HB 553 Hawaii House · 2026 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 Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

HB553 → HB553_HD1 · 4 edits

MODERATE

The bill was amended to update administrative metadata, standardize formatting, and correct minor grammatical errors in the definitions of biomarkers and clinical guidelines. The most significant substantive change is the revision of the effective date for Section 8, which was altered from immediate approval to a specific future date of July 1, 3000, likely indicating a placeholder for a future legislative session.

Scope change

The scope of coverage and eligibility criteria for biomarker testing remains unchanged; the amendments focus on text cleanup and a major timeline adjustment.

TIMELINE

The effective date for the bill's implementation was changed from 'upon approval' to 'July 1, 3000', which appears to be a placeholder or error requiring legislative correction.

TECHNICAL

Administrative metadata, including bill numbers, clerk names, and revision dates, were updated to reflect the House of Representatives version (HD1).

A typo in the definition of biomarkers was corrected, changing 'mediations' to 'medications'.

DEFINITION

Minor grammatical improvements were made to the definitions of 'Clinical practice guidelines' and 'Consensus statements' to improve clarity and flow.

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