All Roll Calls
Yes: 202 • No: 0
HawaiiSB 12452025–2026 Regular Session (Year 1)SenateWALLET
RELATING TO PHARMACISTS.
Sponsored By: SAN BUENAVENTURA
Signed by Governor
Summary
Beginning 7/1/2026, mandates reimbursement for services provided by participating registered pharmacists practicing within their scope of practice by private and public health plans in the State and requires the health plans to recognize pharmacists licensed in the State as participating providers. (CD1)
Insurance CoveragePharmacistsReimbursementHealth InsurersMutual Benefit SocietiesHealth Maintenance OrganizationsMedicaid PlansHLT, CPC
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Health plans cover pharmacist care
Starting July 1, 2026, Hawaii health plans must recognize licensed pharmacists who contract with the plan. Plans must cover pharmacist services within their licensed scope to the same extent they cover those services from other providers. The plan must pay or reimburse the pharmacist or pharmacy, but the law does not set a payment amount.
Medicaid adds pharmacists with payment limits
Hawaii Medicaid includes pharmacists who provide medical care as individual practitioners in its fee-schedule payment system. Medicaid coverage and payment changes take effect only after federal approval, which the Department of Human Services must seek. The state appropriation act sets the fee schedule using a percentage of the 2000 Medicare fee schedule, and the Legislature must specify later adjustments. Payments cannot exceed federal limits, the current-year Medicare fee schedule, state appropriation limits, or the provider’s billed amount.
Sponsors & Cosponsors
Sponsor
SAN BUENAVENTURA
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/30/2025
House Floor Vote
Yes: 49 • No: 0
Senate vote • 4/24/2025
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 3 • No: 0
House vote • 4/24/2025
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 3 • No: 0
House vote • 4/8/2025
House Floor Vote
Yes: 49 • No: 0
House vote • 4/2/2025
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
House vote • 3/21/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 46 • No: 0
House vote • 3/19/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/25/2025
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 1/31/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
Act 220, 06/25/2025 (Gov. Msg. No. 1322).
6/25/2025SenateAct 220, on 06/25/2025 (Gov. Msg. No. 1322).
6/25/2025HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 821).
5/2/2025SenateEnrolled to Governor.
5/2/2025SenateReceived notice of Final Reading (Sen. Com. No. 888).
5/1/2025HousePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
4/30/2025SenatePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2).
4/30/2025HouseThe 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, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
4/24/2025SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Matayoshi, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
4/24/2025HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 83).
4/24/2025Senate48 Hrs. Notice (as amended CD 1) 04-30-25.
4/24/2025SenateReported from Conference Committee (Conf Com. Rep. No. 83) as amended in (CD 1).
4/24/2025HouseForty-eight (48) hours notice Wednesday, 04-30-25.
4/24/2025HouseConference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.
4/23/2025SenateConference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
4/22/2025SenateSenate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; Hashimoto, Fevella.
4/17/2025SenateReceived notice of Senate conferees (Sen. Com. No. 825).
4/17/2025HouseReceived notice of appointment of House conferees (Hse. Com. No. 731).
4/15/2025SenateHouse Conferees Appointed: Takayama, Matayoshi Co-Chairs; Garcia.
4/14/2025HouseReceived from House (Hse. Com. No. 675).
4/10/2025SenateSenate disagrees with House amendments.
4/10/2025SenateReceived notice of disagreement (Sen. Com. No. 779).
4/10/2025HousePassed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Marten excused (2). Transmitted to Senate.
4/8/2025HouseReported from CPC (Stand. Com. Rep. No. 2008) as amended in HD 2, recommending passage on Third Reading.
4/4/2025HouseForty-eight (48) hours notice Tuesday, 04-08-25.
4/4/2025House
Bill Text
Bill Text
Original
SB1245_CD1
SB1245_HD1
SB1245_HD2
SB1245_SD1
SB1245_SD2
Related Bills
HB 431, RELATING TO HOUSING.
Part I: Establishes requirements for kauhale projects, including reporting requirements by the Statewide Office on Homelessness and Housing Solutions (OHHS). Requires the Auditor to conduct a management and performance audit of the kauhale initiative. Appropriates funds for the continued operation of the kauhale initiative. Part II: Establishes the Ohana Zones Program as a permanent program within OHHS. Appropriates funds to DHS for the continued implementation of the Ohana Zones Pilot Program. Part III: Requires OHHS to submit a report every four months to the Legislature detailing the expenditure of funds appropriated toward the kauhale and ohana zones initiatives and conduct a comprehensive needs assessment. Part IV: Changes references to the Governor's Coordinator on Homelessness to "Coordinator on Homelessness". Specifies that the Coordinator on Homelessness shall report directly to the Director of Human Services. (CD1)
HB 420, RELATING TO REMEDIES.
Clarifies that the statute of repose applies to contract, tort, and statutory claims. Clarifies the required contents of a notice of claim of a construction defect served on a contractor. Clarifies the process and time frame by which a claimant may accept or reject a contractor's offer to settle and authorize repairs. Clarifies the mediation process for construction defect claims. Clarifies the statute of limitation or repose for construction defect claims. (CD1)
SB 1296, RELATING TO DISASTER RECOVERY.
Exempts reconstruction of any lawfully constructed structure that was damaged or destroyed in a disaster proclaimed by the Governor to constitute a state of emergency or a disaster declared pursuant to federal law from the requirements of a special management area minor permit or a special management area use permit under certain conditions. Sunsets 7/1/2028. (CD1)
HB 830, RELATING TO HISTORIC PRESERVATION REVIEWS.
Beginning 7/1/2026, authorizes the State Historic Preservation Division to contract its review of proposed state projects and projects affecting historic properties to third-party consultants under certain circumstances. Establishes requirements for qualified third-party consultants providing review services. Requires the project proponent to pay the reasonable fee requirements of the third-party consultant. Requires the Department of Land and Natural Resources to publish a draft of its proposed rules and later present its proposed final rules to the Board of Land and Natural Resources. Sunsets 6/30/2030. (CD1)
HB 1064, RELATING TO FIRE PROTECTION.
Effectuates the recommendations of the "Phase 3" Forward-Looking Report by Fire Safety Research Institute on the 2023 Maui wildfires and further clarifies the appointment and role of the State Fire Marshal. Establishes the Office of the State Fire Marshal in the Department of Law Enforcement. Establishes the State Fire Marshal Selection Commission. Requires reports to the Legislature. Appropriates funds. (CD1)
HB 943, RELATING TO HOMELESSNESS.
Expands existing crisis intervention programs by requiring, and appropriating funds for, the Department of Health to establish a Homeless Triage and Treatment Center Program within its Alcohol and Drug Abuse Division to serve homeless individuals and individuals at risk of homelessness with substance abuse issues or mental illness. Requires the Crisis Intervention and Diversion Services Program to redirect certain homeless persons to the appropriate health care system and services. Authorizes the program to include intensive mobile outreach services. Requires appropriations for the program to be used only for services contracted directly between the Department of Health and the service provider. (CD1)