SB 642 Hawaii Senate · 2026 Regular Session

RELATING TO INSURANCE.

Summary

Requires all health insurance policies, contracts, plans, and agreements issued or renewed after 12/31/2025, to provide optional coverage for standard fertility preservation services for persons undergoing medically necessary cancer-related treatments that may cause iatrogenic infertility. Effective 12/31/2050. (SD2)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Mar 2025

Senate Passage

Mar 2025

House Passage

Governor

Introduced Jan 17, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB642_SD1 → SB642_SD2 · 5 edits

MODERATE

This bill revision updates the definition of fertility preservation services to specifically cover cancer-related medical treatments rather than all medical treatments with infertility side effects. It also standardizes the reference to the 2018 American Society of Clinical Oncology guidelines and corrects the legislative session number from the 33rd to the 34th. These changes clarify the bill's intent to protect patients undergoing cancer care and ensure consistency with current medical standards.

Scope change

The bill's scope was narrowed to explicitly apply to cancer-related medical treatments, removing the broader application to any medical treatment with infertility side effects.

DEFINITION

Changed the definition of 'medically necessary treatment' from any treatment with infertility side effects to specifically 'any cancer-related medical treatment'.

Updated references to clinical guidelines to specify the '2018 update' by the American Society of Clinical Oncology instead of 'current guidelines'.

TECHNICAL

Corrected the legislative session number from 'S.D. 1' to 'S.D. 2' and updated the bill author names.

TIMELINE

Renumbered the effective date section from Section 5 to Section 6 to accommodate the addition of a new section.

REQUIREMENT

Updated the summary description to reflect that coverage is for 'medically necessary cancer-related treatments'.

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 6, 2025

Committee

Referred to HLT, CPC, FIN, referral sheet 19

lower

Mar 4, 2025

Introduced

Received from Senate (Sen. Com. No. 180) in amended form (SD 2).

lower

Mar 4, 2025

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 26, 2025

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Aquino, Fevella.

upper

Feb 26, 2025

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, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 20, 2025

Upper · Passed

The committee(s) on CPN/WAM will hold a public decision making on 02-26-25 10:00AM; Conference Room 211 & Videoconference.

upper

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. 120) 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: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Jan 24, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 01-29-25 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 23, 2025

Committee

Referred to HHS, CPN/WAM.

upper

Jan 17, 2025

Introduced

Introduced.

upper

3 primary · 2 co-sponsors