All Roll Calls
Yes: 233 • No: 1
HawaiiSB 30452025–2026 Regular Session (Year 2)SenateWALLET
RELATING TO HEALTH INSURANCE.
Sponsored By: Dru Mamo Kanuha (Democratic)
Signed by Governor
Summary
Beginning 1/1/2027, requires all health insurers, mutual benefit societies, and health maintenance organizations in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Allows the Departments of Health and Human Services to accept and expend funds from public and private sources to support the expansion of access to continuous glucose monitors. Effective 7/1/3000. (HD2)
DHSDOHHealth InsuranceMedicaidMandated CoverageDiabetesEquipment and SuppliesContinuous Glucose MonitorsHLT/HSH, CPC, FIN
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
More glucose monitor coverage for Medicaid members
Hawaii Medicaid managed care plans must cover medically needed continuous glucose monitors and related supplies for enrollees with diabetes, including gestational diabetes, whether or not they use insulin. An authorized health professional must prescribe the monitor. Coverage includes needed repairs and replacement parts, and cost sharing cannot be worse than for other covered care or supplies. Coverage starts when the federal government approves Hawaii’s Medicaid state plan.
More glucose monitor coverage in health plans
Starting January 1, 2027, qualifying Hawaii health plans must cover medically needed continuous glucose monitors and related supplies for people with diabetes, including gestational diabetes, whether or not they use insulin. The plan must be issued or renewed after December 31, 2026, and an authorized health professional must prescribe the monitor. Coverage includes needed repairs and replacement parts, and cost sharing cannot be worse than for other covered care or supplies. Limited-benefit health insurance plans are excluded.
Sponsors & Cosponsors
Sponsor
Dru Mamo Kanuha
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/6/2026
House Floor Vote
Yes: 51 • No: 0
Senate vote • 5/1/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 2 • No: 0
House vote • 5/1/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 5 • No: 0
House vote • 4/14/2026
House Floor Vote
Yes: 49 • No: 1
House vote • 4/7/2026
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 16 • No: 0
House vote • 3/24/2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 11 • No: 0
House vote • 3/20/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 49 • No: 0
House vote • 3/18/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
House vote • 3/18/2026
The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
Senate vote • 3/10/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/26/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 4 • No: 0
Senate vote • 2/13/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Actions Timeline
Act 197, 07/07/2026 (Gov. Msg. No. 1299).
7/7/2026SenateAct 197, on 07/07/2026 (Gov. Msg. No. 1299).
7/7/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateEnrolled to Governor.
5/8/2026SenatePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
5/6/2026SenatePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
5/6/2026HouseReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HouseThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) Kanuha, Lamosao; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
5/1/2026SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Marten, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
5/1/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 235-26).
5/1/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26.
5/1/2026SenateReported from Conference Committee (Conf Com. Rep. No. 235-26) as amended in (CD 1).
5/1/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
5/1/2026HouseConference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
4/30/2026HouseBill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
4/29/2026HouseReceived notice of Senate conferees (Sen. Com. No. 762).
4/27/2026HouseSenate Conferees Appointed: Kanuha Chair; Lamosao Co-Chair; Fevella.
4/24/2026SenateHouse Conferees Appointed: Takayama, Marten, Grandinetti, Keohokapu-Lee Loy Co-Chairs; Alcos.
4/20/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 787).
4/20/2026SenateReceived from House (Hse. Com. No. 733).
4/16/2026SenateSenate disagrees with House amendments.
4/16/2026SenateReceived notice of disagreement (Sen. Com. No. 710).
4/16/2026HousePassed Third Reading with Representative(s) Belatti voting aye with reservations; Representative(s) Shimizu voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate.
4/14/2026HouseReported from FIN (Stand. Com. Rep. No. 2092-26), recommending passage on Third Reading.
4/10/2026HouseThe committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
4/7/2026House
Bill Text
Bill Text
Original
SB3045_CD1
SB3045_HD1
SB3045_HD2
SB3045_SD1
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