# Hawaii SB 2690: RELATING TO PRIMARY CARE.

Hawaii SB 2690, RELATING TO PRIMARY CARE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Lorraine R. Inouye (Democratic); status failed, last action 2026-02-18 (The committee on HHS deferred the measure.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB2690-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 2690
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO PRIMARY CARE.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-23
- Last action: 2026-02-18, The committee on HHS deferred the measure.
- Sponsor: Lorraine R. Inouye (Democratic)
- Cosponsors: 5
- Subjects: DHS, Health Carriers, Primary Care Providers, Primary Care Access Visits, Community Access Primary Care Sites, Downcoding, MED-QUEST, Prohibitions, Reports, Special Fund, HHS/CPN, WAM
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Lorraine R. Inouye (Democratic), Senate
- Cosponsor: Stanley Chang (Democratic), Senate
- Cosponsor: Carol Fukunaga (Democratic), Senate
- Cosponsor: Mike Gabbard (Democratic), Senate
- Cosponsor: Troy N. Hashimoto (Democratic), Senate
- Cosponsor: Rachele Lamosao (Democratic), Senate

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2690_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2690_.pdf)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2031: RELATING TO CONSUMER PROTECTION. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2690_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB2690_.pdf)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2031: RELATING TO CONSUMER PROTECTION.](https://policyrisk.com/state-bill/HI-SB2031-2026)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/HI-SB2690-2026 (as of 2026-11-01).