HB 553 Hawaii House · 2025 Regular Session

RELATING TO INSURANCE.

Summary

Beginning 1/1/2026, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for biomarker testing. Effective 7/1/3000. (HD1)

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 17, 2025 Last action Feb 11, 2025

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What changed between versions

HB553 → HB553_HD1 · 5 edits

MODERATE

The bill was amended to expand its applicability from individual and group accident and health insurance policies to also include hospital or medical service plan contracts and mutual benefit societies. The effective date for the new coverage requirements was changed from January 1, 2026 to July 1, 2026, and the Medicaid implementation timeline was adjusted to require state plan amendments by a specific deadline. The bill also added a new section requiring health maintenance organizations to include specific biomarker testing benefits in their policies.

Scope change

The bill's scope was expanded to include hospital or medical service plan contracts and mutual benefit societies in addition to individual and group accident and health insurance policies. The effective date for coverage requirements was extended from January 1, 2026 to July 1, 2026.

ELIGIBILITY

Expanded coverage requirements to include hospital or medical service plan contracts and mutual benefit societies in addition to individual and group accident and health insurance policies.

TIMELINE

Changed the effective date for biomarker testing coverage requirements from January 1, 2026 to July 1, 2026.

REQUIREMENT

Added new section requiring health maintenance organizations to include specific biomarker testing benefits in their policies.

FISCAL

Modified Medicaid implementation timeline to require state plan amendments by a specific deadline rather than a fixed date.

TECHNICAL

Corrected statutory references from 'article bA' to 'article 10A' and updated section numbering throughout the document.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 6, 2025

Committee

Reported from HLT/HSH (Stand. Com. Rep. No. 185) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Jan 31, 2025

Lower · Passed

The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Jan 31, 2025

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Jan 21, 2025

Committee

Referred to HLT/HSH, CPC, FIN, referral sheet 2

lower

Jan 21, 2025

Introduced

Introduced and Pass First Reading.

lower

Jan 17, 2025

Introduced

Pending introduction.

lower

15 primary · 0 co-sponsors