HawaiiSB 22082025–2026 Regular Session (Year 2)Senate

RELATING TO PHARMACY BENEFIT MANAGERS.

Sponsored By: Stanley Chang (Democratic)

In Committee

Summary

Requires the Department of Human Services to establish or select and contract with a third-party administrator to serve as the State Pharmacy Benefit Manager (PBM) who shall be responsible for administering all pharmacy benefits for medicaid beneficiaries enrolled with medicaid managed care organization. Requires medicaid managed care organizations to contract with and utilize the State PBM. Establishes requirements to procure the State PBM in addition to the requirements under state law governing purchases of health and human services. Establishes requirements and prohibitions for the contract to be used by the DHS when contracting with the state PBM. Requires the DHS to establish a single-preferred drug list to be used by the State PBM. Requires the DHS to consult with the Med-QUEST Healthcare Advisory Committee on the development, implementation, and oversight of the State PBM program. Requires reports to the Legislature. Appropriates funds.

DHSMed-QUEST DivisionState Pharmacy Benefit Manager ProgramMedicaid Managed Care OrganizationStandard Contract FormSpread-PricingRulesReportsAppropriationHHS/CPN, WAM/JDC

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Stanley Chang

    Democratic • Senate

Cosponsors

  • Kurt Fevella

    Republican • Senate

  • Troy N. Hashimoto

    Democratic • Senate

  • Joy A. San Buenaventura

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Referred to HHS/CPN, WAM/JDC.

    1/26/2026Senate
  2. Introduced and passed First Reading.

    1/21/2026Senate
  3. Pending Introduction.

    1/14/2026Senate

Bill Text

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