SB 3133 Hawaii Senate · 2026 Regular Session

RELATING TO PREVENTIVE MEDICINE.

Summary
Specifies that no person is subject to liability for providing clinical preventive services in accordance with Department of Health recommendations. Requires health insurers, mutual benefit societies, health maintenance organizations, and plans issued by the Hawaii Employer-Union Health Benefits Trust Fund to provide coverage for clinical preventive services. Authorizes the Department of Health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations. Clarifies that, for child health supervision services coverage, the prevailing medical standards include recommendations by the Department of Health. Prohibits denial of coverage and prior authorization for clinical preventive services based on medical necessity. Specifies that a registered pharmacist may order a vaccine in accordance with the recommendations from the Department of Health. Exempts this measure from an Auditor impact assessment report. Effective 7/1/3000. (HD3)
Bill status passed both 4 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
Senate Passage
Mar 2026
House Passage
Apr 2026
Governor
Introduced Jan 26, 2026 Last action Apr 16, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

SB3133_SD1 SB3133_SD2 · 1 edit
MINOR
This bill update primarily involves administrative metadata changes, such as updating the bill sponsor's name and revising internal tracking numbers and dates. The substantive policy text regarding the Hawaii Preventive Services Advisory Committee and child health supervision services remains unchanged, with only minor formatting adjustments to existing clauses.
TECHNICAL

The bill sponsor was changed from Fredrick Akau to Noah Holck, and the associated internal tracking metadata (dates and reference numbers) were updated to reflect the new version.

Floor votes

How they voted

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

Actions timeline

Total actions
35
Key actions
13
Committee
14
Amendments
1
Apr 16, 2026
Amended
Senate disagrees with House amendments.
upper
Apr 16, 2026
Introduced
Received from House (Hse. Com. No. 749).
upper
Apr 14, 2026
Lower · Passed
Passed Third Reading as amended in HD 3 with Representative(s) Iwamoto, Kila voting aye with reservations; Representative(s) Alcos, Cochran, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (9) and none excused (0). Transmitted to Senate.
lower
Apr 1, 2026
Lower · Passed
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Takayama; Ayes with reservations: none; 3 Noes: Representative(s) Cochran, Garcia, Shimizu; and 2 Excused: Representative(s) Hashem, Sayama.
lower
Mar 30, 2026
Lower · Passed
Report adopted; referred to the committee(s) on JHA as amended in HD 2 with none voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick, Shimizu voting no (7) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).
lower
Mar 30, 2026
Committee
Reported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA.
lower
Mar 25, 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, Lowen, Marten, Tam, Pierick; Ayes with reservations: Representative(s) Iwamoto, Kong; Noes: none; and Excused: none.
lower
Mar 20, 2026
Committee
Reported from HLT (Stand. Com. Rep. No. 1281-26) 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: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, 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. 367) in amended form (SD 2).
lower
Mar 10, 2026
Upper · Passed
Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 24; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 0 (none). Transmitted to House.
upper
Mar 4, 2026
Upper · Passed
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 13 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Mar 4, 2026
Upper · Passed
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none.
upper
Mar 2, 2026
Upper · Passed
The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.
upper
Feb 20, 2026
Upper · Passed
Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.
upper
Feb 20, 2026
Committee
Reported from HHS/CPN (Stand. Com. Rep. No. 2636) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.
upper
Feb 18, 2026
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 1 Excused: Senator(s) McKelvey.
upper
Feb 18, 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, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey.
upper
Feb 13, 2026
Upper · Passed
The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.
upper
Feb 2, 2026
Committee
Referred to HHS/CPN, JDC/WAM.
upper
Jan 28, 2026
Introduced
Introduced.
upper
Jan 26, 2026
Introduced
Pending Introduction.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ron Kouchi
Ron Kouchi
DDemocratic
HI
8