SB 3105 Hawaii Senate · 2026 Regular Session

RELATING TO THE PHYSICIAN ASSISTANT LICENSURE COMPACT.

Summary

Beginning 1/1/2027, authorizes the Governor to enter the PA Licensure Compact to create a comprehensive process that complements the existing licensing authority of the Hawaii Medical Board and provides a streamlined process that allows a PA to become licensed in multiple states, thereby enhancing the portability of a PA license and ensuring the safety of patients. Appropriates funds. Effective 7/1/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

Senate Passage

Feb 2026

House Passage

Governor

Introduced Jan 26, 2026 Last action Feb 20, 2026

Maddy AI version diff · 1 comparison

What changed between versions

SB3105 → SB3105_SD1 · 4 edits

MODERATE

This bill version (SD1) updates the legislative metadata, corrects capitalization errors in the text, and refines the language regarding state obligations to ensure public funds are only spent with legislative approval. It also adjusts the effective date to July 1, 2050, while maintaining the January 1, 2027, start for the compact's operational section.

Scope change

The bill's scope remains focused on implementing the Physician Assistant Licensure Compact in Hawaii, but the language regarding state financial liability and indemnification was tightened to prevent mandatory obligations without specific appropriation.

TIMELINE

The overall effective date of the Act was changed to July 1, 2050, while the specific section allowing the Governor to enter the compact remains effective January 1, 2027.

FISCAL

The appropriation language was shortened to cover only fiscal year 2026-2027 for database upgrades, removing the separate line item for 2027-2028.

REQUIREMENT

Language regarding state financial obligations was modified to explicitly state that assessments are not mandatory without legislative appropriation.

DEFINITION

Minor technical corrections were made, including capitalizing 'United States' and adjusting indentation in the list of requirements for compact privileges.

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 20, 2026

Upper · Passed

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

upper

Feb 20, 2026

Committee

Reported from CPN/HHS (Stand. Com. Rep. No. 2656) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM/JDC.

upper

Feb 18, 2026

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) McKelvey, Awa.

upper

Feb 18, 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, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey.

upper

Feb 13, 2026

Upper · Passed

The committee(s) on CPN/HHS has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.

upper

Feb 2, 2026

Committee

Referred to CPN/HHS, WAM/JDC.

upper

Jan 28, 2026

Introduced

Introduced.

upper

Jan 26, 2026

Introduced

Pending Introduction.

upper

1 primary · 0 co-sponsors