HB 1591 Hawaii House · 2026 Regular Session

RELATING TO HEALTH CARE.

Summary

Expands the definitions of "preceptor" and "volunteer‑based supervised clinical training rotation" applicable to the Healthcare Preceptor Tax Credit to improve accessibility for providers to receive income tax credits for acting as preceptors, including removing "primary care" from the criteria to qualify as a preceptor. Adds physician assistants, dietitians, and social workers to the list of preceptors and eligible students. Expands eligibility for the tax credit to include accredited residency programs that require preceptor support. Adds the Director of Health and representatives of residency programs with eligible students to the Preceptor Credit Assurance Committee. Applies to taxable years beginning after 12/31/2026. Effective 7/1/2050. (SD2)

Bill status passed both 4 of 5 stages cleared

Introduction

Jan 2026

Committee Review

May 2026

House Passage

Mar 2026

Senate Passage

Apr 2026

Governor

Introduced Jan 16, 2026 Last action May 1, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

HB1591_SD1 → HB1591_SD2 · 4 edits

MODERATE

The bill was updated from Session 1 to Session 2, changing the bill number and associated metadata. The most significant policy change is the delay of the effective date from January 1, 2027, to July 1, 2050, with specific provisions applying to taxable years beginning after December 31, 2026. Minor text corrections were made to the names of accrediting organizations for pharmacy and physician assistant programs.

Scope change

The bill's effective date was significantly delayed from 2027 to 2050, while maintaining applicability for tax years starting after 2026.

TIMELINE

The effective date of the Act was changed from January 1, 2027, to July 1, 2050.

The applicability for tax credits was updated to apply to taxable years beginning after December 31, 2026.

TECHNICAL

The name of the accrediting body for pharmacy residency programs was corrected from 'Health System Pharmacists' to 'Health-System Pharmacists'.

The name of the accrediting body for physician assistant residency programs was corrected to remove the word 'Consortium' before 'for the Physician Assistant, Inc.'.

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

May 1, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.

lower

Apr 30, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.

lower

Apr 29, 2026

Lower · Passed

Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.

lower

Apr 16, 2026

Amended

House disagrees with Senate amendment (s).

lower

Apr 14, 2026

Introduced

Returned from Senate (Sen. Com. No. 590) in amended form (SD 2).

lower

Apr 14, 2026

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 7, 2026

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, Lamosao, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

upper

Apr 7, 2026

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Lee, C., Richards.

upper

Apr 2, 2026

Upper · Passed

The committee(s) on CPN/WAM will hold a public decision making on 04-07-26 10:30AM; Conference Room 211 & Videoconference.

upper

Mar 30, 2026

Upper · Passed

Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.

upper

Mar 30, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 3336) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

upper

Mar 18, 2026

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, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Mar 13, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.

upper

Mar 10, 2026

Committee

Referred to HHS, CPN/WAM.

upper

Mar 6, 2026

Introduced

Received from House (Hse. Com. No. 24).

upper

Mar 5, 2026

Lower · Passed

Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Perruso excused (1). Transmitted to Senate.

lower

Feb 27, 2026

Lower · Passed

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Lee, M..

lower

Feb 18, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 364-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

lower

Feb 11, 2026

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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Jan 26, 2026

Committee

Referred to HLT, FIN, referral sheet 1

lower

Jan 21, 2026

Introduced

Introduced and Pass First Reading.

lower

Jan 16, 2026

Introduced

Prefiled.

lower

17 primary · 0 co-sponsors