SB 2425 Hawaii Senate · 2026 Regular Session

RELATING TO HEALTH INSURANCE.

Summary

Requires health insurers, mutual benefit societies, and health maintenance organizations to honor a patient's written assignment of benefits to a substance use disorder treatment provider. Prohibits health insurance policies, plans, contracts, and agreements from including anti-assignment clauses that restrict or invalidate a patient's right to assign benefits. Authorizes the Insurance Commissioner to adopt rules and take enforcement action to ensure compliance. Deems violations to be unfair methods of competition and unfair or deceptive acts or practices in the business of insurance. Requires insurers, mutual benefit societies, and health maintenance organizations to furnish an explanation of benefits to the assigned provider upon request. Effective 1/30/2050. (HD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

Senate Passage

Mar 2026

House Passage

Governor

Introduced Jan 22, 2026 Last action Mar 24, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

SB2425_SD1 → SB2425_SD2 · 3 edits

MINOR

This bill revision updates the bill number from SD1 to SD2 and adjusts several administrative dates and reference numbers. The core policy regarding insurance assignments for substance use disorder treatment remains the same, but the language was slightly tightened to emphasize that assignments must be 'validly executed in compliance with this title.' Additionally, the authority for the Insurance Commissioner to adopt rules was clarified by explicitly citing Chapter 91 of the statutes.

Scope change

The bill's substantive scope and applicability remain unchanged; it still applies to fully insured health plans while excluding self-funded plans under federal law.

TECHNICAL

Updated the bill identifier from SD1 to SD2 and adjusted associated administrative dates and reference numbers.

REQUIREMENT

Refined the requirement for written assignments of benefits to specify they must be 'validly executed in compliance with this title' rather than just 'valid.'

ENFORCEMENT

Clarified the Insurance Commissioner's authority to adopt rules by explicitly referencing Chapter 91 of the statutes.

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

Mar 20, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 1282-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Mar 18, 2026

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Alcos; 1 Noes: Representative(s) Garcia; and 1 Excused: Representative(s) Hartsfield.

lower

Mar 12, 2026

Committee

Referred to HLT, CPC, JHA, referral sheet 17

lower

Mar 10, 2026

Introduced

Received from Senate (Sen. Com. No. 237) in amended form (SD 2).

lower

Mar 10, 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

Feb 27, 2026

Upper · Passed

The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 5 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 23, 2026

Upper · Passed

The committee(s) on JDC will hold a public decision making on 02-27-26 10:30AM; Conference Room 016 & Videoconference.

upper

Feb 19, 2026

Upper · Passed

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

upper

Feb 19, 2026

Committee

Reported from HHS/CPN (Stand. Com. Rep. No. 2432) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

upper

Feb 6, 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

Feb 6, 2026

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

upper

Feb 2, 2026

Upper · Passed

The committee(s) on HHS/CPN has scheduled a public hearing on 02-06-26 9:00AM; Conference Room 229 & Videoconference.

upper

Jan 28, 2026

Committee

Referred to HHS/CPN, JDC.

upper

Jan 22, 2026

Introduced

Introduced.

upper

3 primary · 0 co-sponsors