/hi/2026/hb-2314.md
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Fabio a43f31b272 Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:26:56 -04:00

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---
type: "Bill"
title: "RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE."
description: "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)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2026"
identifier: "HB 2314"
citation: "Hawaii HB 2314 (2026)"
classification: ["bill"]
subjects: ["Advisory Council", "Community Paramedicine Program", "Department of Health", "Integrated Mobile Health Care", "State Emergency Medical Services", "State Emergency Medical Systems of Care"]
status: "enacted"
primary_sponsors: ["NAKAMURA"]
version_count: 5
action_count: 45
vote_count: 7
first_action: "2026-01-26"
last_action: "2026-06-04"
source: "openstates"
source_identifier: "ocd-bill/83ea1923-651a-42d2-9746-6f32ee327397"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2314&year=2026"
source_hash: "15f1f1f3fa9c3c2c392a8105f29d6c99578ae2ce7a1391c76d456d77d9be90ca"
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 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](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_.HTM)
2. **HB2314_CD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_CD1_.HTM)
3. **HB2314_HD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD1_.HTM)
4. **HB2314_HD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_HD2_.HTM)
5. **HB2314_SD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2314_SD1_.HTM)
## Votes
- The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · lower
- The Conference Committee recommends that the measure be Passed, with Amendments. — **4–0** (pass) · lower
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **2–0** (pass) · upper
- Report adopted; Passed Third Reading. — **25–0** (pass) · upper
- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper
- The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — **4–0** (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](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/83ea1923-651a-42d2-9746-6f32ee327397`. Confidence: reported (aggregated from official Hawaii legislature records).
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