All Roll Calls
Yes: 208 • No: 34
HawaiiSB 14342025–2026 Regular Session (Year 1)SenateWALLET
RELATING TO UNIVERSAL IMMUNIZATION FUNDING PROGRAM.
Sponsored By: Ronald D. Kouchi (Democratic)
Signed by Governor
Summary
Establishes the Universal Immunization Funding Program as a universal funding model for immunization purchases by the Department of Health, to increase statewide access to immunizations for all persons under age sixty-five. Establishes the Universal Immunization Purchase Special Fund, into which fees collected from assessed entities and other sources of funding will be deposited, for purposes of bulk purchasing immunizations and administering the program. Appropriates funds. (CD2)
Universal Immunization Funding ProgramImmunization PurchasingUniversal Immunization Purchase Special FundAppropriationHLT, FIN
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 2 costs, 1 mixed.
Hawaii funds vaccines for residents
Beginning July 1, 2025, Hawaii’s Department of Health runs a program to purchase and provide immunizations. The law transfers and appropriates $934,000 for fiscal year 2025–2026, or as much as needed, for vaccine purchases and program costs. The program fund keeps money that would otherwise go to the state through a 5% service deduction. Providers cannot bill anyone for a vaccine supplied at no cost by the State, though provider payment for giving the vaccine is unchanged.
Limits on claims against vaccine program
Beginning July 1, 2025, the law bars liability claims against the Hawaii Department of Health, its contractors, and its employees for actions or omissions while running the immunization program. This limit does not cover assessed entities’ liabilities under the law.
Health plans face vaccine assessments
Beginning July 1, 2025, assessed entities must report covered people and pay monthly assessments. The director sets rates based on covered lives and fund needs; the law gives no fixed rate. The fund can hold reserves of up to 10% of the prior fiscal year’s program costs, plus unanticipated costs. Unpaid assessments gain 1% interest each month, compounded monthly. The director may impose one interim assessment per year, due within 45 days of notice; more are allowed during a declared public health emergency. Entities must answer audit requests within 10 business days, and violations not fixed within 30 days of written notice can bring fines of up to $1,000 per offense, with each day counting separately.
Vaccine providers report doses to state
Beginning July 1, 2025, Hawaii providers must report immunizations to the state registry when the vaccines come from federal or state programs. The Department of Health decides what information providers must report. The registry supports disease prevention and vaccine tracking.
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/2/2025
Senate Floor Vote
Yes: 23 • No: 2
House vote • 5/2/2025
House Floor Vote
Yes: 40 • No: 9
Senate vote • 4/25/2025
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 4 • No: 0
House vote • 4/25/2025
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 2 • No: 1
House vote • 4/3/2025
House Floor Vote
Yes: 41 • No: 8
House vote • 3/28/2025
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 12 • No: 2
House vote • 3/18/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...
Yes: 41 • No: 8
House vote • 3/14/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 7 • No: 2
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 23 • No: 2
Senate vote • 2/28/2025
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 10 • No: 0
Senate vote • 2/3/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Actions Timeline
Act 175, 06/04/2025 (Gov. Msg. No. 1275).
6/4/2025SenateAct 175, on 06/04/2025 (Gov. Msg. No. 1275).
6/4/2025HousePassed Final Reading, as amended (CD 2). Ayes, 23; Aye(s) with reservations: none. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none).
5/2/2025SenatePassed Final Reading as amended in CD 2 with none voting aye with reservations; Representative(s) Alcos, Garcia, Kila, Kong, Matsumoto, Muraoka, Pierick, Reyes Oda, Shimizu voting no (9) and Representative(s) Cochran, Iwamoto excused (2).
5/2/2025HouseReceived notice of Final Reading (Sen. Com. No. 889).
5/2/2025HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 824).
5/2/2025SenateEnrolled to Governor.
5/2/2025SenateFloor Amendment No. 5 offered by Rep. Takayama.
4/30/2025HouseFloor amendment adopted as amended CD 2 with none voting no and Representative(s) Cochran excused.
4/30/2025HouseForty-eight (48) hours notice Friday, 05-02-25.
4/30/2025HouseFloor Amendment No. 13 offered.
4/30/2025SenateFloor amendment adopted as amended (CD 2).
4/30/2025SenateSeparated Committee Report.
4/30/2025SenateReport filed.
4/30/2025Senate48 Hrs. Notice 05-02-25
4/30/2025SenateConference committee meeting to reconvene on 04-25-25 5:20 PM; Conference Room 329.
4/25/2025SenateSenate Conferees Changed: Senator Aquino added as Conferee. Senator Hashimoto discharged as Conferee.
4/25/2025SenateReceived notice of change in Senate conferees (Sen. Com. No. 882).
4/25/2025HouseThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) San Buenaventura, Inouye, Aquino, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
4/25/2025SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 2 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy; Ayes with reservations: none; 1 Noes: Representative(s) Alcos; and 0 Excused: none.
4/25/2025HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 198).
4/25/2025Senate48 Hrs. Notice (as amended CD 1) 04-30-25.
4/25/2025SenateReported from Conference Committee (Conf Com. Rep. No. 198) as amended in (CD 1).
4/25/2025HouseForty-eight (48) hours notice Wednesday, 04-30-25.
4/25/2025HouseConference committee meeting to reconvene on 04-25-25 3:30PM; Conference Room 329.
4/24/2025Senate
Bill Text
Bill Text
Original
SB1434_CD1
SB1434_CD1_HFA5
SB1434_CD1_SFA13
SB1434_CD2
SB1434_HD1
SB1434_SD1
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