SB 1432 Hawaii Senate · 2026 Regular Session

RELATING TO CHANGES TO RESPONSIBILITIES OF THE DEPARTMENT OF HEALTH CONCERNING PATIENTS, THE COUNTY OF KALAWAO, AND THE KALAUPAPA SETTLEMENT.

Summary

Authorizes the Department of Health to continue providing services statewide to Hansen's disease patients living in the community. Repeals sections of Chapter 326, Hawaii Revised Statutes, upon the 1‑year anniversary of the passing of the last patient resident of Kalaupapa as affirmed in the Governor's proclamation. Requires the Department of Health to include community organizations in the transition planning team. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

May 2026

Senate Passage

May 2026

House Passage

May 2026

Signed into Law

Jun 2026

Introduced Jan 21, 2025 Signed Jun 26, 2026

Maddy AI version diff · 5 comparisons

What changed between versions

SB1432_SD1 → SB1432_SD2 · 3 edits

MINOR

This bill version shifts the legislative session from the first to the second session and updates the bill authors' names and dates. Substantively, it modifies the transition plan for Kalaupapa by removing the specific requirement to include 'Ka Ohana O Kalaupapa' and replacing it with a broader mandate to include any community organization designated in federal law, while retaining the requirement for a Molokai topside organization. The effective date for repealing state health statutes was also adjusted from a fixed calendar date to a relative date tied to the passing of the last patient.

Scope change

The bill's scope regarding the transition of Kalaupapa jurisdiction was broadened by removing a specific named organization requirement, allowing for a more flexible selection of community representatives based on federal designation.

REQUIREMENT

Replaced the specific inclusion of 'Ka Ohana O Kalaupapa' in the transition planning team with a requirement to include a community organization designated in P.L. 111-11, title VII, section 7108.

TIMELINE

Changed the effective date for repealing certain health statutes from a fixed date of December 31, 2050, to one year after the passing of the last patient resident of Kalaupapa.

TECHNICAL

Updated the bill header to reflect the second session (SD2), changed the bill authors' names, and adjusted the bill numbers and dates.

SB1432_HD1 → SB1432_HD2 · 7 edits

MODERATE

This bill revision removes the creation of a new 'Kalaupapa State Historical Area' and instead focuses on integrating the Kalaupapa region into the County of Maui. It significantly delays the transfer of governance from the State Department of Health to the County of Maui, moving the effective date from December 31, 2050, to July 1, 3000, or two years after the last patient passes. The update also adds new requirements for state agencies to report on their activities in the area and clarifies that future planning must include community organizations from both Kalaupapa and the rest of Molokai.

Scope change

The bill's scope shifted from establishing a distinct historical area and immediate future transfer to Maui to a long-term deferral of that transfer, keeping state jurisdiction until the year 3000 or later. The applicability of the County of Kalawao as a separate entity is now explicitly limited to a future possibility rather than an immediate reality.

SCOPE

Removed the establishment of a new 'Kalaupapa State Historical Area' and replaced it with a mandate to offer the public an opportunity to provide input on the future of the county.

Removed the specific designation of Kalawao as a separate judicial district in the list of state judicial districts.

TIMELINE

Changed the effective date for transferring powers and duties to the County of Maui from December 31, 2050, to July 1, 3000, or two years after the last patient passes.

REQUIREMENT

Added a requirement for the Department of Hawaiian Home Lands and the Department of Land and Natural Resources to submit annual summaries of their activities in the county of Kalawao.

Modified future planning requirements to ensure inclusion of a community organization from the 'topside' (non-peninsular) area of Molokai in addition to the Kalaupapa community.

FISCAL

Added a provision allowing the County of Maui to request state funding for the costs associated with the eventual transfer of jurisdiction and responsibilities.

DEFINITION

Updated the definition of 'county' in various statutes to reflect that Kalawao is now considered part of Maui, while retaining a bracketed note that it could be deemed included in Maui for specific titles.

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 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

May 1, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 225-26) as amended in (CD 1).

lower

May 1, 2026

Introduced

48 Hrs. Notice (as amended CD 1) 05-06-26.

upper

May 1, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 225-26).

upper

May 1, 2026

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Garcia; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Hashem.

lower

May 1, 2026

Upper · Passed

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Wakai, DeCoite; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Rhoads.

upper

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 10, 2026

Amended

Senate disagrees with House amendments.

upper

Apr 10, 2026

Introduced

Received from House (Hse. Com. No. 497).

upper

Apr 9, 2026

Lower · Passed

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

lower

Apr 7, 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, Lee, M., Miyake, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Morikawa.

lower

Mar 24, 2026

Lower · Passed

Report adopted; referred to the committee(s) on FIN as amended in HD 2 with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Garrett, Quinlan excused (2).

lower

Mar 24, 2026

Committee

Reported from WAL (Stand. Com. Rep. No. 1341-26) as amended in HD 2, recommending referral to FIN.

lower

Mar 19, 2026

Lower · Passed

The committee on WAL recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Hashem, Morikawa, Ichiyama, Iwamoto, Poepoe, Woodson, Shimizu, Souza; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Belatti.

lower

Mar 14, 2025

Committee

Reported from HLT (Stand. Com. Rep. No. 1232) as amended in HD 1, recommending passage on Second Reading and referral to WAL.

lower

Mar 12, 2025

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Amato, Garcia; Noes: none; and 1 Excused: Representative(s) Alcos.

lower

Mar 6, 2025

Committee

Referred to HLT, WAL, FIN, referral sheet 19

lower

Mar 4, 2025

Introduced

Received from Senate (Sen. Com. No. 331) in amended form (SD 2).

lower

Mar 4, 2025

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

Feb 26, 2025

Upper · Passed

The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 26, 2025

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 21, 2025

Upper · Passed

The committee(s) on WAM/JDC will hold a public decision making on 02-26-25 10:05AM; Conference Room 211 & Videoconference.

upper

Feb 14, 2025

Upper · Passed

The committee(s) on WAM/JDC will hold a public decision making on 02-19-25 10:16AM; Conference Room 211 & Videoconference.

upper

Feb 14, 2025

Upper · Passed

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

upper

Feb 14, 2025

Committee

Reported from HHS/EIG (Stand. Com. Rep. No. 631) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM/JDC.

upper

Feb 6, 2025

Upper · Passed

The committee(s) on EIG recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in EIG were as follows: 4 Aye(s): Senator(s) Wakai, Chang, DeCoite, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Richards.

upper

Feb 6, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Hashimoto, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Aquino, Keohokalole.

upper

Jan 31, 2025

Upper · Passed

The committee(s) on HHS/EIG has scheduled a public hearing on 02-06-25 3:00PM; Conference Room 016 & Videoconference.

upper

Jan 27, 2025

Committee

Referred to HHS/EIG, WAM/JDC.

upper

Jan 23, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 21, 2025

Introduced

Pending Introduction.

upper

1 primary · 0 co-sponsors