2025 Regular Session • Hawaii Legislature
HB1194: Relating To Midwives.
Legislative Summary
Makes laws regulating midwives and the practice of midwifery permanent. Clarifies the scope of practice of midwifery. Establishes licensure requirements for certified midwives and certified professional midwives. Establishes continuing education requirements. Grants global signature authority to midwives. Grants prescriptive authority to licensed midwives practicing as certified midwives and amends the list of approved legend drugs that may be administered by midwives. Establishes peer review and data submission requirements. Affirms that the practice of midwifery does not include Native Hawaiian traditional and customary practices. Clarifies exemptions from licensure and grounds for refusal to grant, renew, reinstate, or restore licenses or for revocation, suspension, denial, or condition of a license. Clarifies medical record availability and retention requirements for the purposes of medical torts. (SD3)
Demographic Impact
Overall analysis of equity impact
70% Positive
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Bill History
1/22/2025
Pending introduction.
House of Representatives
1/23/2025
Introduced and Pass First Reading.
House of Representatives
1/27/2025
Referred to HLT/CPC, FIN, referral sheet 4
House of Representatives
2/7/2025
Bill scheduled to be heard by HLT/CPC on Monday, 02-10-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
House of Representatives
2/10/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Marten, Takenouchi; Ayes with reservations: Representative(s) Amato, Olds; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none.
House of Representatives
2/10/2025
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Kong; 1 Noes: Representative(s) Iwamoto; and 1 Excused: Representative(s) Pierick.
House of Representatives
2/14/2025
Reported from HLT/CPC (Stand. Com. Rep. No. 794) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
House of Representatives
2/14/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with Representative(s) Amato, Belatti, Kong, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Hussey, Perruso, Pierick voting no (5) and Representative(s) Cochran, Matayoshi, Poepoe, Ward excused (4).
House of Representatives
2/19/2025
Bill scheduled to be heard by FIN on Friday, 02-21-25 3:00PM in House conference room 308 VIA VIDEOCONFERENCE.
House of Representatives
2/21/2025
The committee(s) on FIN recommend(s) that the measure be deferred.
House of Representatives
2/24/2025
Bill scheduled for decision making on Wednesday, 02-26-25 10:50AM in conference room 308 VIA VIDEOCONFERENCE.
House of Representatives
2/26/2025
The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo; Ayes with reservations: Representative(s) Grandinetti; 3 Noes: Representative(s) Hussey, Alcos, Reyes Oda; and 1 Excused: Representative(s) Ward.
House of Representatives
2/28/2025
Reported from FIN (Stand. Com. Rep. No. 1168) as amended in HD 2, recommending passage on Third Reading.
House of Representatives
2/28/2025
Forty-eight (48) hours notice Tuesday, 03-04-25.
House of Representatives
3/4/2025
Floor Amendment No. 2 offered by Rep. Belatti.
House of Representatives
3/4/2025
Floor amendment failed following Roll Call vote: Ayes, 15. Noes, 34 (Representative(s) Chun, Evslin, Garrett, Hashem, Holt, Ichiyama, Ilagan, Kahaloa, Kapela, Keohokapu-Lee Loy, Kila, Kitagawa, Kong, Kusch, La Chica, Lamosao, Lee, M., Lowen, Marten, Matayoshi, Miyake, Morikawa, Nakamura, Olds, Quinlan, Sayama, Takayama, Takenouchi, Tam, Tarnas, Templo, Todd, Woodson, Yamashita). Excused, 2 (Representative(s) Pierick, Ward).
House of Representatives
3/4/2025
Floor Amendment No. 3 offered by Rep. Belatti.
House of Representatives
3/4/2025
Floor amendment failed with Noes, 1 (Representative(s) Takayama). Excused, 2 (Representative(s) Pierick, Ward).
House of Representatives
3/4/2025
Passed Third Reading as amended in HD 2 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Poepoe, Reyes Oda, Shimizu, Souza voting no (15) and Representative(s) Pierick, Ward excused (2). Transmitted to Senate.
