SB2272 • 2026

RELATING TO HOME HEALTH LICENSING.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: SAN BUENAVENTURA, GABBARD, HASHIMOTO, KIDANI, RICHARDS, Chang, Kanuha
Last action: 2026-05-08
Official status: Enrolled to Governor.
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

RELATING TO HOME HEALTH LICENSING.

What This Bill Does

RELATING TO HOME HEALTH LICENSING.
DOH; Home Health Agencies; Licensing Inspections; CMS; Accreditation Organizations; Certification Organizations; Public Information Authorizes the Department of Health to accept accreditation or certification from an accreditation organization or a certification organization approved by the Centers for Medicare and Medicaid Services as demonstration that a licensed home health agency is in compliance with all licensing inspections required by the State.
Specifies conditions under which a home health agency may be exempt from a licensing inspection on a continuing basis throughout the accreditation or certification period.
Requires information obtained in reports of survey and accreditation or certification letters to be public information.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

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

CD1

Hawaii published version CD1

Plain English: SB2272 CD1 THE SENATE S.B.

SB2272 CD1 THE SENATE S.B.
NO.
2272 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD1

Hawaii published version HD1

Plain English: SB2272 HD1 THE SENATE S.B.

SB2272 HD1 THE SENATE S.B.
NO.
2272 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD2

Hawaii published version HD2

Plain English: SB2272 HD2 THE SENATE S.B.

SB2272 HD2 THE SENATE S.B.
NO.
2272 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

SD1

Hawaii published version SD1

Plain English: SB2272 SD1 THE SENATE S.B.

SB2272 SD1 THE SENATE S.B.
NO.
2272 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO HOME HEALTH LICENSING .

Bill History

2026-05-08 S
Enrolled to Governor.
2026-05-08 S
Received notice of passage on Final Reading in House (Hse. Com. No. 888).
2026-05-06 H
Received notice of Final Reading (Sen. Com. No. 816).
2026-05-06 H
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
2026-05-06 S
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
2026-05-01 H
Forty-eight (48) hours notice Wednesday, 05-06-26.
2026-05-01 H
Reported from Conference Committee (Conf Com. Rep. No. 222-26) as amended in (CD 1).
2026-05-01 S
48 Hrs. Notice (as amended CD 1) 05-06-26.
2026-05-01 S
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 222-26).
2026-05-01 H
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 1 Excused: Representative(s) Matayoshi.
2026-05-01 S
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) San Buenaventura, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
2026-04-30 H
Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
2026-04-29 H
Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
2026-04-22 H
Received notice of Senate conferees (Sen. Com. No. 720).
2026-04-21 S
Senate Conferees Appointed: San Buenaventura Chair; Kanuha Co-Chair; Fevella.
2026-04-20 S
Received notice of appointment of House conferees (Hse. Com. No. 787).
2026-04-20 H
House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Alcos.
2026-04-20 H
Re-referred to HLT, CPC, FIN, referral sheet 30
2026-04-16 H
Received notice of disagreement (Sen. Com. No. 710).
2026-04-16 S
Senate disagrees with House amendments.
2026-04-16 S
Received from House (Hse. Com. No. 643).
2026-04-14 H
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.
2026-04-10 H
Forty-eight (48) hours notice Tuesday, 04-14-26.
2026-04-10 H
Reported from CPC (Stand. Com. Rep. No. 2115-26) as amended in HD 2, recommending passage on Third Reading.
2026-04-07 H
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; Noes: none; and Excused: none.
2026-04-02 H
Bill scheduled to be heard by CPC on Tuesday, 04-07-26 2:05PM in House conference room 329 VIA VIDEOCONFERENCE.
2026-03-24 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Garrett, Quinlan excused (2).
2026-03-24 H
Reported from HLT (Stand. Com. Rep. No. 1351-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
2026-03-20 H
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; 0 Noes: none; and 0 Excused: none.
2026-03-17 H
Bill scheduled to be heard by HLT on Friday, 03-20-26 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.
2026-03-12 H
Referred to HLT, CPC, referral sheet 17
2026-03-12 H
Pass First Reading
2026-03-10 H
Received from Senate (Sen. Com. No. 204) in amended form (SD 1).
2026-03-10 S
Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
2026-03-05 S
48 Hrs. Notice 03-10-26.
2026-03-05 S
Reported from WAM (Stand. Com. Rep. No. 2849) with recommendation of passage on Third Reading, as amended (SD 1).
2026-03-02 S
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, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-02-27 S
The committee on WAM has rescheduled its decision making to 03-02-26 10:02AM; CR 211 & Videoconference.
2026-02-23 S
The committee(s) on WAM will hold a public decision making on 03-02-26 10:31AM; Conference Room 211 & Videoconference.
2026-02-18 S
Report adopted; Passed Second Reading and referred to WAM.
2026-02-18 S
Reported from HHS (Stand. Com. Rep. No. 2359) with recommendation of passage on Second Reading and referral to WAM.
2026-02-06 S
The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Kanuha.
2026-02-03 S
The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.
2026-01-26 S
Referred to HHS, WAM.
2026-01-21 S
Introduced and passed First Reading.
2026-01-15 S
Pending Introduction.

