HB 1864 Hawaii House · 2026 Regular Session

RELATING TO INSURANCE.

Summary

For policies, contracts, plans, and agreements issued or renewed after 12/31/2026, requires insurers, mutual benefit societies, and health maintenance organizations to provide coverage for standard fertility preservation services for persons undergoing medically necessary treatment that may cause iatrogenic infertility. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Apr 2026

House Passage

May 2026

Senate Passage

May 2026

Signed into Law

Jul 2026

Introduced Jan 23, 2026 Signed Jul 10, 2026

Maddy AI version diff · 5 comparisons

What changed between versions

HB1864_SD1 → HB1864_SD2 · 2 edits

MINOR

The bill version was updated from SD1 to SD2, reflecting a revision in the legislative process. The effective date for the fertility preservation coverage mandate was changed from January 1, 2050, to January 1, 2051. A minor grammatical correction was made to the definition of 'standard fertility preservation services,' changing 'include' to 'includes' to ensure grammatical agreement with the singular subject.

Scope change

The scope of the bill remains the same, covering fertility preservation services for individuals undergoing medically necessary treatment that may cause infertility.

TIMELINE

The effective date for the insurance coverage mandate was moved from January 1, 2050, to January 1, 2051.

DEFINITION

A grammatical correction was made in the definition of 'standard fertility preservation services,' changing the verb from 'include' to 'includes'.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 6, 2026

Lower · Passed

Passed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).

lower

May 6, 2026

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 29, 2026

Introduced

48 Hrs. Notice (as amended CD 1) 05-06-26

upper

Apr 29, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).

upper

Apr 29, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 79-26) as amended in (CD 1).

lower

Apr 29, 2026

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Garcia; 0 Noes: none; and 0 Excused: none.

lower

Apr 29, 2026

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, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Apr 28, 2026

Upper · Passed

Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.

upper

Apr 16, 2026

Amended

House disagrees with Senate amendment (s).

lower

Apr 14, 2026

Introduced

Returned from Senate (Sen. Com. No. 631) in amended form (SD 2).

lower

Apr 14, 2026

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

Apr 7, 2026

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

upper

Apr 2, 2026

Upper · Passed

The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference.

upper

Mar 25, 2026

Upper · Passed

Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.

upper

Mar 25, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 3176) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.

upper

Mar 18, 2026

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Mar 13, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.

upper

Mar 12, 2026

Committee

Referred to HHS, CPN.

upper

Mar 12, 2026

Introduced

Received from House (Hse. Com. No. 303).

upper

Mar 10, 2026

Lower · Passed

Passed Third Reading as amended in HD 2 with Representative(s) Garcia, Iwamoto, Pierick voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

lower

Mar 3, 2026

Lower · Passed

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Kong, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Iwamoto; 0 Noes: none; and 1 Excused: Representative(s) Pierick.

lower

Feb 19, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 555-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Feb 18, 2026

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Takenouchi, Alcos; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Olds.

lower

Jan 26, 2026

Committee

Referred to HLT, CPC, referral sheet 2

lower

Jan 26, 2026

Introduced

Introduced and Pass First Reading.

lower

Jan 23, 2026

Introduced

Pending introduction.

lower

4 primary · 0 co-sponsors