HawaiiHB 15092025–2026 Regular Session (Year 2)HouseWALLET

RELATING TO WORKERS' COMPENSATION.

Sponsored By: Scot Z. Matayoshi (Democratic)

Signed by Governor

Summary

Repeals the authorization of a physician to transmit a treatment plan by mail or facsimile to an address or facsimile number provided by the employer. Requires employers denying a treatment plan to file a written denial with the Director of Labor and Industrial Relations within seven days of receipt. Places the burden of proof on the employer to establish by a preponderance of medical evidence that the denial of the treatment plan is justified. Establishes a presumption that a denial of a treatment plan not supported by a medical opinion or relevant medical records existing at the time of denial shall be without reasonable grounds. Clarifies that a treatment plan is deemed accepted if an employer fails to file a written denial within the seven-day period. Requires employers to pay the appropriate health care provider for any medical care set forth in a treatment plan that is accepted or deemed accepted. Establishes penalties for employers whom the Director found to have denied a treatment plan without reasonable grounds, frivolously, or primarily for purposes of delay, or to have failed to pay for an injured employee's medical care under an accepted treatment plan. Effective 1/1/2077. (SD1)

Workers' CompensationTreatment PlanResponsePenaltyLAB, CPC, FIN

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Workers Get Faster Treatment Plan Decisions

Beginning July 1, 2026, doctors can send workers’ compensation treatment plans by mail, fax, or secure electronic means. The employer must provide the address or fax number used. A plan is received when there is reasonable evidence it arrived. Within 10 days, the employer must file an electronic response with the state labor director, accepting the plan or objecting to it. An objection must include supporting medical evidence and a copy of the plan, with copies sent to the doctor and injured worker. A plan is deemed accepted if the employer does not file the required response materials on time. A late response brings a $1,000 fine unless the director finds good cause. After accepting a plan, the employer can object if new medical evidence supports denial. If the director finds a denial lacked reasonable grounds, was frivolous, or was mainly meant to delay, the employer must pay qualifying costs, including reasonable lawyer fees, for challenging the denial or enforcing payment. The law does not change rights, duties, penalties, or proceedings that began before July 1, 2026.

Sponsors & Cosponsors

Sponsor

  • Scot Z. Matayoshi

    Democratic • House

Cosponsors

  • Tina Nakada Grandinetti

    Democratic • House

  • Greggor Ilagan

    Democratic • House

  • Kirstin Kahaloa

    Democratic • House

  • Darius K. Kila

    Democratic • House

  • Lisa Kitagawa

    Democratic • House

  • Matthias Kusch

    Democratic • House

  • Mike Lee

    Democratic • House

  • M.

    Affiliation unavailable

  • Lisa Marten

    Democratic • House

  • Dee Morikawa

    Democratic • House

  • Ikaika Olds

    Democratic • House

  • Gregg Takayama

    Democratic • House

  • Adrian K. Tam

    Democratic • House

  • David A. Tarnas

    Democratic • House

  • Shirley Ann Templo

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 224 • No: 0

House vote • 5/6/2026

House Floor Vote

Yes: 51 • No: 0

Senate vote • 5/1/2026

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....

Yes: 4 • No: 0

House vote • 5/1/2026

The Conference Committee recommends that the measure be Passed, with Amendments....

Yes: 4 • No: 0

Senate vote • 4/14/2026

Senate Floor Vote

Yes: 25 • No: 0

Senate vote • 4/8/2026

The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...

Yes: 13 • No: 0

Senate vote • 4/8/2026

The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The...

Yes: 5 • No: 0

Senate vote • 3/23/2026

The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 3 • No: 0

Senate vote • 3/23/2026

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 4 • No: 0

House vote • 3/10/2026

House Floor Vote

Yes: 50 • No: 0

House vote • 3/3/2026

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 10 • No: 0

House vote • 2/20/2026

Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...

Yes: 49 • No: 0

House vote • 2/17/2026

The committee on LAB recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 6 • No: 0

Actions Timeline

  1. Act 131, 06/24/2026 (Gov. Msg. No. 1232).

    6/24/2026Senate
  2. Act 131, on 06/24/2026 (Gov. Msg. No. 1232).

    6/24/2026House
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

    5/8/2026Senate
  4. Transmitted to Governor.

    5/7/2026House
  5. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

    5/6/2026Senate
  6. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

    5/6/2026House
  7. Received notice of Final Reading (Sen. Com. No. 816).

    5/6/2026House
  8. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Sayama, Matayoshi, Lee, M., Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

    5/1/2026House
  9. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) Elefante, Keohokalole, Rhoads, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.

    5/1/2026Senate
  10. Reported from Conference Committee (Conf Com. Rep. No. 145-26) as amended in (CD 1).

    5/1/2026House
  11. Forty-eight (48) hours notice Wednesday, 05-06-26.

    5/1/2026House
  12. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 145-26).

    5/1/2026Senate
  13. 48 Hrs. Notice (as amended CD 1) 05-06-26

    5/1/2026Senate
  14. Conference Committee Meeting will reconvene on Friday 05-01-26 9:00AM in conference room 016.

    4/30/2026House
  15. Conference Committee Meeting will reconvene on Thursday 04-30-26 9:00AM in conference room 016.

    4/29/2026House
  16. Conference Committee Meeting will reconvene on Wednesday 04-29-26 9:00AM in conference room 016.

    4/28/2026House
  17. Conference Committee Meeting will reconvene on Tuesday 04-28-26 9:00AM in conference room 016.

    4/27/2026House
  18. Conference Committee Meeting will reconvene on Monday 04-27-26 9:00AM in conference room 016.

    4/24/2026House
  19. Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 8:45AM in conference room 016.

    4/23/2026House
  20. Senate Conferees Appointed: Elefante Chair; Keohokalole, Rhoads, Kanuha Co-Chairs; Lamosao.

    4/21/2026Senate
  21. Received notice of Senate conferees (Sen. Com. No. 717).

    4/21/2026House
  22. Re-referred to LAB, CPC, FIN, referral sheet 30

    4/20/2026House
  23. House Conferees Appointed: Sayama, Matayoshi, Lee, M. Co-Chairs; Garcia.

    4/20/2026House
  24. Received notice of appointment of House conferees (Hse. Com. No. 786).

    4/20/2026Senate
  25. Received notice of disagreement (Hse. Com. No. 780).

    4/17/2026Senate

Bill Text

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