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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 AIR MEDICAL SERVICES."
description: "Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes the positions of an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2026"
identifier: "SB 3203"
citation: "Hawaii SB 3203 (2026)"
classification: ["bill"]
subjects: ["DOH", "Emergency Medical Services Special Fund", "Positions", "State Emergency Medical Services System", "Statewide Air Medical Services Program"]
status: "enacted"
primary_sponsors: ["SAN BUENAVENTURA"]
version_count: 3
action_count: 49
vote_count: 8
first_action: "2026-01-28"
last_action: "2026-06-04"
source: "openstates"
source_identifier: "ocd-bill/9d546062-979b-4a84-9e1e-bc5c39ae2720"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=3203&year=2026"
source_hash: "a53e1d6f8bd798c772255611ed30c10bb94d3bb5b0eb0e79823ed90f564d4d4c"
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 3203 (2026) — RELATING TO AIR MEDICAL SERVICES.
Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes the positions of an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. (CD1)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **SB3203** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_.HTM)
2. **SB3203_CD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_CD1_.HTM)
3. **SB3203_HD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3203_HD1_.HTM)
## Votes
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **2–0** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **3–0** (pass) · lower
- The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. — **5–0** (pass) · upper
- Report Adopted; Passed Third Reading. — **24–0** (pass) · upper
- The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. — **12–0** (pass) · upper
- Passed Final Reading, as amended (CD 1). — **24–0** (pass) · upper
- The committee on FIN recommend that the measure be PASSED, UNAMENDED. — **16–0** (pass) · lower
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **9–0** (pass) · lower
## Sponsors
- SAN BUENAVENTURA — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-06-04** Act 084, on 06/04/2026 (Gov. Msg. No. 1184). `became-law`
- **2026-06-04** Act 084, 06/04/2026 (Gov. Msg. No. 1184). `became-law`
- **2026-05-08** Enrolled to Governor. `executive-receipt`
- **2026-05-08** Received notice of passage on Final Reading in House (Hse. Com. No. 889). `receipt`
- **2026-05-08** Received notice of Final Reading (Sen. Com. No. 820). `receipt`
- **2026-05-08** Passed Final Reading, as amended (CD 1). Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) San Buenaventura). `passage`
- **2026-05-08** 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** Forty-eight (48) hours notice Friday, 05-08-26.
- **2026-05-06** Reported from Conference Committee (Conf Com. Rep. No. 239-26) as amended in (CD 1).
- **2026-05-06** 48 Hrs. Notice (as amended CD 1) 05-08-26.
- **2026-05-06** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 239-26).
- **2026-05-01** 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, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2026-05-01** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
- **2026-04-30** Conference Committee Meeting will reconvene on Friday 05-01-26 3:45PM in conference room 329.
- **2026-04-29** Conference committee meeting to reconvene on 04-30-26 4:10PM; Conference Room 329.
- **2026-04-28** Conference committee meeting scheduled for 04-29-26 3:15PM; Conference Room 329.
- **2026-04-27** Received notice of appointment of House conferees (Hse. Com. No. 839). `receipt`
- **2026-04-24** House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Alcos.
- **2026-04-24** Received notice of Senate conferees (Sen. Com. No. 742). `receipt`
- **2026-04-23** Senate Conferees Appointed: McKelvey Chair; Kanuha Co-Chair; Fevella.
- **2026-04-16** Received notice of disagreement (Sen. Com. No. 710). `receipt`
- **2026-04-16** Senate disagrees with House amendments. `amendment-failure`
- **2026-04-16** Received from House (Hse. Com. No. 759). `introduction, receipt`
- **2026-04-14** Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. `passage`
- **2026-04-10** Reported from FIN (Stand. Com. Rep. No. 2093-26), recommending passage on Third Reading.
- **2026-04-07** The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. `committee-passage-favorable`
- **2026-04-02** Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
- **2026-03-30** Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4). `reading-2, referral-committee`
- **2026-03-30** Reported from HLT (Stand. Com. Rep. No. 1503-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
- **2026-03-25** 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`
- **2026-03-20** Bill scheduled to be heard by HLT on Wednesday, 03-25-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.
- **2026-03-10** Referred to HLT, FIN, referral sheet 16 `referral-committee`
- **2026-03-10** Pass First Reading `reading-1`
- **2026-03-06** Received from Senate (Sen. Com. No. 121). `introduction, receipt`
- **2026-03-06** Report Adopted; Passed Third Reading. Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House. `passage`
- **2026-03-05** One Day Notice 03-06-26.
- **2026-03-05** Reported from WAM (Stand. Com. Rep. No. 2730) with recommendation of passage on Third Reading.
- **2026-03-03** 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, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2026-02-25** The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference. `deferral`
- **2026-02-23** The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.
- **2026-02-18** Report adopted; Passed Second Reading and referred to WAM. `reading-2, referral-committee`
- **2026-02-18** Reported from HHS (Stand. Com. Rep. No. 2344) with recommendation of passage on Second Reading and referral to WAM.
- **2026-02-13** The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. 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`
- **2026-02-09** The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference.
- **2026-02-08** The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference.
- **2026-02-05** The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference.
- **2026-02-02** Referred to HHS, WAM. `referral-committee`
- **2026-01-28** Passed First Reading. `reading-1`
- **2026-01-28** Introduced. `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9d546062-979b-4a84-9e1e-bc5c39ae2720`. Confidence: reported (aggregated from official Hawaii legislature records).
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