HB 1969 Hawaii House · 2026 Regular Session

RELATING TO COLORECTAL CANCER.

Summary

Requires the Department of Human Services to develop and implement a state-funded financial assistance program to offer state-funded colorectal screenings and treatment for certain persons. Requires state-funded coverage for follow-up treatment for colorectal cancer for certain persons. Requires coverage to include a follow-up colonoscopy after a positive test result. Specifies that coverage is not subject to a deductible, copayment, coinsurance, or any other cost-sharing requirements. Appropriates funds and establishes one full-time equivalent (1.0 FTE) position. (CD1)

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

May 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 · 4 comparisons

What changed between versions

HB1969_HD2 → HB1969_SD1 · 3 edits

MINOR

The bill was amended to expand coverage from colorectal cancer screenings to include necessary treatment for uninsured residents. This change ensures that individuals who require medical intervention following a positive screening result will receive state-funded care without facing deductibles or copayments, addressing a gap in the original legislation.

Scope change

The bill's scope expanded from providing financial assistance solely for screenings to also covering follow-up treatment for colorectal cancer.

SCOPE

Added state-funded coverage for colorectal cancer treatment for uninsured residents who require it after a positive screening.

REQUIREMENT

Updated the definition of required coverage to explicitly include treatment following a positive stool-based, blood-based, or direct visualization test.

FISCAL

Revised the appropriation description and rules implementation requirements to reflect the inclusion of treatment services alongside screenings.

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 none voting aye with reservations; Representative(s) Pierick voting no (1) and none excused (0).

lower

May 6, 2026

Upper · Passed

Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none).

upper

May 1, 2026

Introduced

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

upper

May 1, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 166-26).

upper

May 1, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 166-26) as amended in (CD 1).

lower

May 1, 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) Keohokalole, Wakai, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

May 1, 2026

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Marten, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Apr 30, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday 05-01-26 3:40PM in conference room 329.

lower

Apr 28, 2026

Lower · Passed

Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 3:40PM in conference room 329.

lower

Apr 14, 2026

Amended

House disagrees with Senate amendment (s).

lower

Apr 10, 2026

Introduced

Returned from Senate (Sen. Com. No. 539) in amended form (SD 1).

lower

Apr 10, 2026

Upper · Passed

Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: Senator(s) McKelvey, San Buenaventura. Noes, 0 (none). Excused, 0 (none). Transmitted to House.

upper

Apr 6, 2026

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C..

upper

Mar 30, 2026

Upper · Passed

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

upper

Mar 30, 2026

Upper · Passed

The committee(s) on WAM will hold a public decision making on 04-01-26 10:03AM; Conference Room 211 & Videoconference.

upper

Mar 30, 2026

Committee

Reported from CPN (Stand. Com. Rep. No. 3325) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.

upper

Mar 24, 2026

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

upper

Mar 20, 2026

Upper · Passed

The committee(s) on CPN has scheduled a public hearing on 03-24-26 9:35AM; Conference Room 229 & Videoconference.

upper

Mar 19, 2026

Committee

Re-Referred to CPN, WAM.

upper

Mar 10, 2026

Committee

Referred to HHS/CPN, WAM.

upper

Mar 6, 2026

Introduced

Received from House (Hse. Com. No. 67).

upper

Mar 5, 2026

Lower · Passed

Passed Third Reading with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Perruso excused (1). Transmitted to Senate.

lower

Feb 27, 2026

Lower · Passed

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Lee, M..

lower

Feb 20, 2026

Lower · Passed

Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1).

lower

Feb 20, 2026

Committee

Reported from CPC (Stand. Com. Rep. No. 691-26) as amended in HD 2, recommending referral to FIN.

lower

Feb 18, 2026

Lower · Passed

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Iwamoto, Kong, Marten, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Pierick; and 2 Excused: Representative(s) Ichiyama, Lowen.

lower

Feb 9, 2026

Committee

Reported from HLT/HSH (Stand. Com. Rep. No. 58-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Feb 4, 2026

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, Hartsfield, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Feb 4, 2026

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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Jan 28, 2026

Committee

Referred to HLT/HSH, CPC, FIN, referral sheet 3

lower

Jan 26, 2026

Introduced

Introduced and Pass First Reading.

lower

Jan 23, 2026

Introduced

Pending introduction.

lower

27 primary · 0 co-sponsors