HB1452 • 2026

RELATING TO BIRTH CERTIFICATES.

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: TAM, AMATO, BELATTI, IWAMOTO, MARTEN, PERRUSO, POEPOE, TAKAYAMA, TARNAS, TEMPLO, TODD, Matayoshi
Last action: 2026-03-10
Official status: Referred to HHS, JDC.
Effective date: Not listed

Plain English Breakdown

The official source material does not provide specific details about the conditions under which an affidavit must be submitted by advanced practice registered nurses beyond confirming a provider-patient relationship and evaluating medical history.

Expanding Health Care Providers Who Can Submit Birth Certificate Affidavits

This bill allows advanced practice registered nurses to submit affidavits for new birth certificates under certain conditions.

What This Bill Does

Adds advanced practice registered nurses as a type of health care provider who can submit an affidavit for a new certificate of birth.

Who It Names or Affects

Birth registrants who want to update their birth certificates.
Advanced practice registered nurses who can now submit affidavits on behalf of patients.
The Department of Health which will process these new types of affidavits.

Terms To Know

Affidavit: A written statement that is sworn to be true, often used as legal evidence.
Birth registrant: The person whose birth information is recorded on a birth certificate.

Limits and Unknowns

It's not clear how many people will use this new option for updating their birth certificates.
The bill does not specify what happens if there are disputes about the validity of an affidavit from an advanced practice registered nurse.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HD1

Hawaii published version HD1

Plain English: This amendment allows advanced practice registered nurses to submit affidavits for new birth certificates under the same conditions as physicians and physician assistants.

Adds advanced practice registered nurses to the list of health care providers who can attest to a birth registrant's gender transition.

The amendment text does not provide details on how or when this change will be implemented before July 1, 3000.

Bill History

2026-03-10 S
Referred to HHS, JDC.
2026-03-10 S
Passed First Reading.
2026-03-10 S
Received from House (Hse. Com. No. 133).
2026-03-06 H
Passed Third Reading with Representative(s) Muraoka, Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Pierick, Shimizu voting no (7) and Representative(s) Perruso, Quinlan, Sayama excused (3). Transmitted to Senate.
2026-03-06 H
Reported from CPC (Stand. Com. Rep. No. 986-26), recommending passage on Third Reading.
2026-03-03 H
The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.
2026-02-27 H
Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
2026-02-11 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and Representative(s) Holt excused (1).
2026-02-11 H
Reported from HLT (Stand. Com. Rep. No. 163-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
2026-01-30 H
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none.
2026-01-26 H
Bill scheduled to be heard by HLT on Friday, 01-30-26 10:30AM in House conference room 329 VIA VIDEOCONFERENCE.
2025-12-08 D
Carried over to 2026 Regular Session.
2025-01-27 H
Referred to HLT, CPC, referral sheet 4
2025-01-23 H
Introduced and Pass First Reading.

Official Summary Text

RELATING TO BIRTH CERTIFICATES.
Birth Certificates; Vital Statistics; Birth Registrants; Advanced Practice Registered Nurses
Includes advanced practice registered nurses among the types of health care providers who can submit an affidavit for a new certificate of birth for certain birth registrants. Effective 7/1/3000. (HD1)

Current Bill Text

Read the full stored bill text

HB1452

HOUSE OF REPRESENTATIVES

H.B. NO.

1452

THIRTY-THIRD LEGISLATURE, 2025

STATE OF HAWAII

A BILL FOR AN ACT

Relating
to birth certificates
.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

����
SECTION
1
.
�
Section 338-17.7, Hawaii Revised Statutes, is
amended by amending subsection (a) to read as follows:

����
"(a)
�
The department of health shall establish, in
the following circumstances, a new certificate of birth for a person born in
this State who already has a birth certificate filed with the department and
who is referred to below as the "birth registrant":

����
(1)
�
Upon receipt of an
affidavit of paternity, a court order establishing paternity, or a certificate
of marriage establishing the marriage of the natural parents to each other,
together with a request from the birth registrant, or the birth registrant's
parent or other person having legal custody of the birth registrant, that a new
birth certificate be prepared because previously recorded information has been
altered pursuant to law;

����
(2)
�
Upon receipt of a
certified copy of a final order, judgment, or decree of a court of competent
jurisdiction that determined the nonexistence of a parent and child
relationship between a person identified as a parent on the birth certificate
on file and the birth registrant;

����
(3)
�
Upon receipt of a
certified copy of a final adoption decree, or of an abstract of the decree,
pursuant to sections 338-20 and 578-14;

����
(4)
�
Upon
receipt of an affidavit from a United States licensed physician [
or
]
,

physician assistant
, or advanced practice registered nurse
attesting
that:

���������
(A)
�
The physician [
or
]
,

physician assistant
, or advanced practice registered nurse
has a bona
fide provider-patient relationship with the birth registrant;

���������
(B)
�
The physician [
or
]
,

physician assistant
, or advanced practice registered nurse
has treated
and evaluated the birth registrant and has reviewed and evaluated the birth
registrant's medical history;

���������
(C)
�
The birth
registrant has had appropriate clinical treatment for gender transition to the
new gender and has completed the transition to the new gender; and

���������
(D)
�
The new gender
does not align with the sex designation on the birth registrant's birth
certificate; or

����
(5)
�
Upon request of a
law enforcement agency certifying that a new birth certificate showing
different information would provide for the safety of the birth registrant;
provided that the new birth certificate shall contain information requested by
the law enforcement agency, shall be assigned a new number and filed
accordingly, and shall not substitute for the birth registrant's original birth
certificate, which shall remain in place."

����
SECTION 2.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION 3.
�
This Act shall take effect upon its approval.

INTRODUCED BY:

_____________________________

Report Title:

Birth
Certificates; Vital Statistics; Birth Registrants; Advanced Practice Registered
Nurses

Description:

Expands
the types of health care providers who can submit an affidavit for a new
certificate of birth for certain birth registrants.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.