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Bill

HB 2312

RELATING TO SYNDROMIC SURVEILLANCE.

2026 Regular Session Introduced by Nadine Nakamura

HB 2312 establishes automated health surveillance systems in Hawaii to detect disease outbreaks and health threats in real-time across healthcare facilities.

Referred to HLT, CPC, referral sheet 5
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Bill Summary · HB 2312

Legislative bill overview

HB 2312 establishes or modifies syndromic surveillance systems in Hawaii—automated systems that track health symptoms and disease patterns in real-time across healthcare facilities to detect disease outbreaks early. The bill was introduced by Representative Nadine Nakamura and is currently in committee referral (Health and Human Services, Consumer Protection & Commerce).

Why is this important

Syndromic surveillance enables public health officials to identify emerging infectious disease threats, bioterrorism, or unusual health clusters before confirmed diagnoses are available, allowing faster response. This became particularly relevant post-COVID-19, as states evaluated their disease detection infrastructure and real-time monitoring capabilities.

Potential points of contention

  • Privacy concerns: Real-time collection of symptom data from healthcare systems raises questions about individual privacy, data security, and how long symptom information is retained
  • Data standardization and accuracy: Different facilities may report symptoms inconsistently, potentially creating false alarms or missing genuine signals
  • Implementation costs and burden: Healthcare facilities must integrate with surveillance systems, which requires IT infrastructure investment and staff training

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

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