# Hawaii HB 250: RELATING TO HEALTH.

Hawaii HB 250, RELATING TO HEALTH., is a 2025–2026 Regular Session (Year 1) House bill sponsored by Lisa Marten (Democratic); status signed, last action 2025-06-03 (Act 151, 06/03/2025 (Gov. Msg. No. 1251).) (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-HB250-2025
- As of: 2026-10-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 250
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO HEALTH.
- Status: signed
- Chamber: House
- Introduced: 2025-01-16
- Last action: 2025-06-03, Act 151, 06/03/2025 (Gov. Msg. No. 1251).
- Sponsor: Lisa Marten (Democratic)
- Cosponsors: 7
- Subjects: SHPDA, Prior Authorization, Data, Utilization Review Entities, Reporting, Health Care Appropriateness and Necessity Working Group, Reports, HHS, CPN/WAM
- Touches household money: no
- Roll calls: 12 (231 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Requires utilization review entities to submit data relating to the prior authorization of health care services to the State Health Planning and Development Agency. Establishes the Health Care Appropriateness and Necessity Working Group within the State Health Planning and Development Agency and requires the working group to submit annual reports to the Legislature. (CD1)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Lisa Marten (Democratic), House
- Cosponsor: Terez Amato (Democratic), House
- Cosponsor: Ikaika Hussey (Democratic), House
- Cosponsor: Kim Coco Iwamoto (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: Adrian K. Tam (Democratic), House
- Cosponsor: David A. Tarnas (Democratic), House
- Cosponsor: Chris Todd (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-30 | House | House Floor Vote | pass | 50 | 0 |   |
| 2025-04-25 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2025-04-25 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 5 | 0 |   |
| 2025-04-08 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2025-04-02 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-04-02 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 13 | 0 |   |
| 2025-03-10 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 0 |   |
| 2025-02-28 | House | House Floor Vote | pass | 47 | 0 |   |
| 2025-02-21 | House | The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ... | pass | 12 | 0 |   |
| 2025-02-11 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 10 | 0 |   |
| 2025-02-05 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 49 | 0 |   |
| 2025-01-31 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |

## Actions (49)

- 2025-06-03: Act 151, 06/03/2025 (Gov. Msg. No. 1251). (Senate)
- 2025-06-03: Act 151, on 06/03/2025 (Gov. Msg. No. 1251). (House)
- 2025-05-02: Received notice of passage on Final Reading in House (Hse. Com. No. 821). (Senate)
- 2025-05-01: Received notice of Final Reading (Sen. Com. No. 888). (House)
- 2025-05-01: Transmitted to Governor. (House)
- 2025-04-30: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. (Senate)
- 2025-04-30: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). (House)
- 2025-04-25: The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Chun, Keohokapu-Lee Loy, Marten, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2025-04-25: The 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, Aquino; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2025-04-25: Reported from Conference Committee (Conf Com. Rep. No. 181) as amended in (CD 1). (House)
- 2025-04-25: Forty-eight (48) hours notice Wednesday, 04-30-25. (House)
- 2025-04-25: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 181). (Senate)
- 2025-04-25: 48 Hrs. Notice (as amended CD 1) 04-30-25 (Senate)
- 2025-04-24: Bill scheduled for Conference Committee Meeting on Friday, 04-25-25 3:15PM in conference room 329. (House)
- 2025-04-23: Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Aquino Co-Chairs; Fevella. (Senate)
- 2025-04-23: Received notice of Senate conferees (Sen. Com. No. 873). (House)
- 2025-04-15: Received notice of appointment of House conferees (Hse. Com. No. 732). (Senate)
- 2025-04-14: House Conferees Appointed: Takayama, Chun, Keohokapu-Lee Loy Co-Chairs; Marten, Alcos. (House)
- 2025-04-11: Received notice of disagreement (Hse. Com. No. 704). (Senate)
- 2025-04-10: House disagrees with Senate amendment (s). (House)
- 2025-04-08: Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2025-04-08: Returned from Senate (Sen. Com. No. 609) in amended form (SD 2). (House)
- 2025-04-04: Reported from CPN/WAM (Stand. Com. Rep. No. 1764) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-04-04: 48 Hrs. Notice 04-08-25. (Senate)
- 2025-04-02: The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-04-02: The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-03-27: The committee(s) on CPN/WAM will hold a public decision making on 04-02-25 10:00AM; Conference Room 211 & Videoconference. (Senate)
- 2025-03-21: Reported from HHS (Stand. Com. Rep. No. 1221) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. (Senate)
- 2025-03-21: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM. (Senate)
- 2025-03-10: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Keohokalole, Fevella. (Senate)
- 2025-03-06: The committee(s) on HHS has scheduled a public hearing on 03-10-25 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2025-03-04: Received from House (Hse. Com. No. 94). (Senate)
- 2025-03-04: Passed First Reading. (Senate)
- 2025-03-04: Referred to HHS, CPN/WAM. (Senate)
- 2025-02-28: Reported from FIN (Stand. Com. Rep. No. 902), recommending passage on Third Reading. (House)
- 2025-02-28: Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick, Templo, Ward excused (4). Transmitted to Senate. (House)
- 2025-02-21: The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Miyake, Morikawa, Templo, Reyes Oda; Ayes with reservations: none; Noes: none; and 4 Excused: Representative(s) Holt, Lee, M., Alcos, Ward. (House)
- 2025-02-19: Bill scheduled to be heard by FIN on Friday, 02-21-25 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. (House)
- 2025-02-14: Reported from CPC (Stand. Com. Rep. No. 671) as amended in HD 2, recommending referral to FIN. (House)
- 2025-02-14: Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Matayoshi, Poepoe, Ward excused (4). (House)
- 2025-02-11: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none. (House)
- 2025-02-07: Bill scheduled to be heard by CPC on Tuesday, 02-11-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-02-05: Reported from HLT (Stand. Com. Rep. No. 158) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2025-02-05: Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2). (House)
- 2025-01-31: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. (House)
- 2025-01-29: Bill scheduled to be heard by HLT on Friday, 01-31-25 9:15AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-01-21: Referred to HLT, CPC, FIN, referral sheet 1 (House)
- 2025-01-17: Introduced and Pass First Reading. (House)
- 2025-01-16: Pending introduction. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_CD1_.pdf)
- HB250_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_CD1_.HTM)
- HB250_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_HD1_.HTM)
- HB250_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_HD2_.HTM)
- HB250_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_SD1_.HTM)
- HB250_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_SD2_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1251_.PDF)

## Related bills

- HB 431: RELATING TO HOUSING. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)
- SB 1231: RELATING TO PARENTAGE. (signed)
- SB 935: RELATING TO GOVERNMENT. (signed)
- HB 703: RELATING TO KUPUNA HOUSING. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_CD1_.pdf)
- [HB250_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_CD1_.HTM)
- [HB250_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_HD1_.HTM)
- [HB250_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_HD2_.HTM)
- [HB250_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_SD1_.HTM)
- [HB250_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_SD2_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB250_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1251_.PDF)

## Related
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB1044-2025)
- [SB 1231: RELATING TO PARENTAGE.](https://policyrisk.com/state-bill/HI-SB1231-2025)
- [SB 935: RELATING TO GOVERNMENT.](https://policyrisk.com/state-bill/HI-SB935-2025)
- [HB 703: RELATING TO KUPUNA HOUSING.](https://policyrisk.com/state-bill/HI-HB703-2025)
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Source: PRIA, https://policyrisk.com/state-bill/HI-HB250-2025 (as of 2026-10-27).