House of Representatives
3/6/2025
Received from House (Hse. Com. No. 346).
Senate
3/6/2025
Passed First Reading.
Senate
3/6/2025
Referred to HHS/CPN, WAM/JDC.
Senate
3/10/2025
Re-Referred to HHS, CPN/JDC.
Senate
3/11/2025
The committee(s) on HHS has scheduled a public hearing on 03-14-25 1:00PM; Auditorium & Videoconference.
Senate
3/14/2025
The committee(s) on HHS deferred the measure until 03-17-25 1:00PM; Conference Room 225 & Videoconference.
Senate
3/17/2025
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, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
Senate
3/21/2025
Reported from HHS (Stand. Com. Rep. No. 1286) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/JDC.
Senate
3/21/2025
Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/JDC.
Senate
3/24/2025
The committee(s) on CPN/JDC will hold a public decision making on 04-01-25 9:30AM; Conference Room 016 & Videoconference.
Senate
4/1/2025
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Richards; Aye(s) with reservations: Senator(s) McKelvey ; 1 No(es): Senator(s) Awa; and 0 Excused: none.
Senate
4/1/2025
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 2 No(es): Senator(s) Gabbard, Awa; and 0 Excused: none.
Senate
4/4/2025
Reported from CPN/JDC (Stand. Com. Rep. No. 1738) with recommendation of passage on Third Reading, as amended (SD 2).
Senate
4/4/2025
48 Hrs. Notice 04-08-25.
Senate
4/8/2025
Floor Amendment No. 8 offered.
Senate
4/8/2025
Floor amendment adopted as amended (SD 3). Ayes, 23. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none).
Senate
4/8/2025
Separated Committee Report.
Senate
4/8/2025
Report filed.
Senate
4/8/2025
48 Hrs. Notice 04-10-25
Senate
4/10/2025
Passed Third Reading, as amended (SD 3). Ayes, 20; Aye(s) with reservations: Senator(s) Ihara, Richards. Noes, 4 (Senator(s) Awa, DeCorte, Gabbard, McKelvey). Excused, 1 (Senator(s) Fevella). Transmitted to House.
Senate
4/10/2025
Returned from Senate (Sen. Com. No. 777) in amended form (SD 3).
House of Representatives
4/10/2025
House disagrees with Senate amendment (s).
House of Representatives
4/11/2025
Received notice of disagreement (Hse. Com. No. 705).
Senate
4/11/2025
Reconsideration of action taken on 04-10-25.
House of Representatives
4/14/2025
Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 714).
Senate
4/14/2025
House agrees to Senate amendment(s).
House of Representatives
4/14/2025
Passed Final Reading as amended in SD 3 with none voting aye with reservations; Representative(s) Alcos, Amato, Belatti, Cochran, Garcia, Grandinetti, Hussey, Iwamoto, Matsumoto, Muraoka, Perruso, Pierick, Poepoe, Reyes Oda, Shimizu, Souza voting no (16) and none excused (0).
House of Representatives
4/14/2025
Transmitted to Governor.
House of Representatives
4/15/2025
Received notice of House agreement and passage on Final Reading (Hse. Com. No. 730).
Senate
Roll Call Votes
Senate Judiciary: Passed, With Amendments
4/1/2025
3
Yea
2
Nay
0
Not Voting
0
Absent
Result: PASSED
Senate Commerce and Consumer Protection: Passed, With Amendments
4/1/2025
4
Yea
1
Nay
0
Not Voting
0
Absent
Result: PASSED
Senate Health and Human Services: Passed, With Amendments
3/17/2025
5
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
Senate Health and Human Services: Passed, With Amendments
3/17/2025
5
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
Status Information
Current Status
Enrolled(4/14/2025)
Chamber
Senate
Sponsors
Democrat: 4
Primary Sponsor
Linda Ichiyama
Democrat