# Hawaii HB 216: RELATING TO PRESCRIPTION DRUGS.

Hawaii HB 216, RELATING TO PRESCRIPTION DRUGS., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Gregg Takayama (Democratic); status failed, last action 2025-12-08 (Carried over to 2026 Regular Session.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB216-2026
- 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 216
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO PRESCRIPTION DRUGS.
- Status: failed
- Chamber: House
- Introduced: 2025-01-15
- Last action: 2025-12-08, Carried over to 2026 Regular Session.
- Sponsor: Gregg Takayama (Democratic)
- Cosponsors: 6
- Subjects: Health Insurance, Prescription Drugs, Step Therapy Protocol, Clinical Review Criteria, Clinical Practice Guidelines, Exceptions, HLT, CPC, FIN
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Establishes requirements for the clinical review criteria and clinical practical guidelines used to establish step therapy protocols. Provides a process for a patient to request an exception to using step therapy protocols. Establishes insurance coverage requirements relating to the use of step therapy protocols and standards to appeal an adverse step therapy exception determination.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Gregg Takayama (Democratic), House
- Cosponsor: Darius K. Kila (Democratic), House
- Cosponsor: Lisa Kitagawa (Democratic), House
- Cosponsor: Lauren Matsumoto (Republican), House
- Cosponsor: Elijah Pierick (Republican), House
- Cosponsor: Jenna Takenouchi (Democratic), House
- Cosponsor: Adrian K. Tam (Democratic), House

## Actions (4)

- 2025-12-08: Carried over to 2026 Regular Session.
- 2025-01-21: Referred to HLT, CPC, FIN, referral sheet 1 (House)
- 2025-01-16: Introduced and Pass First Reading. (House)
- 2025-01-15: Pending introduction. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB216_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB216_.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
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB216_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB216_.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-HB216-2026 (as of 2026-11-01).