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republic-os/legislation/us/states/hi/2026/hb-2319.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 THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY."
description: "Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of \"health care\" for the purposes of health planning and resource development and health care cost control. Increase the certificate of need exemption threshold for bed changes to up to thirty per cent of existing licensed beds. Exempts health care facilities or services operated by the Department of Health from certificate of need requirements. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2026"
identifier: "HB 2319"
citation: "Hawaii HB 2319 (2026)"
classification: ["bill"]
subjects: ["Certificate of Need Exemption", "DOH", "Function and Responsibilities", "SHPDA"]
status: "enacted"
primary_sponsors: ["NAKAMURA"]
version_count: 5
action_count: 46
vote_count: 7
first_action: "2026-01-26"
last_action: "2026-05-27"
source: "openstates"
source_identifier: "ocd-bill/d77f8e38-888a-4e95-8ce7-562b75cdcc3e"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2319&year=2026"
source_hash: "15664aeabbca2a6fa3303bb2d3a41abdb03ce1ba49f6c6aebc8017b18ca3db11"
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 2319 (2026) — RELATING TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY.
Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for the purposes of health planning and resource development and health care cost control. Increase the certificate of need exemption threshold for bed changes to up to thirty per cent of existing licensed beds. Exempts health care facilities or services operated by the Department of Health from certificate of need requirements. (CD1)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **HB2319** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_.HTM)
2. **HB2319_CD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_CD1_.HTM)
3. **HB2319_HD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD1_.HTM)
4. **HB2319_HD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_HD2_.HTM)
5. **HB2319_SD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2319_SD1_.HTM)
## Votes
- The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · lower
- Report Adopted; Passed Third Reading. — **25–0** (pass) · upper
- 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. — **3–0** (pass) · upper
- The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. — **12–0** (pass) · upper
- 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. — **4–0** (pass) · lower
## Sponsors
- NAKAMURA — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-05-27** Act 049, on 05/27/2026 (Gov. Msg. No. 1149). `became-law`
- **2026-05-27** Act 049, 05/27/2026 (Gov. Msg. No. 1149). `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`
- **2026-05-01** 48 Hrs. Notice (as amended CD 1) 05-06-26
- **2026-05-01** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 100-26).
- **2026-05-01** Forty-eight (48) hours notice Wednesday, 05-06-26.
- **2026-05-01** Reported from Conference Committee (Conf Com. Rep. No. 100-26) as amended in (CD 1).
- **2026-04-29** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2026-04-29** 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, Kanuha, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2026-04-28** Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
- **2026-04-23** Received notice of Senate conferees (Sen. Com. No. 725). `receipt`
- **2026-04-22** Senate Conferees Appointed: San Buenaventura Chair; Kanuha 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, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos.
- **2026-04-20** Re-referred to HLT, CPC, FIN, referral sheet 30 `referral-committee`
- **2026-04-16** Received notice of disagreement (Hse. Com. No. 599). `receipt`
- **2026-04-14** House disagrees with Senate amendment (s). `amendment-failure`
- **2026-04-10** Returned from Senate (Sen. Com. No. 555) in amended form (SD 1).
- **2026-04-10** Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2026-04-09** One Day Notice 04-10-26.
- **2026-04-09** Reported from WAM (Stand. Com. Rep. No. 3631) with recommendation of passage on Third Reading.
- **2026-04-06** The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C.. `committee-passage-favorable`
- **2026-04-01** The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference.
- **2026-03-25** Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. `reading-2, referral-committee`
- **2026-03-25** Reported from HHS (Stand. Com. Rep. No. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
- **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, WAM. `referral-committee`
- **2026-03-12** Passed First Reading. `reading-1`
- **2026-03-12** Received from House (Hse. Com. No. 396). `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. 1065-26) 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. 363-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2026-02-13** 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`
- **2026-02-10** Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2026-02-02** Referred to HLT, CPC, referral sheet 6 `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/d77f8e38-888a-4e95-8ce7-562b75cdcc3e`. Confidence: reported (aggregated from official Hawaii legislature records).
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