HawaiiHB 18982025–2026 Regular Session (Year 2)House

RELATING TO HEALTH.

Sponsored By: Scot Z. Matayoshi (Democratic)

Passed

Summary

Specifies that no person is subject to liability for providing clinical preventive services in accordance with Department of Health recommendations. Requires health insurers, mutual benefit societies, health maintenance organizations, and plans established by the Hawaii Employer-Union Health Benefits Trust to provide coverage for clinical preventive services. Authorizes the Department of Health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations. Clarifies that, for coverage for child health supervision services, the prevailing medical standards include recommendations by the Department of Health. Specifies that coverage for clinical preventive services shall not be denied on the basis of medical necessity or subject to prior authorization. Specifies that a registered pharmacist may order a vaccine in accordance with the recommendations from the Department of Health. Exempts this measure from an Auditor impact assessment report. Effective 1/30/2050. (SD1)

DOHInsurancePreventive Services CoverageRecommendationsStanding OrdersChild Health Supervision ServicesImmunizationPrevailing Medical StandardsPharmacistsEUTFHLT, CPC, FIN

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Scot Z. Matayoshi

    Democratic • House

Cosponsors

  • Terez Amato

    Democratic • House

  • Della Au Belatti

    Democratic • House

  • Luke A. Evslin

    Democratic • House

  • Tina Nakada Grandinetti

    Democratic • House

  • Lisa Marten

    Democratic • House

  • Dee Morikawa

    Democratic • House

  • Jackson D. Sayama

    Democratic • House

  • Gregg Takayama

    Democratic • House

  • Adrian K. Tam

    Democratic • House

  • David A. Tarnas

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 154 • No: 19

Senate vote 4/14/2026

Senate Floor Vote

Yes: 22 • No: 3

Senate vote 4/8/2026

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

Yes: 4 • No: 1

Senate vote 4/8/2026

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

Yes: 12 • No: 1

Senate vote 3/24/2026

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

Yes: 4 • No: 1

Senate vote 3/20/2026

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

Yes: 4 • No: 0

House vote 3/10/2026

House Floor Vote

Yes: 43 • No: 8

House vote 3/3/2026

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

Yes: 10 • No: 0

House vote 2/18/2026

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

Yes: 48 • No: 3

House vote 2/11/2026

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

Yes: 7 • No: 2

Actions Timeline

  1. Received notice of Senate conferees (Sen. Com. No. 741).

    4/24/2026House
  2. Senate Conferees Appointed: San Buenaventura Chair; McKelvey, Rhoads, Moriwaki Co-Chairs; Fevella.

    4/23/2026Senate
  3. Re-referred to HLT, CPC, FIN, referral sheet 30

    4/20/2026House
  4. House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Garcia.

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

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

    4/17/2026Senate
  7. House disagrees with Senate amendment (s).

    4/16/2026House
  8. Report Adopted; Passed Third Reading. Ayes, 22; Aye(s) with reservations: none. Noes, 3 (Senator(s) Awa, DeCorte, Fevella). Excused, 0 (none). Transmitted to House.

    4/14/2026Senate
  9. Returned from Senate (Sen. Com. No. 640) in amended form (SD 1).

    4/14/2026House
  10. Reported from JDC/WAM (Stand. Com. Rep. No. 3780) with recommendation of passage on Third Reading.

    4/10/2026Senate
  11. One Day Notice 04-14-26.

    4/10/2026Senate
  12. The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 1 No(es): Senator(s) Fevella; and 0 Excused: none.

    4/8/2026Senate
  13. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none.

    4/8/2026Senate
  14. The committee(s) on JDC/WAM will hold a public decision making on 04-08-26 10:15AM; Conference Room 211 & Videoconference.

    4/6/2026Senate
  15. Reported from HHS/CPN (Stand. Com. Rep. No. 3235) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.

    3/30/2026Senate
  16. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.

    3/30/2026Senate
  17. 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.

    3/24/2026Senate
  18. 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.

    3/20/2026Senate
  19. The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference.

    3/20/2026Senate
  20. The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference.

    3/16/2026Senate
  21. Received from House (Hse. Com. No. 316).

    3/12/2026Senate
  22. Passed First Reading.

    3/12/2026Senate
  23. Referred to HHS/CPN, JDC/WAM.

    3/12/2026Senate
  24. Passed Third Reading as amended in HD 2 with Representative(s) Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kila, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and none excused (0). Transmitted to Senate.

    3/10/2026House
  25. Reported from CPC (Stand. Com. Rep. No. 1069-26) as amended in HD 2, recommending passage on Third Reading.

    3/6/2026House

Bill Text

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