SB 189 Hawaii Senate · 2026 Regular Session

RELATING TO BREAST CANCER SCREENING.

Summary

Expands mandatory health insurance coverage for low-dose mammography for occult breast cancer to include any supplemental imaging deemed medically necessary for a patient of any age having an above-average risk for breast cancer as determined by the use of a risk-factor modeling tool. On or before 1/1/2026, expands mandatory health insurance coverage to include additional supplemental imaging for any patient, regardless of age, as deemed medically necessary by the patient's primary care provider. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Feb 2025

Senate Passage

Feb 2025

House Passage

Governor

Introduced Jan 13, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB189 → SB189_SD1 · 4 edits

MODERATE

This bill updates the legislative metadata to reflect its new status as a Senate Draft (SD1) and revises the effective date from July 1, 2025, to December 31, 2050. The text also clarifies eligibility criteria by explicitly including 'patients' alongside 'women' for coverage and standardizes the description of supplemental imaging requirements.

Scope change

The bill's scope remains focused on mandatory breast cancer screening coverage, but the applicability timeline has been extended significantly to 2050, and the language now explicitly applies to 'patients' rather than just 'women' to broaden eligibility clarity.

TIMELINE

The effective date of the Act was changed from July 1, 2025, to December 31, 2050.

ELIGIBILITY

The text was updated to refer to 'patients' in addition to 'women' to clarify who qualifies for coverage under the screening mandates.

REQUIREMENT

The description of supplemental imaging requirements was streamlined to ensure consistency across different sections of the bill regarding who orders the imaging.

TECHNICAL

The bill header was updated to indicate it is now a Senate Draft (SD1) rather than a standard Senate Bill, and associated metadata fields were adjusted accordingly.

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

Feb 10, 2025

Upper · Passed

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

upper

Feb 10, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 119) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

upper

Jan 29, 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, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Keohokalole.

upper

Jan 27, 2025

Committee

Re-Referred to HHS, CPN/WAM.

upper

Jan 23, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 01-27-25 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 17, 2025

Committee

Referred to HHS, CPN.

upper

Jan 15, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 13, 2025

Introduced

Pending Introduction.

upper

6 primary · 3 co-sponsors