HB 1115 Hawaii House · 2025 Regular Session

RELATING TO UNIVERSAL IMMUNIZATION FUNDING PROGRAM.

Summary
Establishes the Universal Immunization Purchase Program and Universal Immunization Purchase Special Fund into which the fees will be deposited to finance the distribution of immunizations free of charge to qualifying health care providers. Appropriates funds. Effective 7/1/3000. (HD1)
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 21, 2025 Last action Feb 12, 2025
Maddy AI version diff · 1 comparison

What changed between versions

HB1115 HB1115_HD1 · 7 edits
MODERATE
The bill was revised from a draft version to a House of Representatives version (HD1), incorporating substantive policy changes including updated definitions of covered entities, new assessment calculation methodology, and revised enforcement provisions. The changes clarify which organizations must pay into the universal immunization fund and how assessments are calculated, while also adding protections for providers and establishing a refund mechanism if the program is discontinued.
Scope change
The bill's scope was expanded to include nonprofit mutual benefit societies, fraternal benefit societies, and health maintenance organizations as assessed entities, and the definition of immunizations was broadened to include substances designated by the director.
DEFINITION

Definitions of 'assessed entity' and 'health carrier' were updated to include additional types of organizations and clarify jurisdictional requirements.

FISCAL

New provisions establish a special fund for immunization purchases and specify that expenditures must be used for immunization purchases and program administration at no cost to providers.

REQUIREMENT

Assessment calculation methodology was revised to include operating costs, reserves, and working capital considerations, with assessments calculated on a per-child and per-adult covered life basis.

Providers administering immunizations supplied through the program must report data to the Hawaii immunization registry for disease prevention and inventory management purposes.

New provisions require the department to maintain a list of available immunization brand choices and establish rules for immunization cost reimbursement limits to providers.

ENFORCEMENT

New enforcement provisions include interest accrual for late payments, audit requirements, and a refund mechanism for unexpended assessments if the program is discontinued.

ELIGIBILITY

The definition of covered lives was simplified to remove distinctions between individual and group policies, consolidating coverage criteria for both children and adults.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
1
Committee
3
Feb 12, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 516) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
lower
Feb 7, 2025
Lower · Passed
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 0 Excused: none.
lower
Jan 23, 2025
Committee
Referred to HLT, FIN, referral sheet 3
lower
Jan 23, 2025
Introduced
Introduced and Pass First Reading.
lower
Jan 21, 2025
Introduced
Pending introduction.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Nadine Nakamura
Nadine Nakamura
DDemocratic
HI
15