SB 2751 Hawaii Senate · 2026 Regular Session

RELATING TO WORKERS' COMPENSATION.

SB 2751 defines "compounded prescription drugs" for workers' compensation claims, clarifying which custom-mixed medications qualify for coverage. This directly affects injured workers seeking medical benefits and employers/insurers processing claims involving such medications. The bill establishes a clear legal definition to prevent disputes over whether specific custom-mixed drugs are covered under workers' compensation law. It does not create new benefits or costs but ensures consistent application of existing coverage rules for these medications.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Jan 23, 2026 Last action Mar 3, 2026
Maddy AI version diff · 1 comparison

What changed between versions

SB2751 SB2751_SD1 · 6 edits
MODERATE
This bill was updated to shift its focus from general pharmacy compounding standards to specific workers' compensation rules. The changes introduce strict limits on when doctors can dispense medication directly to patients, mandate the use of pharmacy benefit managers for ongoing care, and require clear documentation for non-FDA-approved drugs to ensure cost control and patient safety.
Scope change
The bill's scope narrowed from a general alignment with federal compounding laws to specific regulations governing prescription drug dispensing and payment within the State's Workers' Compensation Law.
DEFINITION

The definition of a 'compounded prescription drug' was updated to explicitly reference compliance with federal 503A standards and FDA-approved compounding facilities.

REQUIREMENT

Physicians are now limited to dispensing prescription drugs directly to patients for only the first 30 days after an industrial injury; all subsequent prescriptions must be filled through the employer's pharmacy benefit manager.

Non-FDA-approved drugs, such as compounded medications, must be clearly identified as 'compounds' on treatment plans and bills, supported by a statement of medical necessity explaining why an FDA-approved alternative was not suitable.

TIMELINE

The effective date of the legislation was changed from July 1, 2026, to January 1, 2077.

FISCAL

Specific payment rules were added for compounded drugs, requiring reimbursement based on the sum of the average wholesale price of each underlying ingredient by gram weight.

ENFORCEMENT

A new penalty mechanism was introduced where failure to identify a compound drug on a treatment plan or bill results in the payment being deemed non-reimbursable.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
10
Key actions
5
Committee
6
Feb 24, 2026
Upper · Passed
The committee(s) on JDC will hold a public decision making on 03-03-26 10:15AM; Conference Room 016 & Videoconference.
upper
Feb 12, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
upper
Feb 12, 2026
Committee
Reported from LBT/HHS (Stand. Com. Rep. No. 2217) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
upper
Feb 4, 2026
Upper · Passed
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Feb 4, 2026
Upper · Passed
The committee(s) on LBT recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in LBT were as follows: 4 Aye(s): Senator(s) Elefante, Lamosao, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Ihara.
upper
Jan 30, 2026
Upper · Passed
The committee(s) on LBT/HHS has scheduled a public hearing on 02-04-26 1:00PM; Conference Room 225 & Videoconference.
upper
Jan 30, 2026
Committee
Referred to LBT/HHS, JDC.
upper
Jan 23, 2026
Introduced
Introduced.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Les Ihara
Les Ihara
DDemocratic
HI
10