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Bill

SB 3134

RELATING TO EMERGENCY MEDICAL SYSTEMS OF CARE.

2026 Regular Session Introduced by Ron Kouchi

Hawaii bill addresses emergency medical services system structure and operations; passed HHS committee with amendments pending further legislative review.

Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
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Bill Summary · SB 3134

Legislative bill overview

SB 3134 addresses the structure and operations of Hawaii's emergency medical systems of care, though the specific provisions are not detailed in the available legislative history. The bill has advanced through the Health and Human Services (HHS) committee with a recommendation for passage with amendments as of February 2026.

Why is this important

Emergency medical services are critical infrastructure affecting public health outcomes, response times, and healthcare access across Hawaii's islands. Changes to EMS systems can impact everything from ambulance dispatch protocols to paramedic training requirements to inter-agency coordination during emergencies.

Potential points of contention

  • Jurisdictional authority: Clarification of whether county, state, or private entities control EMS operations and funding responsibilities
  • Resource allocation: Potential costs associated with system improvements, staffing changes, or equipment upgrades across different islands
  • Implementation standards: Whether amendments impose new regulatory requirements, training mandates, or performance metrics that could affect existing EMS providers

Compiled from official sources — confirm details with the bill’s official record.

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