# Hawaii HB 1643: RELATING TO PHARMACY.

Hawaii HB 1643, RELATING TO PHARMACY., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Scot Z. Matayoshi (Democratic); status signed, last action 2026-05-26 (Act 039, 05/26/2026 (Gov. Msg. No. 1139).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB1643-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 1643
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO PHARMACY.
- Status: signed
- Chamber: House
- Introduced: 2026-01-20
- Last action: 2026-05-26, Act 039, 05/26/2026 (Gov. Msg. No. 1139).
- Sponsor: Scot Z. Matayoshi (Democratic)
- Cosponsors: 8
- Subjects: Pharmacy, Registered Pharmacists, Audits, Pharmacy Benefit Managers, Exclusion, Health Maintenance Organization, Integrated Delivery System, HHS, CPN
- Touches household money: yes
- Roll calls: 10 (209 yes, 0 no in all)
- Economic provisions PRIA read: 3

## Summary

Specifies a framework for the administration of audits of records of registered pharmacists and pharmacies. Amends the definition of "pharmacy benefit manager" under chapter 431S, HRS, to exclude certain health maintenance organizations. Effective 7/1/3000. (SD2)

## Bill overview: provisions PRIA read

- More notice and records for pharmacy audits: benefit, low. State and county payers, insurers, health plans, pharmacy benefit managers, and other listed entities must follow these audit rules. Hawaii Department of Health audits are excluded. The law counts contractors and employees who manage pharmacy benefits for covered entities as pharmacy benefit manage…
- Pharmacies get paid for package sizes: mixed, medium. Pharmacies must be allowed to dispense and receive payment for the smallest commercially packaged product that contains the amount needed for the prescribed days’ supply. This applies even when the package exceeds the maximum days’ supply in the pharmacy’s agreement. Days’ supply uses the highest d…
- Pharmacies face limits on audit recoupments: mixed, low. Auditors can recover only actual overpayments on claims disclosed in an audit. They cannot spread findings to other prescriptions. A projected amount is allowed only in a settlement the pharmacy accepts. Pharmacy benefit managers must offer an appeal, dismiss findings found unsupported, and wait un…

## Sponsors and cosponsors

- Sponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Cory M. Chun (Democratic), House
- Cosponsor: Tina Nakada Grandinetti (Democratic), House
- Cosponsor: Greggor Ilagan (Democratic), House
- Cosponsor: Darius K. Kila (Democratic), House
- Cosponsor: Lisa Marten (Democratic), House
- Cosponsor: Ikaika Olds (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: David A. Tarnas (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-06 | House | House Floor Vote | pass | 51 | 0 |   |
| 2026-04-24 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 2 | 0 |   |
| 2026-04-24 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 4 | 0 |   |
| 2026-04-14 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2026-04-07 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2026-03-20 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2026-03-10 | House | House Floor Vote | pass | 50 | 0 |   |
| 2026-03-03 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 10 | 0 |   |
| 2026-02-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 50 | 0 |   |
| 2026-02-13 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |

## Actions (45)

- 2026-05-26: Act 039, 05/26/2026 (Gov. Msg. No. 1139). (Senate)
- 2026-05-26: Act 039, on 05/26/2026 (Gov. Msg. No. 1139). (House)
- 2026-05-08: Received notice of passage on Final Reading in House (Hse. Com. No. 888). (Senate)
- 2026-05-07: Transmitted to Governor. (House)
- 2026-05-06: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. (Senate)
- 2026-05-06: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-05-06: Received notice of Final Reading (Sen. Com. No. 816). (House)
- 2026-04-29: Reported from Conference Committee (Conf Com. Rep. No. 52-26) as amended in (CD 1). (House)
- 2026-04-29: Forty-eight (48) hours notice Wednesday, 05-06-26. (House)
- 2026-04-29: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 52-26). (Senate)
- 2026-04-29: 48 Hrs. Notice (as amended CD 1) 05-06-26 (Senate)
- 2026-04-24: The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2026-04-24: The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) McKelvey, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2026-04-23: Received notice of Senate conferees (Sen. Com. No. 725). (House)
- 2026-04-23: Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329. (House)
- 2026-04-22: Senate Conferees Appointed: McKelvey Chair; Keohokalole Co-Chair; Fevella. (Senate)
- 2026-04-21: House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Alcos. (House)
- 2026-04-21: Received notice of appointment of House conferees (Hse. Com. No. 799). (Senate)
- 2026-04-17: Received notice of disagreement (Hse. Com. No. 780). (Senate)
- 2026-04-16: House disagrees with Senate amendment (s). (House)
- 2026-04-14: Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: Senator(s) McKelvey. Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2026-04-14: Returned from Senate (Sen. Com. No. 595) in amended form (SD 2). (House)
- 2026-04-10: Reported from CPN (Stand. Com. Rep. No. 3741) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2026-04-10: 48 Hrs. Notice 04-14-26. (Senate)
- 2026-04-07: The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 1 Excused: Senator(s) Awa. (Senate)
- 2026-04-02: The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference. (Senate)
- 2026-03-25: Reported from HHS (Stand. Com. Rep. No. 3189) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. (Senate)
- 2026-03-25: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. (Senate)
- 2026-03-20: The 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, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. (Senate)
- 2026-03-17: The committee(s) on HHS has scheduled a public hearing on 03-20-26 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2026-03-12: Received from House (Hse. Com. No. 253). (Senate)
- 2026-03-12: Passed First Reading. (Senate)
- 2026-03-12: Referred to HHS, CPN. (Senate)
- 2026-03-10: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. (House)
- 2026-03-06: Reported from CPC (Stand. Com. Rep. No. 1066-26) as amended in HD 2, recommending passage on Third Reading. (House)
- 2026-03-06: Forty-eight (48) hours notice Tuesday, 03-10-26. (House)
- 2026-03-03: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick. (House)
- 2026-02-27: Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-02-18: Reported from HLT (Stand. Com. Rep. No. 347-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2026-02-18: Passed 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 none excused (0). (House)
- 2026-02-13: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. (House)
- 2026-02-10: Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-01-26: Referred to HLT, CPC, referral sheet 1 (House)
- 2026-01-21: Introduced and Pass First Reading. (House)
- 2026-01-20: Prefiled. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_CD1_.pdf)
- HB1643_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_CD1_.HTM)
- HB1643_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_HD1_.HTM)
- HB1643_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_HD2_.HTM)
- HB1643_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_SD1_.HTM)
- HB1643_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_SD2_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1139_.PDF)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_CD1_.pdf)
- [HB1643_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_CD1_.HTM)
- [HB1643_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_HD1_.HTM)
- [HB1643_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_HD2_.HTM)
- [HB1643_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_SD1_.HTM)
- [HB1643_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_SD2_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1643_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1139_.PDF)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2964: RELATING TO PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB2964-2026)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/HI-HB1643-2026 (as of 2026-11-01).