RELATING TO HEALTH INSURANCE.
Summary
Beginning 1/1/2027, requires all health insurers, mutual benefit societies, and health maintenance organizations in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Allows the Department of Health and Department of Human Services to accept and expend funds from public and private sources to support the expansion of access to continuous glucose monitors. (CD1)
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jul 2026
Introduced Jan 28, 2026
Signed Jul 7, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
SB3045_HD2
→
SB3045_SD1
·
4 edits
MODERATE
The bill was revised to standardize terminology by replacing 'continuous glucose monitors' with the acronym 'CGMs' and updating the definition of a CGM to require a minimum sensor lifespan of seven days. The effective date for the new coverage requirements was significantly delayed from July 1, 3000, to January 30, 2050, while the reporting title was expanded to include more departments.
Scope change
The bill's scope remains focused on requiring health insurers to cover CGMs, but the applicability timeline was extended by decades, and the definition of the device was clarified to include a specific duration requirement.
DEFINITION
The definition of 'continuous glucose monitor' was updated to specify that the sensor must remain in place for a minimum of seven days.
TIMELINE
The effective date for the Act was changed from July 1, 3000, to January 30, 2050, drastically delaying when the new coverage rules apply.
REQUIREMENT
Terminology was standardized throughout the text to use 'CGMs' instead of the full phrase 'continuous glucose monitors' for brevity and consistency.
TECHNICAL
The reporting title was updated to explicitly list the Department of Human Services and Department of Health.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
52
Key actions
22
Committee
21
Amendments
2
May 6, 2026
Lower · Passed
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
lower
May 6, 2026
Upper · Passed
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
upper
May 1, 2026
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 235-26) as amended in (CD 1).
lower
May 1, 2026
Introduced
48 Hrs. Notice (as amended CD 1) 05-06-26.
upper
May 1, 2026
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 235-26).
upper
May 1, 2026
Lower · Passed
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Marten, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
lower
May 1, 2026
Upper · Passed
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) Kanuha, Lamosao; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Apr 30, 2026
Lower · Passed
Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
lower
Apr 29, 2026
Lower · Passed
Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
lower
Apr 16, 2026
Amended
Senate disagrees with House amendments.
upper
Apr 16, 2026
Introduced
Received from House (Hse. Com. No. 733).
upper
Apr 14, 2026
Lower · Passed
Passed Third Reading with Representative(s) Belatti voting aye with reservations; Representative(s) Shimizu voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate.
lower
Apr 7, 2026
Lower · Passed
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
lower
Mar 30, 2026
Lower · Passed
Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).
lower
Mar 30, 2026
Committee
Reported from CPC (Stand. Com. Rep. No. 1538-26) as amended in HD 2, recommending referral to FIN.
lower
Mar 24, 2026
Lower · Passed
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.
lower
Mar 20, 2026
Committee
Reported from HLT/HSH (Stand. Com. Rep. No. 1277-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Mar 18, 2026
Lower · Passed
The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Marten, Olds, Amato, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.
lower
Mar 18, 2026
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, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.
lower
Mar 12, 2026
Committee
Referred to HLT/HSH, CPC, FIN, referral sheet 17
lower
Mar 10, 2026
Introduced
Received from Senate (Sen. Com. No. 349) in amended form (SD 1).
lower
Mar 10, 2026
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, 2026
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.
upper
Feb 20, 2026
Upper · Passed
The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference.
upper
Feb 19, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.
upper
Feb 19, 2026
Committee
Reported from HHS (Stand. Com. Rep. No. 2433) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
upper
Feb 13, 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 9, 2026
Upper · Passed
The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference.
upper
Feb 8, 2026
Upper · Passed
The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference.
upper
Feb 5, 2026
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference.
upper
Jan 30, 2026
Committee
Referred to HHS, CPN.
upper
Jan 28, 2026
Introduced
Introduced.
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dru Kanuha
DDemocratic
Ask Maddy
·
AI policy assistant
Ask Maddy about SB 3045
Scope: HI
Hi! I can help you understand SB 3045. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline