HawaiiSB 29332025–2026 Regular Session (Year 2)Senate

RELATING TO HEALTH CARE COSTS.

Sponsored By: Angus L.K. McKelvey (Democratic)

In Committee

Summary

Establishes the Prescription Drug Affordability Board within the Department of Health to conduct affordability reviews on high-cost prescription drugs and establish upper payment limits under certain circumstances. Establishes out-of-pocket maximums for prescribed insulin, asthma inhalers, and epinephrine auto-injectors. Prohibits copayment adjustment programs. Requires health insurers, mutual benefit societies, and health maintenance organizations to comply with certain affordability measures. Requires annual reports to the Legislature. Requires adoption of rules by the Affordability Board and Insurance Commissioner. Appropriates funds.

DOHInsurance CommissionerHealth CareCostsPrescription Drug Affordability BoardUpper Payment LimitsOut-of-Pocket MaximumsCopayment Adjustment ProgramsReportsRulesAppropriationHHS/CPN, WAM/JDC

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Angus L.K. McKelvey

    Democratic • Senate

Cosponsors

  • Stanley Chang

    Democratic • Senate

  • Troy N. Hashimoto

    Democratic • Senate

  • Michelle N. Kidani

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. The committee on HHS deferred the measure.

    2/18/2026Senate
  2. The committee on CPN deferred the measure.

    2/18/2026Senate
  3. The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference.

    2/17/2026Senate
  4. The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.

    2/13/2026Senate
  5. Referred to HHS/CPN, WAM/JDC.

    1/30/2026Senate
  6. Passed First Reading.

    1/26/2026Senate
  7. Introduced.

    1/23/2026Senate

Bill Text

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