HB 2558 Hawaii House · 2026 Regular Session

RELATING TO TELEHEALTH.

HB 2558 expands telehealth access for state residents by allowing out-of-state medical providers to deliver certain clinical treatments via telehealth. It directly affects residents seeking remote care and out-of-state healthcare providers who can now legally offer these services within the state. The key provision removes current restrictions, enabling licensed providers from other states to conduct specific telehealth consultations and treatments for state residents. This policy change aims to increase healthcare access options without requiring providers to obtain additional state licenses for these services.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Jan 28, 2026 Last action Mar 12, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

HB2558_HD1 HB2558_HD2 · 7 edits
MODERATE
This bill revision expands access to telehealth by allowing out-of-state physicians to provide an initial consultation to Hawaii residents, with the goal of establishing a physician-patient relationship. The changes clarify that this exemption applies only to the first consultation, after which care must be supervised by a Hawaii-licensed doctor, and it broadens the definition of eligible out-of-state locations to include districts and territories.
Scope change
The bill now explicitly authorizes out-of-state physicians to establish a physician-patient relationship via telehealth for an initial consultation, whereas the previous version focused on providing temporary licensure for medical treatments. The scope is limited to the initial consultation only, requiring subsequent supervision by a Hawaii-licensed physician.
ELIGIBILITY

The eligibility criteria for out-of-state physicians were updated to require a referral from a Hawaii-licensed physician and added a requirement that the service be unavailable in Hawaii due to physician shortages.

REQUIREMENT

New requirements mandate that out-of-state physicians report disciplinary actions taken in other jurisdictions at least three days before the initial consultation.

A new condition requires that if the out-of-state physician does not hold an expedited Interstate Medical Licensure Compact license, their orders for prescriptions and procedures must be approved by a Hawaii-licensed physician.

The list of non-telehealth services was updated to replace 'e-mail texts' with 'electronic mail texts' and added a period to the sentence structure.

DEFINITION

The definition of 'telehealth' was slightly modified to include 'district or territory' alongside 'state' when defining eligible out-of-state locations.

ENFORCEMENT

The revision clarifies that out-of-state physicians performing these services are subject to the jurisdiction of the Hawaii Medical Board and potential disciplinary actions.

SCOPE

The purpose of the act was rephrased to focus on establishing a physician-patient relationship via an initial consultation rather than providing temporary licensure for treatments.

Floor votes

How they voted

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

Actions timeline

Total actions
14
Key actions
3
Committee
5
Mar 12, 2026
Committee
Referred to HHS/CPN, JDC.
upper
Mar 12, 2026
Introduced
Received from House (Hse. Com. No. 437).
upper
Mar 10, 2026
Lower · Passed
Passed Third Reading as amended in HD 2 with Representative(s) Iwamoto voting aye with reservations; none voting no (0) and none excused (0). 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, Kong, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Iwamoto; 0 Noes: none; and 1 Excused: Representative(s) Pierick.
lower
Feb 18, 2026
Committee
Reported from HLT (Stand. Com. Rep. No. 349-26) 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
Feb 2, 2026
Committee
Referred to HLT, CPC, referral sheet 6
lower
Jan 28, 2026
Introduced
Introduced and Pass First Reading.
lower
11 primary · 0 co-sponsors

Sponsors