Bill Commons

HI SB 2281

died on adjournment

RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.

Hawaii · 2026 Regular Session · upper

Quick answers

Did HI SB 2281 pass?

No. HI SB 2281 died when the 2026 Regular Session adjourned without final action on it. Bills that die this way are sometimes reintroduced in a later session. Latest recorded action (2026-02-18): 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.

What is HI SB 2281 about?

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)

Who sponsors HI SB 2281?

SAN BUENAVENTURA, CHANG, FEVELLA and 8 others are the primary sponsors of HI SB 2281.

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)

Introduced
2026-01-21
Latest action
2026-02-18 — 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.
Bill type
bill
Last updated
—

Subjects

Sponsors

  • SAN BUENAVENTURAprimary
  • CHANGprimary
  • FEVELLAprimary
  • FUKUNAGAprimary
  • HASHIMOTOprimary
  • KEOHOKALOLEprimary
  • KIDANIprimary
  • MCKELVEYprimary
  • MORIWAKIprimary
  • RHOADSprimary
  • RICHARDSprimary

Committees

Not provided by source.

Action timeline

  1. 2026-02-18

    Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.

    passage,reading-2,referral-committee

  2. 2026-02-18

    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.

  3. 2026-02-04

    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.

    committee-passage-favorable

  4. 2026-02-04

    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.

    committee-passage-favorable

  5. 2026-01-30

    The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference.

  6. 2026-01-26

    Referred to HHS/LBT, CPN/WAM.

    referral-committee

  7. 2026-01-21

    Introduced and passed First Reading.

    introduction,reading-1

  8. 2026-01-15

    Pending Introduction.

Versions

Documents

Votes

  • The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS.

    2026-02-04 · pass · 4-0

    Member-level votes (5)
    • Elefante: yes
    • Lamosao: yes
    • Moriwaki: yes
    • Fevella: yes
    • Ihara: not voting

  • The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS.

    2026-02-04 · pass · 5-0

    Member-level votes (5)
    • San Buenaventura: yes
    • Kanuha: yes
    • Keohokalole: yes
    • Fevella: yes
    • McKelvey: yes

Related bills

No related bills recorded for this bill.

Official source

https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=2281&year=2026

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:20:09.051962Z

Inspect retained evidence for changes recorded after evidence tracking began:

Source and document changesStatus and relationship changes

Use this data

Every field on this page is available from the free public API — no key or licence required. Fetch this bill as JSON: GET /api/v1/bills?jurisdiction=HI&identifier=SB 2281. See the API docs or the MCP server for AI assistants.

Known limitations

  • Sponsor party and chamber affiliation are not yet captured by this API.
  • Committee referrals are not yet captured.

See the methodology page for data sources and limitations.