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Legislative record

SB 2281STATE · HawaiiIntroduced

RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.

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)

Voted 2/18/2026

Roll-call record

How representatives voted

9 yea·0 nay·1 other

Docket history

Action history

  1. 2/18/2026Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.
  2. 2/18/2026Reported 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. 2/4/2026The 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.
  4. 2/4/2026The 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.
  5. 1/30/2026The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference.
  6. 1/26/2026Referred to HHS/LBT, CPN/WAM.
  7. 1/21/2026Introduced and passed First Reading.
  8. 1/15/2026Pending Introduction.