All Roll Calls
Yes: 96 • No: 0
HawaiiSB 20472025–2026 Regular Session (Year 2)Senate
RELATING TO PHARMACY BENEFIT MANAGERS.
Sponsored By: Jarrett Keohokalole (Democratic)
Passed
Summary
Establishes certain requirements for pharmacy benefit managers, other than health maintenance organizations that own and operate their own pharmacies, that reimburse contracting pharmacies for drugs on a maximum allowable cost basis. Allows contracting pharmacies to reverse and rebill claims if a maximum allowable cost is denied on appeal. Authorizes the Insurance Commissioner to assess fines for violations. Appropriates funds. Effective 7/1/3000. (HD2)
Insurance CommissionerPharmacy Benefit ManagersPrescription DrugsMaximum Allowable CostContracting PharmaciesAppropriationHLT, CPC, FIN
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Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Jarrett Keohokalole
Democratic • Senate
Cosponsors
Stanley Chang
Democratic • Senate
Kurt Fevella
Republican • Senate
Angus L.K. McKelvey
Democratic • Senate
III Richards
Democratic • Senate
Joy A. San Buenaventura
Democratic • Senate
Roll Call Votes
House vote • 3/20/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 50 • No: 0
Senate vote • 3/10/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 3/3/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Senate vote • 3/3/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 12 • No: 0
Senate vote • 2/2/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Actions Timeline
Reported from CPC (Stand. Com. Rep. No. 1483-26) as amended in HD 2, recommending referral to FIN.
3/30/2026HouseReport adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).
3/30/2026HouseThe committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.
3/24/2026HouseReported from HLT (Stand. Com. Rep. No. 1278-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
3/20/2026HousePassed 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) Quinlan excused (1).
3/20/2026HouseBill scheduled to be heard by CPC on Tuesday, 03-24-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
3/20/2026HouseThe 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, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.
3/18/2026HousePass First Reading
3/12/2026HouseReferred to HLT, CPC, FIN, referral sheet 17
3/12/2026HouseBill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
3/12/2026HouseReport adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
3/10/2026SenateReceived from Senate (Sen. Com. No. 156) in amended form (SD 2).
3/10/2026HouseReported from CPN/WAM (Stand. Com. Rep. No. 2918) with recommendation of passage on Third Reading, as amended (SD 2).
3/6/2026Senate48 Hrs. Notice 03-10-26.
3/6/2026SenateThe committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
3/3/2026SenateThe committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
3/3/2026SenateThe committee(s) on CPN/WAM will hold a public decision making on 03-03-26 10:16AM; Conference Room 211 & Videoconference.
2/27/2026SenateReported from HHS (Stand. Com. Rep. No. 2200) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.
2/11/2026SenateReport adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.
2/11/2026SenateRe-Referred to HHS, CPN/WAM.
2/3/2026SenateThe committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2/2/2026SenateThe committee(s) on HHS has scheduled a public hearing on 02-02-26 1:05PM; Conference Room 225 & Videoconference.
1/30/2026SenateReferred to HHS, CPN.
1/22/2026SenateIntroduced and passed First Reading.
1/21/2026SenatePending Introduction.
1/14/2026Senate
Bill Text
Bill Text
Original
SB2047_HD1
SB2047_HD2
SB2047_SD1
SB2047_SD2
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