SB 2050HawaiiProcess complete

Chiropractic students may provide supervised care starting in July 2028

Starting July 1, 2028, eligible chiropractic students in Hawaii may provide supervised patient care as part of their degree-required training, with patients' written consent.

What it does

Starting July 1, 2028, eligible chiropractic students may treat patients during degree-required training. A licensed chiropractor must supervise them in person, and patients must give written consent.

Starting July 1, 2028, the Hawaii board of chiropractic must set rules for who may supervise students, what care students may provide, and how training is overseen.

The Hawaii board of chiropractic must report on patient safety, student participation, and how the law is being put into practice before the 2027 legislative session.

Argument forSupervised patient care could help eligible students complete the hands-on training their chiropractic degrees require.

Argument againstFull legal responsibility for student care could make some chiropractors less willing to supervise students.

More detail

Eligible chiropractic students may provide patient care during supervised training required for their degrees. The training must count toward the student's degree. Before giving care, students must tell patients that a student will provide it and obtain their written consent. Students must be actively enrolled in a program accredited by the Council on Chiropractic Education or its successor and approved by the Hawaii board of chiropractic. Students must finish all classroom coursework, be in the patient-care phase of their program, and meet their school's requirements for treating patients. The school must have a formal training agreement with the supervising chiropractor or training site. A Hawaii-licensed chiropractor must directly supervise students, remain at the care location, and retain full professional and legal responsibility for the patient's care. The student training provisions take effect on July 1, 2028.

The Hawaii board of chiropractic must adopt rules for student training. The rules must cover supervisor qualifications, services students may provide, supervision, and recordkeeping and reporting. The rulemaking duty takes effect on July 1, 2028.

The Hawaii board of chiropractic must report to the legislature. The report must cover how the law is being put into practice, patient safety, student participation, and any other recommendations. The reporting requirement takes effect July 1, 2026. The report is due no later than 20 days before the regular 2027 legislative session begins.

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More on this bill

Where it stands

IntroducedJan 14
Passed SenateMar 6
Passed HouseApr 14
To GovernorMay 8
Became LawJun 5

