# Hawaii SB 1449: RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES.

Hawaii SB 1449, RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by Ronald D. Kouchi (Democratic); status passed house, last action 2025-04-24 (Received notice of change in conferees (Hse. Com. No. 807).) (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1449-2025
- 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 1449
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES.
- Status: passed house
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-04-24, Received notice of change in conferees (Hse. Com. No. 807).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: Prior Authorization, Utilization Review Entities, Reporting, Health Care Appropriateness and Necessity Working Group, State Health Planning and Development Agency, HLT, CPC, FIN
- Touches household money: no
- 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. Effective 7/1/3000. (HD2)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Ronald D. Kouchi (Democratic), Senate

## Actions (39)

- 2025-04-24: Received notice of change in conferees (Hse. Com. No. 807). (Senate)
- 2025-04-24: Conference committee meeting to reconvene on 04-25-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-23: Re-referred to HLT, CPC, FIN, referral sheet 36 (House)
- 2025-04-23: House Conferees Added: Representative Keohokapu-Lee Loy added as Co-Chair. (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)
- 2025-04-15: Received notice of appointment of House conferees (Hse. Com. No. 731). (Senate)
- 2025-04-15: Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; Hashimoto, Fevella. (Senate)
- 2025-04-15: Received notice of Senate conferees (Sen. Com. No. 789). (House)
- 2025-04-14: House Conferees Appointed: Takayama, Chun Co-Chairs; Alcos. (House)
- 2025-04-04: Received from House (Hse. Com. No. 493). (Senate)
- 2025-04-04: Senate disagrees with House amendments. (Senate)
- 2025-04-04: Received notice of disagreement (Sen. Com. No. 590). (House)
- 2025-04-03: Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Woodson excused (2). Transmitted to Senate. (House)
- 2025-04-01: Reported from CPC (Stand. Com. Rep. No. 1745) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-01: Forty-eight (48) hours notice Thursday, 04-03-25. (House)
- 2025-03-25: The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Ichiyama. (House)
- 2025-03-21: Bill scheduled to be heard by CPC on Tuesday, 03-25-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-18: Reported from HLT (Stand. Com. Rep. No. 1311) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2025-03-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2). (House)
- 2025-03-12: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Alcos. (House)
- 2025-03-07: Bill scheduled to be heard by HLT on Wednesday, 03-12-25 9:00AM 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. 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. 341) in amended form (SD 1). (House)
- 2025-02-28: Reported from CPN (Stand. Com. Rep. No. 871) with recommendation of passage on Third Reading. (Senate)
- 2025-02-28: One Day Notice 03-04-25. (Senate)
- 2025-02-26: The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Richards, Awa. (Senate)
- 2025-02-25: The committee(s) on CPN deferred the measure until 02-26-25 9:31AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-20: The committee(s) on CPN deferred the measure until 02-25-25 9:30AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS (Stand. Com. Rep. No. 502) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. (Senate)
- 2025-02-14: Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. (Senate)
- 2025-02-14: The committee(s) on CPN will hold a public decision making on 02-20-25 9:30AM; Conference Room 229 & Videoconference. (Senate)
- 2025-02-05: 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)
- 2025-01-31: The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; 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/SB1449_HD2_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_.PDF)
- SB1449_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_HD1_.HTM)
- SB1449_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_HD2_.HTM)
- SB1449_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_SD1_.HTM)

## 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/SB1449_HD2_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_.PDF)
- [SB1449_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_HD1_.HTM)
- [SB1449_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_HD2_.HTM)
- [SB1449_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1449_SD1_.HTM)

## 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-SB1449-2025 (as of 2026-10-27).