Hawaii · 2026 Regular Session · Bill
SB 2281: RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE.
In committee Official data
- Introduced
- In committee
- Passed one chamber
- Passed both chambers
- Enacted
Last official action: ·Record last updated:
Plain-language summary
SB 2281 is a bill introduced in the Hawaii Senate on January 15, 2026. According to its official title, it concerns: RELATING TO THE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH CARE. Primary sponsor: Joy San Buenaventura (Democratic), Stanley Chang (Democratic), Kurt Fevella (Republican), Carol Fukunaga (Democratic), Troy Hashimoto (Democratic), Jarrett Keohokalole (Democratic), KIDANI, Angus McKelvey (Democratic), Sharon Moriwaki (Democratic), Karl Rhoads (Democratic), Tim Richards (Democratic). Most recent recorded action (February 18, 2026): 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.
Generated automatically from the official title, sponsor list, and status record only. It does not characterize the bill’s purpose or effects. How summaries are written
Official summary
Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.
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)
Sponsors
Sponsors by party (alphabetical): Democratic 9 · Republican 1
| Name | Role | Party | Chamber | District |
|---|---|---|---|---|
| Joy San Buenaventura | Primary sponsor | Democratic | Senate | 2 |
| Stanley Chang | Primary sponsor | Democratic | Senate | 9 |
| Kurt Fevella | Primary sponsor | Republican | Senate | 20 |
| Carol Fukunaga | Primary sponsor | Democratic | Senate | 11 |
| Troy Hashimoto | Primary sponsor | Democratic | Senate | 5 |
| Jarrett Keohokalole | Primary sponsor | Democratic | Senate | 24 |
| KIDANI | Primary sponsor | Not applicable (committee) | — | — |
| Angus McKelvey | Primary sponsor | Democratic | Senate | 6 |
| Sharon Moriwaki | Primary sponsor | Democratic | Senate | 12 |
| Karl Rhoads | Primary sponsor | Democratic | Senate | 13 |
| Tim Richards | Primary sponsor | Democratic | Senate | 4 |
“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.
Recent official actions
- 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.
- Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.
- 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.
- 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.
- The committee(s) on HHS/LBT has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference.
- Referred to HHS/LBT, CPN/WAM.
- Introduced and passed First Reading.
- Pending Introduction.