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jun 5Act 090, 06/05/2026 (Gov. Msg. No. 1190).Latest
2. Jun 5Act 090, on 06/05/2026 (Gov. Msg. No. 1190).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 8Enrolled to Governor.To Governor
5. May 6Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.Major
  - Vote recorded Passed Final Reading as amended in CD 1. Result: pass.Lower
6. May 6Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. Apr 29Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 89-26).
9. Apr 2948 Hrs. Notice (as amended CD 1) 05-06-26.
10. Apr 29Reported from Conference Committee (Conf Com. Rep. No. 89-26) as amended in (CD 1).
11. Apr 29Forty-eight (48) hours notice Wednesday, 05-06-26.
12. Apr 28House Conferees Changed: Representative Matayoshi added as Co-Chair. Representative Grandinetti discharged as Co-Chair.
  - Vote recorded The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
  - Vote recorded The Conference Committee recommends that the measure be Passed, with Amendments. Result: pass.Lower
13. Apr 28Received notice of change in conferees (Hse. Com. No. 872).Minor
14. Apr 28The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.Minor
15. Apr 28The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Garrett, Matayoshi, Amato; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Muraoka.Minor
16. Apr 27Conference committee meeting to reconvene on 04-28-26 10:30AM; Conference Room 016.
17. Apr 24Conference committee meeting scheduled for 04-27-26 10:30AM; Conference Room 016.
18. Apr 22Senate Conferees Appointed: McKelvey Chair; Keohokalole Co-Chair; Fevella.
19. Apr 22Received notice of Senate conferees (Sen. Com. No. 723).Minor
20. Apr 21House Conferees Appointed: Garrett, Grandinetti Co-Chairs; Amato, Muraoka.
21. Apr 21Received notice of appointment of House conferees (Hse. Com. No. 800).Minor
22. Apr 16Received from House (Hse. Com. No. 615).Minor
23. Apr 16Senate disagrees with House amendments.Minor
24. Apr 16Received notice of disagreement (Sen. Com. No. 710).Minor
25. Apr 14Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading as amended in HD 2. Result: pass.Lower
26. Apr 10Reported from CPC (Stand. Com. Rep. No. 2121-26) as amended in HD 2, recommending passage on Third Reading.
27. Apr 10Forty-eight (48) hours notice Tuesday, 04-14-26.
28. Apr 9The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
  - Vote recorded The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
29. Apr 7Bill scheduled to be heard by CPC on Thursday, 04-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
30. Mar 30Reported from HED (Stand. Com. Rep. No. 1500-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
  - Vote recorded Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC. Result: pass.Lower
31. Mar 30Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).Minor
32. Mar 25The committee on HED recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Garrett, Amato, Kapela, Kila, La Chica, Olds, Souza; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Evslin, Woodson, Muraoka.Minor
  - Vote recorded The committee on HED recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
33. Mar 20Bill scheduled to be heard by HED on Wednesday, 03-25-26 2:10PM in House conference room 309 VIA VIDEOCONFERENCE.
34. Mar 10Pass First ReadingMinor
35. Mar 10Referred to HED, CPC, referral sheet 16.Minor
36. Mar 6Report Adopted; Passed Third Reading. Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House.Passed Senate
  - Vote recorded Report Adopted; Passed Third Reading. Result: pass.Upper
37. Mar 6Received from Senate (Sen. Com. No. 35) in amended form (SD 1).Minor
38. Mar 5Reported from CPN (Stand. Com. Rep. No. 2723) with recommendation of passage on Third Reading.
39. Mar 5One Day Notice 03-06-26.
40. Feb 26The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.Minor
  - Vote recorded The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. Result: pass.Upper
41. Feb 20The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference.
42. Feb 13Reported from HHS (Stand. Com. Rep. No. 2247) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
43. Feb 13Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.Minor
44. Jan 28The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
45. Jan 27The committee(s) on HHS has scheduled a public hearing on 01-30-26 3:00PM; Conference Room 224 & Videoconference.
46. Jan 22Referred to HHS, CPN.Minor
47. Jan 21Introduced and passed First Reading.Minor
48. Jan 14Pending Introduction.Introduced

HealthcareEducation

Issue with this bill?

SB 2050HawaiiProcess complete

Chiropractic students may provide supervised care starting in July 2028

Starting July 1, 2028, eligible chiropractic students in Hawaii may provide supervised patient care as part of their degree-required training, with patients' written consent.

What it does

Starting July 1, 2028, the Hawaii board of chiropractic must set rules for who may supervise students, what care students may provide, and how training is overseen.

The Hawaii board of chiropractic must report on patient safety, student participation, and how the law is being put into practice before the 2027 legislative session.

Argument forSupervised patient care could help eligible students complete the hands-on training their chiropractic degrees require.

Argument againstFull legal responsibility for student care could make some chiropractors less willing to supervise students.

More detail

Where do you stand?

Tell your reps

Take a position to see your representatives and ways to contact them.

More on this bill

Where it stands

IntroducedJan 14
Passed SenateMar 6
Passed HouseApr 14
To GovernorMay 8
Became LawJun 5

