# Hawaii HB 1875: RELATING TO HEALTH CARE. Hawaii HB 1875, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Adrian K. Tam (Democratic); status signed, last action 2026-05-29 (Act 059, 05/29/2026 (Gov. Msg. No. 1159).); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/HI-HB1875-2026 - 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 1875 - State: Hawaii - Session: 2025–2026 Regular Session (Year 2) - Title: RELATING TO HEALTH CARE. - Status: signed - Chamber: House - Introduced: 2026-01-23 - Last action: 2026-05-29, Act 059, 05/29/2026 (Gov. Msg. No. 1159). - Sponsor: Adrian K. Tam (Democratic) - Cosponsors: 7 - Subjects: Gender-Affirming Health Care Services, Reproductive Health Care Services, Protections, Abusive Litigation, Medical Malpractice Insurance, Health Carriers, Protected Health Information, Covered Entities, HHS/CPN, JDC - Touches household money: yes - Roll calls: 10 (183 yes, 30 no in all) - Economic provisions PRIA read: 6 ## Summary Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care services or gender-affirming health care services. (SD2) ## Bill overview: provisions PRIA read - People targeted by care lawsuits can sue: benefit, medium. People and certain employers or principals targeted by abusive lawsuits over care lawful in Hawaii can sue in state circuit court. They can seek a court order, actual and punitive damages, costs, and reasonable attorney fees. They must file within six years after the lawsuit starts or enforcement o… - Private records stay protected from cases: benefit, medium. Covered entities cannot use or share health records to punish someone merely for seeking or providing qualifying care. Some official requests need a signed statement that the disclosure is allowed. Knowingly making a false statement is a misdemeanor. Separate rules also protect certain marriage and… - Providers keep coverage for lawful care: benefit, medium. A malpractice insurer cannot refuse, cancel, or decline to renew a provider's coverage solely because the provider offers or refers patients for qualifying care. The care must follow Hawaii law and accepted practice standards. Unsupported rate increases and penalties for that reason are also barred… - Hawaii blocks penalties for lawful care: benefit, medium. Hawaii courts and agencies cannot help certain out-of-state cases targeting care that is lawful here. The state will not enforce certain foreign judgments or apply other states' laws in these cases. The governor must deny certain surrender requests, and Hawaii judges cannot issue some summonses for… - Care providers keep licensing protections: benefit, low. Several licensing boards cannot use specified out-of-state discipline or convictions to penalize providers over reproductive or gender-affirming care that was lawful in Hawaii. The protections cover physicians, counselors, nurses, psychologists, and marriage and family therapists. The exact rule di… - Family therapy needs group waivers: mixed, low. When family members receive therapy together, a therapist can share information covered by a person's written waiver. Every legally competent person in the family must also sign a waiver. ## Sponsors and cosponsors - Sponsor: Adrian K. Tam (Democratic), House - Cosponsor: Terez Amato (Democratic), House - Cosponsor: Tina Nakada Grandinetti (Democratic), House - Cosponsor: Linda Ichiyama (Democratic), House - Cosponsor: Greggor Ilagan (Democratic), House - Cosponsor: Kim Coco Iwamoto (Democratic), House - Cosponsor: Lisa Marten (Democratic), House - Cosponsor: Amy A. Perruso (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-23 | House | House Floor Vote | pass | 42 | 8 | | | 2026-04-14 | Senate | Senate Floor Vote | pass | 21 | 4 | | | 2026-04-07 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 1 | | | 2026-03-24 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 1 | | | 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 | 44 | 6 | | | 2026-02-24 | House | The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 7 | 1 | | | 2026-02-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA... | pass | 44 | 6 | | | 2026-02-11 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 1 | | | 2026-02-11 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 6 | 2 | | ## Actions (41) - 2026-05-29: Act 059, 05/29/2026 (Gov. Msg. No. 1159). (Senate) - 2026-05-29: Act 059, on 05/29/2026 (Gov. Msg. No. 1159). (House) - 2026-04-24: Received notice of passage on Final Reading in House (Hse. Com. No. 823). (Senate) - 2026-04-23: Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 815). (Senate) - 2026-04-23: House agrees to Senate amendment(s). (House) - 2026-04-23: Passed Final Reading as amended in SD 2 with Representative(s) Kila, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and Representative(s) Evslin excused (1). (House) - 2026-04-23: Transmitted to Governor. (House) - 2026-04-22: Reconsideration of action taken on 04-16-26. (House) - 