SB3132 • 2026

RELATING TO SYNDROMIC SURVEILLANCE.

Healthcare Privacy

Passed Legislature

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

Sponsor: KOUCHI (Introduced by request of another party)
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 SYNDROMIC SURVEILLANCE.

What This Bill Does

RELATING TO SYNDROMIC SURVEILLANCE.
DOH; Syndromic Surveillance Data; Hospitals; Emergency Departments; Submission Requirements; State Syndromic Surveillance Data Reporting System Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health.
Authorizes the Department of Health to establish a state syndromic surveillance data reporting system.
(CD1)

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: SB3132 CD1 THE SENATE S.B.

SB3132 CD1 THE SENATE S.B.
NO.
3132 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD1

Hawaii published version HD1

Plain English: SB3132 HD1 THE SENATE S.B.

SB3132 HD1 THE SENATE S.B.
NO.
3132 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD2

Hawaii published version HD2

Plain English: SB3132 HD2 THE SENATE S.B.

SB3132 HD2 THE SENATE S.B.
NO.
3132 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

SD1

Hawaii published version SD1

Plain English: SB3132 SD1 THE SENATE S.B.

SB3132 SD1 THE SENATE S.B.
NO.
3132 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO SYNDROMIC SURVEILLANCE .

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 Representative(s) Alcos excused (1).
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. 223-26) 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. 223-26).
2026-05-01 H
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
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: 3 Aye(s): Senator(s) San Buenaventura, Rhoads, 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; Rhoads, Kanuha Co-Chairs; Fevella.
2026-04-20 S
Received notice of appointment of House conferees (Hse. Com. No. 787).
2026-04-20 H
House Conferees Appointed: Takayama, Grandinetti, 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. 748).
2026-04-14 H
Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1). 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. 2113-26) 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.
2026-03-25 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Matsumoto, Perruso excused (2).
2026-03-25 H
Reported from HLT (Stand. Com. Rep. No. 1400-26) 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; Noes: none; and 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. 366) in amended form (SD 1).
2026-03-10 S
Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
2026-03-06 S
One Day Notice 03-10-26.
2026-03-06 S
Reported from JDC/WAM (Stand. Com. Rep. No. 3039) with recommendation of passage on Third Reading.
2026-03-04 S
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. 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.
2026-03-04 S
The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-03-02 S
The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.
2026-02-17 S
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.
2026-02-17 S
Reported from HHS (Stand. Com. Rep. No. 2288) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.
2026-02-06 S
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, 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.
2026-02-02 S
Referred to HHS, JDC/WAM.
2026-01-28 S
Passed First Reading.
2026-01-28 S
Introduced.
2026-01-26 S
Pending Introduction.

Official Summary Text

RELATING TO SYNDROMIC SURVEILLANCE.
DOH; Syndromic Surveillance Data; Hospitals; Emergency Departments; Submission Requirements; State Syndromic Surveillance Data Reporting System
Requires hospitals with emergency departments that are licensed in the State to submit syndromic surveillance data to the Department of Health. Authorizes the Department of Health to establish a state syndromic surveillance data reporting system. (CD1)

Current Bill Text

Read the full stored bill text

SB3132

THE SENATE

S.B. NO.

3132

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

RELATING
TO SYNDROMIC SURVEILLANCE
.

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

����
SECTION 1.
�

The legislature finds that timely reporting of data is critical to the
ability of public health officials to detect and respond to health threats and
disease trends.
�
Syndromic surveillance
is the analysis of health-related data from events that affect health status
and outcomes for public health purposes, such as early detection of disease
outbreaks.
�
Syndromic surveillance
provides automated, near real-time collection and transmission of data,
including, but not limited to, chief complaint, discharge diagnosis, visit
dates, patient demographics, patient zip code, and facility location.
�
Syndromic surveillance data is de-identified,
meaning that patient names, addresses, and other data elements that could
identify an individual are not transmitted.

����
The value of syndromic surveillance has
been demonstrated in Hawaii during responses to wildfires, volcanic eruptions,
drinking water contamination, and communicable disease outbreaks.
�
Syndromic surveillance in these events
prompted real-time clinical guidance and targeted health interventions,
informed resource allocation decisions, and guided public messaging.

