# Hawaii HB 2225: RELATING TO HEALTH.

Hawaii HB 2225, RELATING TO HEALTH., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Tina Nakada Grandinetti (Democratic); status failed, last action 2026-01-30 (Referred to HLT, CPC, referral sheet 5) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2225-2026
- 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 2225
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HEALTH.
- Status: failed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-01-30, Referred to HLT, CPC, referral sheet 5
- Sponsor: Tina Nakada Grandinetti (Democratic)
- Cosponsors: 14
- Subjects: Pharmacy Benefit Managers, Prescription Drug Benefit Plans, Providers, Beneficiaries, Cost Sharing, Deductibles, Reimbursement, Pass-Through Pricing, Spread Pricing, HLT, CPC
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Prohibits discrimination against a pharmacy or pharmacist with respect to participation, referral, reimbursement of a covered service, or indemnification. Establishes beneficiary cost sharing and deductible requirements for prescription drugs. Establishes minimum rates for which pharmacy benefit managers are to reimburse pharmacies for dispensing prescription drugs. For prescription drug benefit plans executed, amended, adjusted, or renewed on or after 7/1/2027, requires a pharmacy benefit manager to use pass-through pricing, or may alternatively use spread pricing if any savings realized by the pharmacy benefit manager are passed on.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Tina Nakada Grandinetti (Democratic), House
- Cosponsor: Della Au Belatti (Democratic), House
- Cosponsor: Cory M. Chun (Democratic), House
- Cosponsor: Greggor Ilagan (Democratic), House
- Cosponsor: Kim Coco Iwamoto (Democratic), House
- Cosponsor: KEOHOKAPU-LEE LOY
- Cosponsor: Matthias Kusch (Democratic), House
- Cosponsor: Mike Lee (Democratic), House
- Cosponsor: M.
- Cosponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Ikaika Olds (Democratic), House
- Cosponsor: Amy A. Perruso (Democratic), House
- Cosponsor: Mahina Poepoe (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: Adrian K. Tam (Democratic), House

## Actions (3)

- 2026-01-30: Referred to HLT, CPC, referral sheet 5 (House)
- 2026-01-28: Introduced and Pass First Reading. (House)
- 2026-01-26: Pending introduction. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2225_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2225_.pdf)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 1973: RELATING TO HEALTH. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2225_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2225_.pdf)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [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 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 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-HB2225-2026 (as of 2026-11-01).