Hawaii bills · 2026 Regular Session
Hawaii SB 2281
RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.
- Introduced
- In committee
- Passed Senate
- Passed House
- To Governor
- Became law
Sponsors
- SAN BUENAVENTURA (Democratic)
- CHANG (Democratic)
- FEVELLA (Republican)
- FUKUNAGA (Democratic)
- HASHIMOTO (Democratic)
- KEOHOKALOLE (Democratic)
- KIDANI
- MCKELVEY (Democratic)
- MORIWAKI (Democratic)
- RHOADS (Democratic)
- RICHARDS (Democratic)
Summary
Official abstract published by the Hawaii legislature· description
Requires health care providers using artificial intelligence (AI) in patient interactions to disclose to the patient that the patient is interacting with artificial intelligence. Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements to the patient; maintain a qualified AI oversight personnel who shall be a natural person that reviews, evaluates, and validates or overrides AI outputs; monitor and conduct regular performance evaluations of their AI systems; implement procedures to address identified deficiencies; and maintain certain records. Requires the Department of Health to adopt rules. Implementation effective 7/1/2028. Effective 1/30/2050. (SD1)
Text versions
Roll-call votes
State vote data last updated Oct 16, 2026, 4:04 AM.
| Date | Vote | Result | Your legislators |
|---|---|---|---|
| Feb 4, 2026 Senate | The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. | pass | Set your home in Hawaii to see |
| Feb 4, 2026 Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. | pass | Set your home in Hawaii to see |
Actions
- Jan 15, 2026 · Senate
Pending Introduction. - Jan 21, 2026 · Senate
Introduced and passed First Reading. - Jan 26, 2026 · Senate
Referred to HHS/LBT, CPN/WAM. - Jan 30, 2026 · Senate
The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference. - Feb 4, 2026 · Senate
The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in LBT were as follows: 4 Aye(s): Senator(s) Elefante, Lamosao, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Ihara. - Feb 4, 2026 · Senate
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 0 Excused: none. - Feb 18, 2026 · Senate
Reported from HHS/LBT (Stand. Com. Rep. No. 2357) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. - Feb 18, 2026 · Senate
Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.