All Roll Calls
Yes: 95 • No: 2
HawaiiSB 24252025–2026 Regular Session (Year 2)Senate
RELATING TO HEALTH INSURANCE.
Sponsored By: Dru Mamo Kanuha (Democratic)
Passed
Summary
Requires health insurers, mutual benefit societies, and health maintenance organizations to honor a patient's written assignment of benefits to a substance use disorder treatment provider. Prohibits health insurance policies, plans, contracts, and agreements from including anti-assignment clauses that restrict or invalidate a patient's right to assign benefits. Authorizes the Insurance Commissioner to adopt rules and take enforcement action to ensure compliance. Deems violations to be unfair methods of competition and unfair or deceptive acts or practices in the business of insurance. Requires insurers, mutual benefit societies, and health maintenance organizations to furnish an explanation of benefits to the assigned provider upon request. Effective 1/30/2050. (HD1)
Substance Use Disorder Treatment ProvidersSubstance Use Disorder ServicesAssignment of BenefitsAnti-Assignment ClauseEnforcementRulesCivil ActionHLT, CPC, JHA
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Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Dru Mamo Kanuha
Democratic • Senate
Cosponsors
Stanley Chang
Democratic • Senate
Troy N. Hashimoto
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: 49 • No: 1
House vote • 3/18/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 7 • No: 1
Senate vote • 3/10/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/27/2026
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 2/6/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 2/6/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
The committee(s) on CPC recommend(s) that the measure be deferred.
3/24/2026HouseReported from HLT (Stand. Com. Rep. No. 1282-26) 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; Representative(s) Pierick voting no (1) 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: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Alcos; 1 Noes: Representative(s) Garcia; and 1 Excused: Representative(s) Hartsfield.
3/18/2026HousePass First Reading
3/12/2026HouseReferred to HLT, CPC, JHA, 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. 237) in amended form (SD 2).
3/10/2026HouseReported from JDC (Stand. Com. Rep. No. 3024) 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 JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2/27/2026SenateThe committee(s) on JDC will hold a public decision making on 02-27-26 10:30AM; Conference Room 016 & Videoconference.
2/23/2026SenateReported from HHS/CPN (Stand. Com. Rep. No. 2432) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
2/19/2026SenateReport adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
2/19/2026SenateThe 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, McKelvey, Kanuha, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
2/6/2026SenateThe 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, Lamosao, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2/6/2026SenateThe committee(s) on HHS/CPN has scheduled a public hearing on 02-06-26 9:00AM; Conference Room 229 & Videoconference.
2/2/2026SenateReferred to HHS/CPN, JDC.
1/28/2026SenateIntroduced.
1/22/2026SenatePassed First Reading.
1/22/2026Senate
Bill Text
Bill Text
Original
SB2425_HD1
SB2425_SD1
SB2425_SD2
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