RELATING TO PHARMACISTS.
Summary
Beginning 7/1/2026, mandates reimbursement for services provided by participating registered pharmacists practicing within their scope of practice by private and public health plans in the State and requires the health plans to recognize pharmacists licensed in the State as participating providers. (CD1)
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
Jun 2025
Introduced Jan 21, 2025
Signed Jun 25, 2025
Maddy AI version diff · 5 comparisons
What changed between versions
SB1245_SD1
→
SB1245_SD2
·
5 edits
MODERATE
This bill was substantially rewritten to expand pharmacist reimbursement requirements and clarify telehealth definitions. The original version only mandated coverage for private and public health plans, while the new version adds specific requirements for mutual benefit societies and includes detailed telehealth definitions. The effective date was changed from December 31, 2025 to July 1, 2026, and the repeal provision was extended to December 31, 2050.
Scope change
The bill now explicitly includes mutual benefit society hospital and medical service plan contracts in addition to private and public health plans, and adds comprehensive telehealth definitions to clarify service delivery methods.
TIMELINE
Effective date changed from December 31, 2025 to July 1, 2026 for insurance coverage requirements
DEFINITION
Added new definitions for telehealth, distant site, originating site, and interactive telecommunications system
REQUIREMENT
Added specific requirements for mutual benefit society hospital and medical service plan contracts to recognize pharmacists as participating providers
ENFORCEMENT
Extended repeal provision to December 31, 2050 and added condition that sections 4 and 5 take effect upon CMS approval of the Hawaii Medicaid state plan
ELIGIBILITY
Changed coverage trigger from 'after December 31, 2025' to 'on or after July 1, 2026' for new policies and contracts
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
46
Key actions
16
Committee
16
Amendments
2
Apr 30, 2025
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2).
lower
Apr 30, 2025
Upper · Passed
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
upper
Apr 24, 2025
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 83) as amended in (CD 1).
lower
Apr 24, 2025
Introduced
48 Hrs. Notice (as amended CD 1) 04-30-25.
upper
Apr 24, 2025
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 83).
upper
Apr 24, 2025
Lower · Passed
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Matayoshi, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
lower
Apr 24, 2025
Upper · Passed
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Keohokalole, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Apr 23, 2025
Upper · Passed
Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.
upper
Apr 22, 2025
Upper · Passed
Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
upper
Apr 10, 2025
Amended
Senate disagrees with House amendments.
upper
Apr 10, 2025
Introduced
Received from House (Hse. Com. No. 675).
upper
Apr 8, 2025
Lower · Passed
Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Marten excused (2). Transmitted to Senate.
lower
Apr 2, 2025
Lower · Passed
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Pierick.
lower
Mar 21, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 1424) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Mar 19, 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; 0 Noes: none; and 0 Excused: none.
lower
Mar 6, 2025
Committee
Referred to HLT, CPC, referral sheet 19
lower
Mar 4, 2025
Introduced
Received from Senate (Sen. Com. No. 284) in amended form (SD 2).
lower
Mar 4, 2025
Upper · Passed
Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
upper
Feb 25, 2025
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Feb 20, 2025
Upper · Passed
The committee(s) on CPN will hold a public decision making on 02-25-25 9:32AM; Conference Room 229 & Videoconference.
upper
Feb 11, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 269) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
upper
Jan 31, 2025
Upper · Passed
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, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Jan 28, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 01-31-25 1:34PM; Conference Room 225 & Videoconference.
upper
Jan 27, 2025
Committee
Referred to HHS, CPN.
upper
Jan 23, 2025
Introduced
Introduced and passed First Reading.
upper
Jan 21, 2025
Introduced
Pending Introduction.
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Joy San Buenaventura
DDemocratic
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