All Roll Calls
Yes: 144 • No: 24
HawaiiSB 31332025–2026 Regular Session (Year 2)Senate
RELATING TO PREVENTIVE MEDICINE.
Sponsored By: Ronald D. Kouchi (Democratic)
Passed
Summary
Specifies that no person is subject to liability for providing clinical preventive services in accordance with Department of Health recommendations. Requires health insurers, mutual benefit societies, health maintenance organizations, and plans issued by the Hawaii Employer-Union Health Benefits Trust Fund to provide coverage for clinical preventive services. Authorizes the Department of Health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations. Clarifies that, for child health supervision services coverage, the prevailing medical standards include recommendations by the Department of Health. Prohibits denial of coverage and prior authorization for clinical preventive services based on medical necessity. Specifies that a registered pharmacist may order a vaccine in accordance with the recommendations from the Department of Health. Exempts this measure from an Auditor impact assessment report. Effective 7/1/3000. (HD3)
DOHInsurancePreventive Services CoverageRecommendationsStanding OrdersChild Health Supervision ServicesImmunizationPrevailing Medical StandardsPharmacistsEUTFHLT, CPC, JHA
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Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/14/2026
House Floor Vote
Yes: 42 • No: 9
House vote • 4/1/2026
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 5 • No: 3
House vote • 3/20/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 43 • No: 7
House vote • 3/18/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 6 • No: 2
Senate vote • 3/10/2026
Senate Floor Vote
Yes: 24 • No: 1
Senate vote • 3/4/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 13 • No: 0
Senate vote • 3/4/2026
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 1
Senate vote • 2/18/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Senate vote • 2/18/2026
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 3 • No: 1
Actions Timeline
Received from House (Hse. Com. No. 749).
4/16/2026SenateSenate disagrees with House amendments.
4/16/2026SenateReceived notice of disagreement (Sen. Com. No. 710).
4/16/2026HousePassed Third Reading as amended in HD 3 with Representative(s) Iwamoto, Kila voting aye with reservations; Representative(s) Alcos, Cochran, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (9) and none excused (0). Transmitted to Senate.
4/14/2026HouseReported from JHA (Stand. Com. Rep. No. 2036-26) as amended in HD 3, recommending passage on Third Reading.
4/9/2026HouseForty-eight (48) hours notice Tuesday, 04-14-26.
4/9/2026HouseThe committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Takayama; Ayes with reservations: none; 3 Noes: Representative(s) Cochran, Garcia, Shimizu; and 2 Excused: Representative(s) Hashem, Sayama.
4/1/2026HouseReported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA.
3/30/2026HouseReport adopted; referred to the committee(s) on JHA as amended in HD 2 with none voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick, Shimizu voting no (7) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).
3/30/2026HouseBill scheduled to be heard by JHA on Wednesday, 04-01-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
3/30/2026HouseThe committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Lowen, Marten, Tam, Pierick; Ayes with reservations: Representative(s) Iwamoto, Kong; Noes: none; and Excused: none.
3/25/2026HouseBill scheduled to be heard by CPC on Wednesday, 03-25-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
3/23/2026HouseReported from HLT (Stand. Com. Rep. No. 1281-26) 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) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick, Shimizu voting no (7) and Representative(s) Quinlan excused (1).
3/20/2026HouseThe committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, 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, 24; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 0 (none). Transmitted to House.
3/10/2026SenateReceived from Senate (Sen. Com. No. 367) in amended form (SD 2).
3/10/2026HouseReported from JDC/WAM (Stand. Com. Rep. No. 3068) 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: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none.
3/4/2026SenateThe committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
3/4/2026SenateThe committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.
3/2/2026Senate
Bill Text
Bill Text
Original
SB3133_HD1
SB3133_HD2
SB3133_HD3
SB3133_SD1
SB3133_SD2
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