SB 1243 Hawaii Senate · 2026 Regular Session

RELATING TO FOREIGN MEDICAL GRADUATES.

Summary

Allows foreign medical school graduates applying for a license to practice medicine and surgery to substitute one year of required medical training or experience in a hospital with one year of fellowship training where the parent program or hospital is accredited by the Accreditation Council for Graduate Medical Education. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Feb 2025

Senate Passage

Feb 2025

House Passage

Governor

Introduced Jan 21, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB1243 → SB1243_SD1 · 4 edits

MODERATE

The bill was converted from a House bill (HB) to a Senate District 1 bill (SD1), updating the metadata and document identifiers accordingly. The most significant policy change is the effective date of the Act, which was moved from immediate approval to December 31, 2050, likely to align with a future legislative session or specific implementation timeline. Additionally, a specific provision regarding fellowship training substitutions was updated to include an effective date of December 31, 2050, and the document title was capitalized for consistency.

Scope change

The bill's scope remains focused on foreign medical graduates and graduate medical education, but the applicability of the new rules is now deferred until December 31, 2050.

TIMELINE

The effective date of the entire Act was changed from 'upon approval' to 'December 31, 2050'.

The effective date for the fellowship training substitution provision was explicitly set to 'December 31, 2050'.

TECHNICAL

The bill type was changed from House Bill (HB) to Senate District 1 Bill (SD1), updating associated metadata and revision numbers.

The title of the bill was capitalized from 'relating to...' to 'RELATING TO...'.

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

Feb 10, 2025

Upper · Passed

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

upper

Feb 10, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 150) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.

upper

Jan 31, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Jan 28, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 01-31-25 1:34PM; Conference Room 225 & Videoconference.

upper

Jan 27, 2025

Committee

Referred to HHS, CPN.

upper

Jan 23, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 21, 2025

Introduced

Pending Introduction.

upper

1 primary · 0 co-sponsors