All Roll Calls
Yes: 210 • No: 0
HawaiiHB 18642025–2026 Regular Session (Year 2)HouseWALLET
RELATING TO INSURANCE.
Sponsored By: Sean Quinlan (Democratic)
Signed by Governor
Summary
For policies, contracts, plans, and agreements issued or renewed after 12/31/2026, requires insurers, mutual benefit societies, and health maintenance organizations to provide coverage for standard fertility preservation services for persons undergoing medically necessary treatment that may cause iatrogenic infertility. Effective 1/1/2050. (SD2)
InsuranceMandatory CoverageStandard Fertility Preservation ServicesIatrogenic InfertilityMedically Necessary TreatmentHHS, CPN
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Patients get fertility preservation coverage
Hawaii health plans issued or renewed after December 31, 2026, must cover standard fertility preservation services for people facing medically necessary treatment likely to cause infertility. Coverage must follow the full scope of the 2018 American Society of Clinical Oncology guidelines. Plans cannot exclude people because of past fertility diagnoses or treatment, or discriminate based on life expectancy, disability, medical dependence, quality of life, or other health conditions. The mandate does not require coverage for experimental procedures, third-party reproduction, or cryopreservation storage; plans can limit coverage only in line with the guidelines and the person’s medical history.
Sponsors & Cosponsors
Sponsor
Sean Quinlan
Democratic • House
Cosponsors
Kirstin Kahaloa
Democratic • House
Jeanne Kapela
Democratic • House
Nicole E. Lowen
Democratic • House
Roll Call Votes
House vote • 5/6/2026
House Floor Vote
Yes: 51 • No: 0
Senate vote • 4/29/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 3 • No: 0
House vote • 4/29/2026
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 • 4/7/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Senate vote • 3/18/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • 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 • 2/19/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 50 • No: 0
House vote • 2/18/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
Actions Timeline
Act 218, 07/09/2026 (Gov. Msg. No. 1320).
7/9/2026SenateAct 218, on 07/09/2026 (Gov. Msg. No. 1320).
7/9/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateTransmitted to Governor.
5/7/2026HousePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
5/6/2026SenatePassed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).
5/6/2026HouseReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HouseThe 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) San Buenaventura, Keohokalole, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
4/29/2026SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Garcia; 0 Noes: none; and 0 Excused: none.
4/29/2026HouseReported from Conference Committee (Conf Com. Rep. No. 79-26) as amended in (CD 1).
4/29/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
4/29/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).
4/29/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26
4/29/2026SenateConference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
4/28/2026SenateReceived notice of Senate conferees (Sen. Com. No. 725).
4/23/2026HouseSenate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; McKelvey.
4/22/2026SenateHouse Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Garcia.
4/20/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 786).
4/20/2026SenateReceived notice of disagreement (Hse. Com. No. 780).
4/17/2026SenateHouse disagrees with Senate amendment (s).
4/16/2026HouseReport adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
4/14/2026SenateReturned from Senate (Sen. Com. No. 631) in amended form (SD 2).
4/14/2026HouseReported from CPN (Stand. Com. Rep. No. 3716) with recommendation of passage on Third Reading, as amended (SD 2).
4/10/2026Senate48 Hrs. Notice 04-14-26.
4/10/2026SenateThe 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, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
4/7/2026Senate
Bill Text
Bill Text
HB1864_CD1
HB1864_HD1
HB1864_HD2
HB1864_SD1
HB1864_SD2
Original
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