SB 2050 Hawaii Senate · 2026 Regular Session

RELATING TO CHIROPRACTIC.

Summary

Beginning 7/1/2028, allows chiropractic students enrolled in an accredited doctor of chiropractic program to engage in clinical training involving the practice of chiropractic as part of the completion of their degree, under certain conditions. Requires a report to the Legislature. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Apr 2026

Senate Passage

May 2026

House Passage

May 2026

Signed into Law

Jun 2026

Introduced Jan 14, 2026 Signed Jun 5, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

SB2050_HD2 → SB2050_SD1 · 5 edits

MODERATE

The bill was revised to shift from a temporary pilot program for chiropractic students to a permanent framework for clinical practice. The original version added a new section to the statutes, while the new version amends an existing section to permanently allow supervised student practice. Additionally, the effective date was moved from the distant future (3000) to December 31, 2050, and the reporting requirement was removed.

Scope change

The bill changed from adding a new statutory section to amending an existing license section, thereby integrating student clinical practice into the standard licensure framework rather than treating it as a separate addition.

REQUIREMENT

Changed the legislative mechanism from adding a new section to amending Section 442-2 of the Hawaii Revised Statutes.

TIMELINE

Extended the general effective date from July 1, 3000, to December 31, 2050.

ENFORCEMENT

Removed the requirement for the Board of Chiropractic to submit a report to the legislature regarding implementation and patient safety.

DEFINITION

Replaced specific student supervision rules with a directive for the Board to adopt its own rules defining clinical practice and supervisor qualifications.

SCOPE

Updated the bill title and description to reflect the shift from 'clinical training' to 'clinical practice' and the removal of the reporting mandate.

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

Apr 29, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 89-26) as amended in (CD 1).

lower

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. 89-26).

upper

Apr 28, 2026

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Garrett, Matayoshi, Amato; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Muraoka.

lower

Apr 28, 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) McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Apr 27, 2026

Upper · Passed

Conference committee meeting to reconvene on 04-28-26 10:30AM; Conference Room 016.

upper

Apr 24, 2026

Upper · Passed

Conference committee meeting scheduled for 04-27-26 10:30AM; Conference Room 016.

upper

Apr 16, 2026

Amended

Senate disagrees with House amendments.

upper

Apr 16, 2026

Introduced

Received from House (Hse. Com. No. 615).

upper

Apr 14, 2026

Lower · Passed

Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

lower

Apr 9, 2026

Lower · Passed

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Mar 30, 2026

Committee

Reported from HED (Stand. Com. Rep. No. 1500-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Mar 25, 2026

Lower · Passed

The committee on HED recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Garrett, Amato, Kapela, Kila, La Chica, Olds, Souza; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Evslin, Woodson, Muraoka.

lower

Mar 10, 2026

Committee

Referred to HED, CPC, referral sheet 16.

lower

Mar 6, 2026

Introduced

Received from Senate (Sen. Com. No. 35) in amended form (SD 1).

lower

Mar 6, 2026

Upper · Passed

Report Adopted; Passed Third Reading. Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House.

upper

Feb 26, 2026

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.

upper

Feb 20, 2026

Upper · Passed

The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference.

upper

Feb 13, 2026

Upper · Passed

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

upper

Feb 13, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 2247) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.

upper

Jan 28, 2026

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, McKelvey, Kanuha, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Jan 27, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 01-30-26 3:00PM; Conference Room 224 & Videoconference.

upper

Jan 22, 2026

Committee

Referred to HHS, CPN.

upper

Jan 21, 2026

Introduced

Introduced and passed First Reading.

upper

Jan 14, 2026

Introduced

Pending Introduction.

upper

6 primary · 1 co-sponsor