RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.
HB 2314 modernizes Hawaii's emergency medical services (EMS) statutes to align with current best practices. It directly affects EMS providers, ambulance services, and emergency care systems across the state by updating outdated regulations. The bill focuses on revising statutory requirements for training, equipment, and protocols to reflect contemporary medical standards. This update aims to improve the efficiency and quality of emergency care delivery without specifying new funding or penalties.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Jan 26, 2026
Signed Jun 4, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
HB2314_HD2
→
HB2314_SD1
·
4 edits
MODERATE
This bill updates the versioning and metadata of the legislation, replacing the House version with the Senate version. Substantively, it adds a new section establishing a community paramedicine and mobile integrated health care program to expand primary care and prevention services. It also updates the terminology for air-medical services from 'aeromedical' to 'air-medical' and adjusts the composition of the emergency services advisory council.
Scope change
The bill's scope expanded to include a new community paramedicine program and updated the terminology for air-medical services throughout the statute.
REQUIREMENT
Added a new section establishing a community paramedicine and mobile integrated health care program to provide enhanced primary care and prevention services.
Adjusted the number of members on the emergency services advisory council from 17 to 19.
DEFINITION
Changed the term 'aeromedical' to 'air-medical' in references to emergency services.
TECHNICAL
Updated bill metadata to reflect the transition from the House version to the Senate version.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
45
Key actions
16
Committee
15
Amendments
3
May 6, 2026
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
lower
May 6, 2026
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 29, 2026
Introduced
48 Hrs. Notice (as amended CD 1) 05-06-26
upper
Apr 29, 2026
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 53-26).
upper
Apr 29, 2026
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 53-26) as amended in (CD 1).
lower
Apr 24, 2026
Upper · Passed
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, Chang; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Apr 24, 2026
Lower · Passed
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
lower
Apr 23, 2026
Lower · Passed
Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM 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. 679) in amended form (SD 1).
lower
Apr 14, 2026
Upper · Passed
Report adopted; Passed Third Reading. 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 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
Apr 1, 2026
Upper · Passed
The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.
upper
Mar 25, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
upper
Mar 25, 2026
Committee
Reported from HHS (Stand. Com. Rep. No. 3178) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
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 12, 2026
Committee
Referred to HHS, JDC.
upper
Mar 12, 2026
Introduced
Received from House (Hse. Com. No. 395).
upper
Mar 10, 2026
Lower · Passed
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.
lower
Mar 3, 2026
Lower · Passed
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.
lower
Feb 18, 2026
Committee
Reported from HLT (Stand. Com. Rep. No. 361-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
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 30, 2026
Committee
Referred to HLT, CPC, referral sheet 5
lower
Jan 28, 2026
Introduced
Introduced and Pass First Reading.
lower
Jan 26, 2026
Introduced
Pending introduction.
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Nadine Nakamura
DDemocratic
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