# Hawaii HB 857: RELATING TO HEALTH INSURANCE.

Hawaii HB 857, RELATING TO HEALTH INSURANCE., is a 2025–2026 Regular Session (Year 1) House bill sponsored by Matthias Kusch (Democratic); status first reading, last action 2025-01-23 (Introduced and Pass First Reading.) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/HI-HB857-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 857
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO HEALTH INSURANCE.
- Status: first reading
- Chamber: House
- Introduced: 2025-01-21
- Last action: 2025-01-23, Introduced and Pass First Reading.
- Sponsor: Matthias Kusch (Democratic)
- Cosponsors: 17
- Subjects: Health Insurance, Prior Authorization, Health Insurers, Mutual Benefit Societies, Health Maintenance Organizations, Medicare, HLT, CPC
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Requires all accident and health or sickness insurers, mutual benefit societies, and health maintenance organizations operating in the State to adopt policies, procedures, and criteria for approving or denying requests for prior authorization that are the equivalent to the guidelines for prior authorization established by Medicare.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Matthias Kusch (Democratic), House
- Cosponsor: Terez Amato (Democratic), House
- Cosponsor: Tina Nakada Grandinetti (Democratic), House
- Cosponsor: Kim Coco Iwamoto (Democratic), House
- Cosponsor: Kirstin Kahaloa (Democratic), House
- Cosponsor: Darius K. Kila (Democratic), House
- Cosponsor: Mike Lee (Democratic), House
- Cosponsor: Nicole E. Lowen (Democratic), House
- Cosponsor: M.
- Cosponsor: Tyson K. Miyake (Democratic), House
- Cosponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Amy A. Perruso (Democratic), House
- Cosponsor: Elijah Pierick (Republican), House
- Cosponsor: Mahina Poepoe (Democratic), House
- Cosponsor: Kanani Souza (Republican), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: Adrian K. Tam (Democratic), House
- Cosponsor: Chris Todd (Democratic), House

## Actions (3)

- 2025-01-23: Introduced and Pass First Reading. (House)
- 2025-01-23: Referred to HLT, CPC, referral sheet 3 (House)
- 2025-01-21: Pending introduction. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB857_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB857_.pdf)

## Related bills

- SB 572: RELATING TO HOUSING. (signed)
- HB 431: RELATING TO HOUSING. (signed)
- HB 420: RELATING TO REMEDIES. (signed)
- SB 1296: RELATING TO DISASTER RECOVERY. (signed)
- HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB857_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB857_.pdf)

## Related
- [SB 572: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB572-2025)
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 420: RELATING TO REMEDIES.](https://policyrisk.com/state-bill/HI-HB420-2025)
- [SB 1296: RELATING TO DISASTER RECOVERY.](https://policyrisk.com/state-bill/HI-SB1296-2025)
- [HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS.](https://policyrisk.com/state-bill/HI-HB830-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [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-HB857-2025 (as of 2026-10-17).