HI HB2314

Modernizes Hawaii's emergency medical services laws by establishing a comprehensive "emergency medical systems of care" model that integrates pre-hospital care, emergency response, facility-based care, trauma services, and disaster response into a coordinated statewide network.

Renames the state emergency medical services advisory committee to the "Hawaii Emergency Medical Systems of Care Advisory Council" and expands membership from 20 to 23 members, adding positions for trauma/acute care surgeons, the Hawaii 911 board executive director, and the emergency management administrator.

Updates definitions for emergency medical personnel including paramedics, emergency medical technicians, and advanced EMTs, requiring National Registry certification and state licensure under section 453-34.

Authorizes basic life support personnel to place tourniquets and expands emergency air-medical services definitions to include both rotary and fixed-wing aircraft transport to specialized care facilities.

Requires the Department of Health to oversee statewide 911 emergency dispatch systems, establish interoperable communications, and collect data on time-sensitive emergencies including burns, strokes, cardiac events, and behavioral medical crises.