# Hawaii SB 3133: RELATING TO PREVENTIVE MEDICINE.

Hawaii SB 3133, RELATING TO PREVENTIVE MEDICINE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status failed, last action 2026-04-16 (Received from House (Hse. Com. No. 749).); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB3133-2026
- 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 3133
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO PREVENTIVE MEDICINE.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-26
- Last action: 2026-04-16, Received from House (Hse. Com. No. 749).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: DOH, Insurance, Preventive Services Coverage, Recommendations, Standing Orders, Child Health Supervision Services, Immunization, Prevailing Medical Standards, Pharmacists, EUTF, HLT, CPC, JHA
- Touches household money: yes
- Roll calls: 10 (154 yes, 24 no in all)
- Economic provisions PRIA read: 0

## 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)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Ronald D. Kouchi (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-14 | House | House Floor Vote | pass | 42 | 9 |   |
| 2026-04-01 | House | The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 5 | 3 |   |
| 2026-03-25 | House | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 11 | 0 |   |
| 2026-03-20 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC... | pass | 42 | 7 |   |
| 2026-03-18 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 6 | 2 |   |
| 2026-03-10 | Senate | Senate Floor Vote | pass | 24 | 1 |   |
| 2026-03-04 | Senate | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 13 | 0 |   |
| 2026-03-04 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 1 |   |
| 2026-02-18 | Senate | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 3 | 1 |   |
| 2026-02-18 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (35)

- 2026-04-16: Received from House (Hse. Com. No. 749). (Senate)
- 2026-04-16: Senate disagrees with House amendments. (Senate)
- 2026-04-16: Received notice of disagreement (Sen. Com. No. 710). (House)
- 2026-04-14: Passed 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. (House)
- 2026-04-09: Reported from JHA (Stand. Com. Rep. No. 2036-26) as amended in HD 3, recommending passage on Third Reading. (House)
- 2026-04-09: Forty-eight (48) hours notice Tuesday, 04-14-26. (House)
- 2026-04-01: The 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. (House)
- 2026-03-30: Reported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA. (House)
- 2026-03-30: Report 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). (House)
- 2026-03-30: Bill scheduled to be heard by JHA on Wednesday, 04-01-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. (House)
- 2026-03-25: The 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. (House)
- 2026-03-23: Bill scheduled to be heard by CPC on Wednesday, 03-25-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-20: Reported from HLT (Stand. Com. Rep. No. 1281-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. (House)
- 2026-03-20: Passed 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). (House)
- 2026-03-18: The 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. (House)
- 2026-03-12: Pass First Reading (House)
- 2026-03-12: Referred to HLT, CPC, JHA, referral sheet 17 (House)
- 2026-03-12: Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-03-10: Report 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. (Senate)
- 2026-03-10: Received from Senate (Sen. Com. No. 367) in amended form (SD 2). (House)
- 2026-03-06: Reported from JDC/WAM (Stand. Com. Rep. No. 3068) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2026-03-06: 48 Hrs. Notice 03-10-26. (Senate)
- 2026-03-04: The 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. (Senate)
- 2026-03-04: The 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. (Senate)
- 2026-03-02: The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference. (Senate)
- 2026-02-20: Reported from HHS/CPN (Stand. Com. Rep. No. 2636) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM. (Senate)
- 2026-02-20: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM. (Senate)
- 2026-02-18: The 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, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. (Senate)
- 2026-02-18: The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 1 Excused: Senator(s) McKelvey. (Senate)
- 2026-02-17: The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference. (Senate)
- 2026-02-13: The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference. (Senate)
- 2026-02-02: Referred to HHS/CPN, JDC/WAM. (Senate)
- 2026-01-28: Introduced. (Senate)
- 2026-01-28: Passed First Reading. (Senate)
- 2026-01-26: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD3_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_.PDF)
- SB3133_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD1_.HTM)
- SB3133_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD2_.HTM)
- SB3133_HD3: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD3_.HTM)
- SB3133_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_SD1_.HTM)
- SB3133_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_SD2_.HTM)

## 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 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD3_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_.PDF)
- [SB3133_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD1_.HTM)
- [SB3133_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD2_.HTM)
- [SB3133_HD3 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_HD3_.HTM)
- [SB3133_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_SD1_.HTM)
- [SB3133_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3133_SD2_.HTM)

## 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 2964: RELATING TO PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB2964-2026)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB3133-2026 (as of 2026-11-01).