SB 3203 Hawaii Senate · 2026 Regular Session

RELATING TO AIR MEDICAL SERVICES.

Summary

Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes the positions of an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

May 2026

Senate Passage

May 2026

House Passage

May 2026

Signed into Law

Jun 2026

Introduced Jan 28, 2026 Signed Jun 4, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

SB3203_CD1 → SB3203_HD1 · 3 edits

MINOR

The bill was converted from a Senate version to a House version, updating the author's name and internal tracking numbers. The most significant substantive change is the effective date, which was moved from immediate approval to July 1, 3000, likely as a placeholder. Minor text adjustments were made to the description and a section regarding healthcare facilities.

Scope change

The bill's scope remains focused on establishing the Statewide Air Medical Services Program, but the effective date change delays when the program and positions officially begin.

TIMELINE

The effective date was changed from 'upon approval' to 'July 1, 3000', indicating a placeholder date rather than an immediate implementation.

TECHNICAL

The author's name was updated from Ainoa Naniole to Emma Berman, and the document type changed from Senate to House.

Minor wording changes were made to the bill description and a specific section regarding the integration of air medical services with healthcare facilities.

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 8, 2026

Upper · Passed

Passed Final Reading, as amended (CD 1). Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) San Buenaventura).

upper

May 8, 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

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 239-26) as amended in (CD 1).

lower

May 6, 2026

Introduced

48 Hrs. Notice (as amended CD 1) 05-08-26.

upper

May 6, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 239-26).

upper

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

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, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Apr 30, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday 05-01-26 3:45PM in conference room 329.

lower

Apr 29, 2026

Upper · Passed

Conference committee meeting to reconvene on 04-30-26 4:10PM; Conference Room 329.

upper

Apr 28, 2026

Upper · Passed

Conference committee meeting scheduled for 04-29-26 3:15PM; Conference Room 329.

upper

Apr 16, 2026

Amended

Senate disagrees with House amendments.

upper

Apr 16, 2026

Introduced

Received from House (Hse. Com. No. 759).

upper

Apr 14, 2026

Lower · Passed

Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). 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: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Mar 30, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 1503-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

lower

Mar 25, 2026

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Mar 10, 2026

Committee

Referred to HLT, FIN, referral sheet 16

lower

Mar 6, 2026

Introduced

Received from Senate (Sen. Com. No. 121).

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

Mar 3, 2026

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Feb 23, 2026

Upper · Passed

The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.

upper

Feb 18, 2026

Upper · Passed

Report adopted; Passed Second Reading and referred to WAM.

upper

Feb 18, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 2344) with recommendation of passage on Second Reading and referral to WAM.

upper

Feb 13, 2026

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 9, 2026

Upper · Passed

The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference.

upper

Feb 8, 2026

Upper · Passed

The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference.

upper

Feb 5, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference.

upper

Feb 2, 2026

Committee

Referred to HHS, WAM.

upper

Jan 28, 2026

Introduced

Introduced.

upper

1 primary · 0 co-sponsors