Informing the Legislature that on July 9, 2026, the Governor signed the following bill into law: HB1864 HD2 SD2 CD1 (ACT 218).

This bill mandates that health and hospital insurance policies issued or renewed in Hawaii after December 31, 2026, must cover standard fertility preservation services for individuals undergoing medically necessary treatments that could cause infertility. The law requires insurers to follow established clinical guidelines and prohibits them from denying coverage based on prior diagnoses, life expectancy, disability, or other health conditions. However, the mandate does not apply to experimental procedures, assisted reproduction technologies like donor eggs or surrogacy, or the ongoing storage of frozen reproductive material.