# Hawaii SB 1245: RELATING TO PHARMACISTS.

Hawaii SB 1245, RELATING TO PHARMACISTS., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by SAN BUENAVENTURA; status signed, last action 2025-06-25 (Act 220, 06/25/2025 (Gov. Msg. No. 1322).); PRIA reads it as touching household money (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1245-2025
- As of: 2026-10-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 1245
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO PHARMACISTS.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-06-25, Act 220, 06/25/2025 (Gov. Msg. No. 1322).
- Sponsor: SAN BUENAVENTURA
- Cosponsors: 0
- Subjects: Insurance Coverage, Pharmacists, Reimbursement, Health Insurers, Mutual Benefit Societies, Health Maintenance Organizations, Medicaid Plans, HLT, CPC
- Touches household money: yes
- Roll calls: 10 (202 yes, 0 no in all)
- Economic provisions PRIA read: 2

## 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)

## Bill overview: provisions PRIA read

- Health plans cover pharmacist care: benefit, low. 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, b…
- Medicaid adds pharmacists with payment limits: mixed, low. 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 sch…

## Sponsors and cosponsors

- Sponsor: SAN BUENAVENTURA

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-30 | House | House Floor Vote | pass | 49 | 0 |   |
| 2025-04-24 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2025-04-24 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 3 | 0 |   |
| 2025-04-08 | House | House Floor Vote | pass | 49 | 0 |   |
| 2025-04-02 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2025-03-21 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 46 | 0 |   |
| 2025-03-19 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2025-03-04 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2025-02-25 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-01-31 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (46)

- 2025-06-25: Act 220, 06/25/2025 (Gov. Msg. No. 1322). (Senate)
- 2025-06-25: Act 220, on 06/25/2025 (Gov. Msg. No. 1322). (House)
- 2025-05-02: Received notice of passage on Final Reading in House (Hse. Com. No. 821). (Senate)
- 2025-05-02: Enrolled to Governor. (Senate)
- 2025-05-01: Received notice of Final Reading (Sen. Com. No. 888). (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, Pierick excused (2). (House)
- 2025-04-24: 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, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2025-04-24: The 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. (House)
- 2025-04-24: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 83). (Senate)
- 2025-04-24: 48 Hrs. Notice (as amended CD 1) 04-30-25. (Senate)
- 2025-04-24: Reported from Conference Committee (Conf Com. Rep. No. 83) as amended in (CD 1). (House)
- 2025-04-24: Forty-eight (48) hours notice Wednesday, 04-30-25. (House)
- 2025-04-23: Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-22: Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-17: Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; Hashimoto, Fevella. (Senate)
- 2025-04-17: Received notice of Senate conferees (Sen. Com. No. 825). (House)
- 2025-04-15: Received notice of appointment of House conferees (Hse. Com. No. 731). (Senate)
- 2025-04-14: House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Garcia. (House)
- 2025-04-10: Received from House (Hse. Com. No. 675). (Senate)
- 2025-04-10: Senate disagrees with House amendments. (Senate)
- 2025-04-10: Received notice of disagreement (Sen. Com. No. 779). (House)
- 2025-04-08: Passed 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. (House)
- 2025-04-04: Reported from CPC (Stand. Com. Rep. No. 2008) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-04: Forty-eight (48) hours notice Tuesday, 04-08-25. (House)
- 2025-04-02: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Pierick. (House)
- 2025-03-31: Bill scheduled to be heard by CPC on Wednesday, 04-02-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-21: Reported from HLT (Stand. Com. Rep. No. 1424) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2025-03-21: 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, Garrett, Kapela, Kitagawa, Ward excused (5). (House)
- 2025-03-19: 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; 0 Noes: none; and 0 Excused: none. (House)
- 2025-03-14: Bill scheduled to be heard by HLT on Wednesday, 03-19-25 9:05AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-06: Pass First Reading (House)
- 2025-03-06: Referred to HLT, CPC, referral sheet 19 (House)
- 2025-03-04: 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)
- 2025-03-04: Received from Senate (Sen. Com. No. 284) in amended form (SD 2). (House)
- 2025-02-28: Reported from CPN (Stand. Com. Rep. No. 900) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-02-28: 48 Hrs. Notice 03-04-25. (Senate)
- 2025-02-25: 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)
- 2025-02-20: The committee(s) on CPN will hold a public decision making on 02-25-25 9:32AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-11: Reported from HHS (Stand. Com. Rep. No. 269) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. (Senate)
- 2025-02-11: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. (Senate)
- 2025-01-31: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2025-01-28: The committee(s) on HHS has scheduled a public hearing on 01-31-25 1:34PM; Conference Room 225 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS, CPN. (Senate)
- 2025-01-23: Introduced and passed First Reading. (Senate)
- 2025-01-21: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1322_.PDF)
- SB1245_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_CD1_.HTM)
- SB1245_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_HD1_.HTM)
- SB1245_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_HD2_.HTM)
- SB1245_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_SD1_.HTM)
- SB1245_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_SD2_.HTM)

## Related bills

- 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)
- HB 943: RELATING TO HOMELESSNESS. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1322_.PDF)
- [SB1245_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_CD1_.HTM)
- [SB1245_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_HD1_.HTM)
- [SB1245_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_HD2_.HTM)
- [SB1245_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_SD1_.HTM)
- [SB1245_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1245_SD2_.HTM)

## Related
- [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)
- [HB 943: RELATING TO HOMELESSNESS.](https://policyrisk.com/state-bill/HI-HB943-2025)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB1245-2025 (as of 2026-10-27).