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HB 799 Hawaii House · 2025 Regular Session

RELATING TO HEALTH CARE.

Summary
Clarifies that a physician may practice at an organized ambulatory health care facility even if the physician does not have hospital privileges at a licensed hospital in the same geographic location as the ambulatory facility. Applies to counties with populations of less than five hundred thousand. Requires the Department of Health to report to the Legislature. Sunsets 6/30/2028. (CD1)
Issues: ✓ HealthcareSupports HealthcareRemoves barrier for physicians to practice at ambulatory facilities without local hospital privileges, increasing healthcare access in smaller counties per bill summary.85% confidence
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 17, 2025 Signed May 27, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

HB799_SD1 → HB799_SD2 · 4 edits
MODERATE
The bill was renumbered from SD1 to SD2 and updated with new metadata including author names and timestamps. The core legislative text remains substantively the same, though the sunset date was changed from 2030 to 2028. The bill allows physicians at organized ambulatory health care facilities in smaller counties to practice without hospital privileges and without requiring transfer agreements to hospitals.
Scope change
The bill's substantive scope and applicability remain unchanged; it still applies to organized ambulatory health care facilities in counties with populations under 500,000.
TIMELINE

Sunset date changed from June 30, 2030 to June 30, 2028, shortening the temporary nature of the law by two years.

TECHNICAL

Added author names (Jane Lee, Bill SD, Ainoa Naniole) and document metadata including timestamps and revision numbers.

Bill number designation changed from S.D. 1 to S.D. 2.

Added additional metadata lines including document ID numbers and formatting codes.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
48
Key actions
15
Committee
15
Amendments
3
Apr 30, 2025
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2).
lower
Apr 30, 2025
Upper · Passed
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
upper
Apr 24, 2025
Introduced
48 Hrs. Notice (as amended CD 1) 04-30-25
upper
Apr 24, 2025
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 49).
upper
Apr 24, 2025
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 49) as amended in (CD 1).
lower
Apr 23, 2025
Upper · Passed
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, Keohokalole, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Apr 23, 2025
Lower · Passed
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Chun, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
lower
Apr 22, 2025
Lower · Passed
Bill scheduled for Conference Committee Meeting on Wednesday, 04-23-25 3:35PM in conference room 329.
lower
Apr 10, 2025
Amended
House disagrees with Senate amendment (s).
lower
Apr 8, 2025
Introduced
Returned from Senate (Sen. Com. No. 679) in amended form (SD 2).
lower
Apr 8, 2025
Upper · Passed
Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
upper
Apr 1, 2025
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
upper
Mar 21, 2025
Upper · Passed
The committee(s) on CPN will hold a public decision making on 03-27-25 9:30AM; Conference Room 229 & Videoconference.
upper
Mar 21, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 1241) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
upper
Mar 17, 2025
Upper · Passed
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, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Mar 11, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 03-17-25 1:00PM; Conference Room 225 & Videoconference.
upper
Mar 6, 2025
Committee
Referred to HHS, CPN.
upper
Mar 6, 2025
Introduced
Received from House (Hse. Com. No. 285).
upper
Mar 4, 2025
Lower · Passed
Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Pierick, Ward excused (2). Transmitted to Senate.
lower
Feb 20, 2025
Lower · Passed
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Matayoshi, Chun, Ichiyama, Iwamoto, Kong, Marten, Tam; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Ilagan, Lowen, Pierick.
lower
Feb 13, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 576) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Feb 12, 2025
Lower · Passed
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, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
lower
Jan 21, 2025
Committee
Referred to HLT, CPC, referral sheet 2
lower
Jan 21, 2025
Introduced
Introduced and Pass First Reading.
lower
Jan 17, 2025
Introduced
Pending introduction.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kyle Yamashita
Kyle Yamashita
DDemocratic
HI
12