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jun 5Act 090, 06/05/2026 (Gov. Msg. No. 1190).Latest
2. Jun 5Act 090, on 06/05/2026 (Gov. Msg. No. 1190).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 8Enrolled to Governor.To Governor
5. May 6Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.Major
  - Vote recorded Passed Final Reading as amended in CD 1. Result: pass.Lower
6. May 6Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. Apr 29Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 89-26).
9. Apr 2948 Hrs. Notice (as amended CD 1) 05-06-26.
10. Apr 29Reported from Conference Committee (Conf Com. Rep. No. 89-26) as amended in (CD 1).
11. Apr 29Forty-eight (48) hours notice Wednesday, 05-06-26.
12. Apr 28House Conferees Changed: Representative Matayoshi added as Co-Chair. Representative Grandinetti discharged as Co-Chair.
  - Vote recorded The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
  - Vote recorded The Conference Committee recommends that the measure be Passed, with Amendments. Result: pass.Lower
13. Apr 28Received notice of change in conferees (Hse. Com. No. 872).Minor
14. Apr 28The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) McKelvey, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.Minor
15. Apr 28The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Garrett, Matayoshi, Amato; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Muraoka.Minor
16. Apr 27Conference committee meeting to reconvene on 04-28-26 10:30AM; Conference Room 016.
17. Apr 24Conference committee meeting scheduled for 04-27-26 10:30AM; Conference Room 016.
18. Apr 22Senate Conferees Appointed: McKelvey Chair; Keohokalole Co-Chair; Fevella.
19. Apr 22Received notice of Senate conferees (Sen. Com. No. 723).Minor
20. Apr 21House Conferees Appointed: Garrett, Grandinetti Co-Chairs; Amato, Muraoka.
21. Apr 21Received notice of appointment of House conferees (Hse. Com. No. 800).Minor
22. Apr 16Received from House (Hse. Com. No. 615).Minor
23. Apr 16Senate disagrees with House amendments.Minor
24. Apr 16Received notice of disagreement (Sen. Com. No. 710).Minor
25. Apr 14Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading as amended in HD 2. Result: pass.Lower
26. Apr 10Reported from CPC (Stand. Com. Rep. No. 2121-26) as amended in HD 2, recommending passage on Third Reading.
27. Apr 10Forty-eight (48) hours notice Tuesday, 04-14-26.
28. Apr 9The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
  - Vote recorded The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
29. Apr 7Bill scheduled to be heard by CPC on Thursday, 04-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
30. Mar 30Reported from HED (Stand. Com. Rep. No. 1500-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
  - Vote recorded Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC. Result: pass.Lower
31. Mar 30Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).Minor
32. Mar 25The committee on HED recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Garrett, Amato, Kapela, Kila, La Chica, Olds, Souza; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Evslin, Woodson, Muraoka.Minor
  - Vote recorded The committee on HED recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
33. Mar 20Bill scheduled to be heard by HED on Wednesday, 03-25-26 2:10PM in House conference room 309 VIA VIDEOCONFERENCE.
34. Mar 10Pass First ReadingMinor
35. Mar 10Referred to HED, CPC, referral sheet 16.Minor
36. Mar 6Report Adopted; Passed Third Reading. Ayes, 24; Aye(s) with reservations: none. Noes, 0 (none). Excused, 1 (Senator(s) Ihara). Transmitted to House.Passed Senate
  - Vote recorded Report Adopted; Passed Third Reading. Result: pass.Upper
37. Mar 6Received from Senate (Sen. Com. No. 35) in amended form (SD 1).Minor
38. Mar 5Reported from CPN (Stand. Com. Rep. No. 2723) with recommendation of passage on Third Reading.
39. Mar 5One Day Notice 03-06-26.
40. Feb 26The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.Minor
  - Vote recorded The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. Result: pass.Upper
41. Feb 20The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference.
42. Feb 13Reported from HHS (Stand. Com. Rep. No. 2247) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
43. Feb 13Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.Minor
44. Jan 28The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
45. Jan 27The committee(s) on HHS has scheduled a public hearing on 01-30-26 3:00PM; Conference Room 224 & Videoconference.
46. Jan 22Referred to HHS, CPN.Minor
47. Jan 21Introduced and passed First Reading.Minor
48. Jan 14Pending Introduction.Introduced

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What it does

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Tell your reps

More on this bill

Where it stands

Looking ahead

History

What it does

Where do you stand?

Choose your position

Tell your reps

More on this bill

Where it stands

Looking ahead

History