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, 21; Aye(s) with reservations: none. Noes, 4 (Senator(s) Awa, DeCorte, Fevella, Gabbard). Excused, 0 (none). Transmitted to House. (Senate) - 2026-04-14: Returned from Senate (Sen. Com. No. 633) in amended form (SD 2). (House) - 2026-04-10: Reported from JDC (Stand. Com. Rep. No. 3798) 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 JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Gabbard; and 1 Excused: Senator(s) Awa. (Senate) - 2026-04-01: The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference. (Senate) - 2026-03-30: Reported from HHS/CPN (Stand. Com. Rep. No. 3338) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate) - 2026-03-30: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (Senate) - 2026-03-24: 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, McKelvey; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. (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; Aye(s) with reservations: Senator(s) Fevella ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. (Senate) - 2026-03-20: The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference. (Senate) - 2026-03-16: The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference. (Senate) - 2026-03-12: Received from House (Hse. Com. No. 306). (Senate) - 2026-03-12: Passed First Reading. (Senate) - 2026-03-12: Referred to HHS/CPN, JDC. (Senate) - 2026-03-10: Passed Third Reading as amended in HD 2 with Representative(s) Kila, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Pierick, Shimizu voting no (6) and none excused (0). Transmitted to Senate. (House) - 2026-03-06: Reported from JHA (Stand. Com. Rep. No. 1141-26) as amended in HD 2, recommending passage on Third Reading. (House) - 2026-03-06: Forty-eight (48) hours notice Tuesday, 03-10-26. (House) - 2026-02-24: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Sayama, Takayama; Ayes with reservations: Representative(s) Cochran; 1 Noes: Representative(s) Shimizu; and 2 Excused: Representative(s) Hashem, Garcia. (House) - 2026-02-20: Bill scheduled to be heard by JHA on Tuesday, 02-24-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. (House) - 2026-02-18: Reported from HLT/CPC (Stand. Com. Rep. No. 476-26) as amended in HD 1, recommending passage on Second Reading and referral to JHA. (House) - 2026-02-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Kila, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick voting no (6) and none excused (0). (House) - 2026-02-11: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 1 Excused: Representative(s) Amato. (House) - 2026-02-11: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Marten, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Kong; and 2 Excused: Representative(s) Lowen, Pierick. (House) - 2026-02-08: This measure has been deleted from the meeting scheduled on Monday 02-09-26 2:00PM in conference room 329 VIA VIDEOCONFERENCE. (House) - 2026-02-08: Bill scheduled to be heard by HLT/CPC on Wednesday, 02-11-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House) - 2026-02-06: Bill scheduled to be heard by HLT/CPC on Monday, 02-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House) - 2026-01-30: Re-referred to HLT/CPC, JHA, referral sheet 5 (House) - 2026-01-26: Introduced and Pass First Reading. (House) - 2026-01-26: Referred to HLT, CPC, JHA, referral sheet 2 (House) - 2026-01-23: Pending introduction. (House) ## Bill text - Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD2_.pdf) - HB1875_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD1_.HTM) - HB1875_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD2_.HTM) - HB1875_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD1_.HTM) - HB1875_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD2_.HTM) - Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1159_.PDF) ## Related bills - SB 847: RELATING TO PSYCHOLOGISTS. (became law) - HB 2021: RELATING TO TRANSPORTATION. (signed) - SB 2338: RELATING TO HOUSING. (signed) - HB 2344: RELATING TO SCHOOL FACILITIES. (signed) - HB 2023: RELATING TO TRANSPORTATION. (signed) - HB 1973: RELATING TO HEALTH. (signed) ## Sources - [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD2_.pdf) - [HB1875_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD1_.HTM) - [HB1875_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD2_.HTM) - [HB1875_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD1_.HTM) - [HB1875_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD2_.HTM) - [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_.HTM) - [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/GM1159_.PDF) ## Related - [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026) - [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026) - [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 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026) - [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-HB1875-2026 (as of 2026-11-01).