RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES.
Summary
Requires utilization review entities to submit data relating to the prior authorization of health care services to the State Health Planning and Development Agency. Establishes the Health Care Appropriateness and Necessity Working Group within the State Health Planning and Development Agency. Effective 7/1/3000. (HD2)
Bill status
passed both
4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Mar 2025
House Passage
Apr 2025
Governor
Introduced Jan 21, 2025
Last action Apr 2, 2026
Maddy AI version diff · 3 comparisons
What changed between versions
SB1449_HD2
→
SB1449_SD1
·
4 edits
MODERATE
The bill was significantly simplified by removing the creation of a new 'Health Care Appropriateness and Necessity Working Group' and its associated duties. The focus shifted entirely to requiring utilization review entities to submit specific prior authorization data to the state agency. The effective date was delayed from July 1, 3000, to December 31, 2050, and the bill's title was updated to reflect the removal of the working group.
Scope change
The bill's scope was narrowed from a two-part mandate (data reporting plus establishing a new working group) to a single mandate focused solely on data reporting requirements.
REQUIREMENT
Eliminated the establishment of the 'Health Care Appropriateness and Necessity Working Group' and its specific duties to determine standards, assess prior authorization necessity, and make recommendations.
TIMELINE
Changed the effective date of the Act from July 1, 3000, to December 31, 2050.
DEFINITION
Adjusted the definition of 'Prior authorization data' to remove 'Patient demographics such as age' and 'primary insurance plan' from the list of required data points, while reordering the remaining items.
SCOPE
Updated the bill title and description to remove references to the eliminated working group and reflect the new singular focus on data reporting.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
44
Key actions
12
Committee
14
Amendments
1
Apr 24, 2025
Upper · Passed
Conference committee meeting to reconvene on 04-25-25 3:30PM; Conference Room 329.
upper
Apr 23, 2025
Upper · Passed
Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.
upper
Apr 23, 2025
Committee
Re-referred to HLT, CPC, FIN, referral sheet 36
lower
Apr 22, 2025
Upper · Passed
Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
upper
Apr 4, 2025
Amended
Senate disagrees with House amendments.
upper
Apr 4, 2025
Introduced
Received from House (Hse. Com. No. 493).
upper
Apr 3, 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, Woodson excused (2). Transmitted to Senate.
lower
Mar 25, 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, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Ichiyama.
lower
Mar 18, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 1311) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Mar 12, 2025
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, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Alcos.
lower
Mar 6, 2025
Committee
Referred to HLT, CPC, referral sheet 19
lower
Mar 4, 2025
Introduced
Received from Senate (Sen. Com. No. 341) in amended form (SD 1).
lower
Mar 4, 2025
Upper · Passed
Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
upper
Feb 26, 2025
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Richards, Awa.
upper
Feb 14, 2025
Upper · Passed
The committee(s) on CPN will hold a public decision making on 02-20-25 9:30AM; Conference Room 229 & Videoconference.
upper
Feb 14, 2025
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.
upper
Feb 14, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 502) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
upper
Feb 5, 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 31, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; 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
Ron Kouchi
DDemocratic
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