SB 1421 Hawaii Senate · 2025 Regular Session

RELATING TO MEDICAL RECORDS.

Summary

Repeals the requirement for the Department of Health to approve a health care provider's arrangement for the retention and preservation of patients' medical records before the provider ceases operations. Clarifies that retention and preservation of medical records must be consistent with federal and state regulations and requires providers to notify patients on how to access or request copies of their medical records. Effective 7/1/3000. (HD2)

Issues: ✓ Healthcare

Bill status passed both 4 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

Senate Passage

Mar 2025

House Passage

Apr 2025

Governor

Introduced Jan 21, 2025 Last action Apr 22, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

SB1421_HD2 → SB1421_SD1 · 3 edits

MINOR

This bill removes the requirement for the Department of Health to approve medical record retention plans when health care providers cease operations, shifting full responsibility to the providers themselves. The effective date was also changed from July 1, 3000, to upon approval. This streamlines the regulatory process by eliminating a state agency approval step while maintaining federal compliance requirements.

Scope change

The bill's scope remains focused on medical record retention for health care providers, but the applicability of the approval process has been removed.

REQUIREMENT

Eliminated the requirement for the Department of Health to approve arrangements for medical record retention when a health care provider ceases operations.

Clarified that medical record retention must remain consistent with federal and state regulations, including returning records to patients at their last known address.

TIMELINE

Changed the effective date from July 1, 3000, to upon approval of the Act.

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 22, 2025

Upper · Passed

Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.

upper

Apr 8, 2025

Amended

Senate disagrees with House amendments.

upper

Apr 8, 2025

Introduced

Received from House (Hse. Com. No. 610).

upper

Apr 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) Cochran excused (1). Transmitted to Senate.

lower

Mar 25, 2025

Lower · Passed

The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Garcia, Shimizu; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Kahaloa.

lower

Mar 18, 2025

Committee

Reported from HLT (Stand. Com. Rep. No. 1305) as amended in HD 1, recommending passage on Second Reading and referral to JHA.

lower

Mar 14, 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; 0 Noes: none; and 0 Excused: none.

lower

Mar 6, 2025

Committee

Referred to HLT, JHA, referral sheet 19

lower

Mar 4, 2025

Introduced

Received from Senate (Sen. Com. No. 327) in amended form (SD 1).

lower

Mar 4, 2025

Upper · Passed

Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

upper

Feb 26, 2025

Upper · Passed

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.

upper

Feb 21, 2025

Upper · Passed

The committee(s) on JDC will hold a public decision making on 02-26-25 9:40AM; Conference Room 016 & Videoconference.

upper

Feb 12, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 326) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

upper

Feb 3, 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

Jan 31, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-03-25 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 27, 2025

Committee

Referred to HHS, JDC.

upper

Jan 23, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 21, 2025

Introduced

Pending Introduction.

upper

1 primary · 0 co-sponsors