����
The legislature also finds that the use of
syndromic surveillance data, currently collected through the National Syndromic
Surveillance Program, can enable the department of health and other state
agencies to better monitor, act on, and understand a wide range of public
health concerns, including communicable disease, chronic disease, disaster and
terrorism response, climate and weather-related illness and injury, gun
violence, suicidal ideation, and drug use and overdose.

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At present, the department of health can
access and analyze data collected by the National Syndromic Surveillance
Program.
�
However, data is submitted to
that program on a voluntary basis, and the department of health does not have
the authority to require participation or determine how data is submitted.
�
Additionally, Hawaii's dependence on the
National Syndromic Surveillance Program, which is federally funded and
administered, leaves the State vulnerable to changes in federal data collection
priorities.
�
Further, the National
Syndromic Surveillance Program offers minimal flexibility and does not always
meet the needs of the State to the extent necessary for adequate public health
management.
�
The department of health is
unable to customize analyses of data from the National Syndromic Surveillance
Program to Hawaii's population and public health concerns, including health
disparities.
�
Because participation in
the National Syndromic Surveillance Program is voluntary, there are
geographical "data deserts" in rural areas where the department of
health has an incomplete understanding of public health concerns.

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The legislature further finds that the
department of health's recently updated electronic disease surveillance system
can support a local syndromic surveillance system that does not rely on a
federal data system and is more customizable, allowing for integration with
other department of health systems and more efficient collaboration with other
state agencies.

����
The legislature finds that it is critical
that the department of health retain and strengthen its ability to collect and
use syndromic surveillance data independent of federal systems to ensure the
department can rapidly detect and respond to public health threats.

����
Accordingly,
the purposes of this Act are to authorize the department of health to require
the reporting of syndromic surveillance data, regulate how syndromic
surveillance data is collected, and allow the department of health to create
and operate a local syndromic surveillance system, as needed, independent of
federal systems.

����
SECTION 2.
�

Chapter 321, Hawaii Revised Statutes, is
amended by adding a new part to be appropriately designated and to read as
follows:

"
PART
����
.
�
SYNDROMIC SURVEILLANCE

����
�321-
����
Syndromic
surveillance
data
collection;
authorized.
�
(a)
�

Hospitals with emergency departments that are licensed in the State
shall report syndromic surveillance data to the department of health in a
manner and format specified by the department of health on its website.
�
Information required to be reported includes
data regarding:

����
(1)
�
Infectious
or communicable disease;

����
(2)
�
Noninfectious
causes of acute or chronic illness;

����
(3)
�
Intentional
or accidental use or misuse of chemical, biological, radiological, or nuclear
agents;

����
(4)
�
Adverse
environmental events or natural disasters, including but not limited to
hurricanes, floods, and fires; or

����
(5)
�
Any
other emerging threat or condition affecting public health.

����
(b)
�

The department of health may establish by rules pursuant to chapter 91 a
state syndromic surveillance data reporting system to collect, maintain, and
analyze syndromic surveillance data.

����
(c)
�

The department of health may require by rules pursuant to chapter 91
additional entities, including, but not limited to, urgent care facilities,
emergency medical service providers, other healthcare facilities, and poison
control centers to submit syndromic surveillance data.

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(d)
�

For purposes of this part, "syndromic surveillance data" means
de-identified data that signals a sufficient probability of a case, an outbreak
of disease, or other event that may warrant a public health response, including
but not limited to:

����
(1)
�
Chief
complaint;

����
(2)
�
Discharge
diagnosis;

����
(3)
�
Visit
dates;

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(4)
�
Patient
demographics;

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(5)
�
Patient
ZIP code; and

����
(6)
�
Facility
location.

����
�321-
����

Confidentiality
.

�
Syndromic surveillance data is
confidential and may only be shared or redisclosed pursuant to state and
federal privacy regulations or for research purposes that have been approved by
the department of health's institutional review committee; provided that the
department of health may publicly release aggregated statistical data that does
not allow identification of individuals.

����
�321-
����
Rules.
�
The director of health may adopt
rules pursuant to chapter 91 necessary to carry out the purposes of this part.
"

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

INTRODUCED BY:

_____________________________

BY REQUEST

Report Title:

DOH;
Syndromic Surveillance Data

Description:

Requires
hospitals with emergency departments that are licensed in Hawaii to submit
syndromic surveillance data to the Department of Health.
�
Authorizes the Department of Health, as
needed, to establish by administrative rules a syndromic surveillance system
under state jurisdiction that is independent of federal systems.

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