Official Summary Text

RELATING TO HOME HEALTH LICENSING.
DOH; Home Health Agencies; Licensing Inspections; CMS; Accreditation Organizations; Certification Organizations; Public Information
Authorizes the Department of Health to accept accreditation or certification from an accreditation organization or a certification organization approved by the Centers for Medicare and Medicaid Services as demonstration that a licensed home health agency is in compliance with all licensing inspections required by the State. Specifies conditions under which a home health agency may be exempt from a licensing inspection on a continuing basis throughout the accreditation or certification period. Requires information obtained in reports of survey and accreditation or certification letters to be public information. (CD1)

Current Bill Text

Read the full stored bill text

SB2272

THE SENATE

S.B. NO.

2272

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to home health licensing
.

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

����
SECTION 1.
�
The purpose of this Act is to authorize the
department of health to accept accreditation from an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services as demonstration that a licensed home health agency is in compliance
with all licensing inspections required by the State.

����
SECTION
2
.
�
Section 321-91,
Hawaii Revised Statutes, is amended to read as follows:

����
"
�321-91
�
Program of home health
services.
�
(a)
�
The department of health is authorized to
establish and administer a program to provide home health services, pursuant to
the provisions of Title XVIII of the Social Security Act.
�
Home health services shall mean ancillary
paramedical services rendered in the patient's home, and shall include[
,
]
but not be limited to[
,
] professional nursing care, physiotherapy,
occupational therapy, speech and hearing therapy, medical social services, and
home health aide services.
�
The authority
of the department [
hereunder
]
under this subsection
shall be
liberally construed in order that the State may receive the maximum benefits of
[
said
] Title XVIII.

����
(b)
�
A home health agency that is licensed by the
department of health and accredited or certified by an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services may be used to demonstrate the home health agency's compliance
with all licensing inspections required by the State.
�
The home health agency may be exempt from a
licensing inspection on a continuing basis throughout the term of the
accreditation or certification under the following conditions:

����
(1)
�
The home health
agency provides the department of health with a certified copy of the home
health agency's official accreditation or certification report;

����
(2)
�
The home health
agency continuously holds full accreditation or certification and provides the
department of health with a certified copy of the home health agency's official
accreditation or certification report; and

����
(3)
�
The home health
agency holds a current and valid state license.

����
(c) The
department of health may conduct inspections and investigation of home health
agencies exempt from licensing inspections pursuant to subsection (b) regarding
complaints, adverse accreditation or certification findings, or periodic
validation surveys.

����
(d)
�
Information contained in reports of survey and
official accreditation or certification letters made by an accreditation
organization or a certification organization recognized by the Centers for
Medicare and Medicaid Services that are used in determining compliance with
licensing requirements pursuant to this section shall be public information.

����
(e) All
other records maintained by the department of health for the purposes of this
section shall be governed by chapter 92F.
"

����
SECTION
3.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION 4.
�
This Act shall take effect on July 1, 2026.

INTRODUCED BY:

_____________________________

Report Title:

Department
of Health; Home Health Agencies; Accreditation; Certification; Licensing Inspections;
Public Information

Description:

Authorizes
the Department of Health to accept accreditation
from an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services as demonstration that a licensed home health agency is in
compliance with all licensing inspections required by the State
.
�

Specifies conditions under which a home health agency may be exempt from
a licensing inspection on a continuing basis.
�

Requires information obtained in reports of survey and accreditation or
certification letters to be public information.

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not legislation or evidence of legislative intent.