AFFIRMING AND SUPPORTING THE REQUIREMENT THAT HOSPITALS PROVIDE LIFE-SAVING EMERGENCY CARE TO PREGNANT PEOPLE, INCLUDING REPRODUCTIVE AND ABORTION SERVICES, WHEN SUCH CARE IS MEDICALLY NECESSARY TO STABILIZE A PATIENT UNDER THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT.
HCR 6 is a Hawaii legislative resolution affirming that hospitals must provide life-saving emergency care - including abortion services when medically necessary - to stabilize pregnant patients under the federal Emergency Medical Treatment and Active Labor Act (EMTALA). It addresses confusion caused by recent shifts in federal guidance about EMTALA's requirements, particularly following the 2025 rescission of federal affirmations supporting emergency abortion care. The resolution urges all Hawaii hospitals, including religiously affiliated ones, to uphold EMTALA's standards without delay or denial of care. It does not create new law but reinforces Hawaii's commitment to ensuring pregnant patients receive timely emergency treatment as required by federal statute.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Jan 23, 2026
Last action Apr 10, 2026
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
10
Key actions
3
Committee
4
Apr 10, 2026
Committee
Referred to HHS.
upper
Apr 2, 2026
Introduced
Received from House (Hse. Com. No. 453).
upper
Apr 1, 2026
Lower · Passed
Adopted with none voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick, Shimizu voting no (7) and none excused (0).
lower
Apr 1, 2026
Lower · Passed
Reported from HLT (Stand. Com. Rep. No. 1661-26), recommending adoption.
lower
Mar 25, 2026
Lower · Passed
The committee on HLT recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none.
lower
Mar 10, 2026
Committee
Referred to HLT, referral sheet 15
lower
Jan 26, 2026
Introduced
Offered
lower
Jan 23, 2026
Introduced
To be offered.
lower
27 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Adrian Tam
DDemocratic
P
Amy Perruso
DDemocratic
P
Daisy Hartsfield
DDemocratic
P
David Tarnas
DDemocratic
P
Dee Morikawa
DDemocratic
P
Della Belatti
DDemocratic
P
Gregg Takayama
DDemocratic
P
Greggor Ilagan
DDemocratic
P
Ikaika Olds
DDemocratic
P
Jackson Sayama
DDemocratic
P
JK
Jeanné Kapela
DDemocratic
P
Jenna Takenouchi
DDemocratic
P
Kim Coco Iwamoto
DDemocratic
P
Kyle Yamashita
DDemocratic
P
Linda Ichiyama
DDemocratic
P
Lisa Marten
DDemocratic
P
Mahina Poepoe
DDemocratic
P
Mark Hashem
DDemocratic
P
Matthias Kusch
DDemocratic
P
Mike Lee
DDemocratic
P
Nicole Lowen
DDemocratic
P
Scot Matayoshi
DDemocratic
P
Shirley Templo
DDemocratic
P
Sue Lee Loy
DDemocratic
P
Terez Amato
DDemocratic
P
Tina Grandinetti
DDemocratic
P
Trish La Chica
DDemocratic
Co
Kanani Souza
RRepublican
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