Healthcare

passed both · Hawaii · Senate Apr 16, 2026

SB 3133: RELATING TO PREVENTIVE MEDICINE.

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)

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage without cost-sharing for preventive services, expanding access and strengthening public health initiatives through DOH recommendations.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Hawaii · Senate Apr 16, 2026

SB 2804: RELATING TO COMMERCE.

SB 2804 bars companies from acquiring or holding stocks or investments that reduce access to healthcare services or raise insurance premiums. It directly affects corporations and investment entities making such financial decisions. The key provision prohibits these specific stock holdings if they demonstrably harm healthcare affordability or availability. The bill aims to prevent corporate investment practices that negatively impact patients and insurance costs, without specifying enforcement details.

Topics ✓ HealthcareSupports HealthcareBars corporate investments harming healthcare access/affordability, directly advancing patient access and reducing insurance costs per bill's core provision.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Hawaii · House Apr 10, 2026

HCR 116: REQUESTING THE CITY AND COUNTY OF HONOLULU AND STATEWIDE OFFICE ON HOMELESSNESS AND HOUSING SOLUTIONS TO DEVELOP A COORDINATED, PLACE-BASED STRATEGIC ACTION PLAN TO ADDRESS BEHAVIORAL HEALTH AND HOMELESSNESS RESPONSE NEEDS ON THE WAIANAE COAST.

This bill requests the City and County of Honolulu and the Statewide Office on Homelessness and Housing Solutions to create a coordinated strategic action plan for addressing behavioral health and homelessness on the Waianae Coast. The plan would analyze emergency response times, hospital utilization, and current shelter capacity to identify service gaps and high-need areas in the region. It also requires the agencies to evaluate how well outreach teams, behavioral health providers, and first responders work together and to explore options for establishing a regional crisis stabilization center. The agencies must include community-based service providers in the planning process and submit their findings and recommendations to the Legislature by the start of the 2027 session.

Topics ✓ HealthcareSupports HealthcareBill seeks to develop a strategic action plan for behavioral health and homelessness, improving access to mental health services and healthcare coordination.85% confidence ✓ HousingSupports HousingBill requests development of strategic action plan to address homelessness and behavioral health needs, which directly supports housing solutions and homelessness response efforts.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Hawaii · House Apr 10, 2026

HCR 8: URGING THE COUNTIES TO ACT ON ANY BUILDING PERMIT APPLICATION FOR MODIFICATION OF A RESIDENCE THAT IS PRESCRIBED BY A LICENSED HEALTH CARE PROVIDER AND FOUND BY THE COUNTY TO BE ESSENTIAL TO THE SAFETY OR HEALTH OF AN OLDER ADULT OR PERSON WITH A DISABILITY WITHIN FORTY-FIVE DAYS OF RECEIPT OF A COMPLETE APPLICATION.

HCR 8 is a concurrent resolution urging Hawaiian counties to approve building permits for home safety modifications within 45 days of receiving a complete application. It specifically targets modifications (like ramps or grab bars) recommended by a healthcare provider for older adults (62+) or people with disabilities, when the county deems them essential for safety or health. The resolution does not create new law but seeks to reduce delays that contribute to fall risks and hospitalizations, emphasizing counties must act on complete applications within the 45-day timeframe.

Topics ✓ HealthcareSupports HealthcareUrges expedited permits for healthcare-prescribed home modifications (ramps, grab bars) to prevent falls/hospitalizations in older adults/disabled persons, directly improving access to safety-critical healthcare support.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Hawaii · House Apr 9, 2026

HR 129: REQUESTING HEALTH MAINTENANCE ORGANIZATIONS IN THE STATE TO ADHERE TO AND BE HELD ACCOUNTABLE FOR ISSUING TIMELY REIMBURSEMENTS OF HEALTH CARE CLAIMS PURSUANT TO THE STATE'S CLEAN CLAIMS STATUTE.

This bill is a House Resolution that asks health maintenance organizations in Hawaii to follow state laws requiring them to pay medical claims on time. It highlights that current enforcement of these payment rules is weak and often only happens after complaints are filed. The resolution directs state agencies to ensure HMOs comply with the Clean Claims Statute, which mandates payment within thirty days for paper claims or fifteen days for electronic submissions. The measure aims to protect healthcare providers from financial strain and ensure patients in rural and underserved areas maintain access to care.

Topics ✓ HealthcareSupports HealthcareBill strengthens healthcare by enforcing timely reimbursement of medical claims, protecting patient access to care and financial stability.90% confidence | Rep's Stance Voted absent

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passed · Hawaii · House Apr 9, 2026

HR 108: REQUESTING THE CITY AND COUNTY OF HONOLULU AND STATEWIDE OFFICE ON HOMELESSNESS AND HOUSING SOLUTIONS TO DEVELOP A COORDINATED, PLACE-BASED STRATEGIC ACTION PLAN TO ADDRESS BEHAVIORAL HEALTH AND HOMELESSNESS RESPONSE NEEDS ON THE WAIANAE COAST.

This bill asks the City and County of Honolulu and the Statewide Office on Homelessness and Housing Solutions to create a strategic plan for addressing homelessness and behavioral health needs on the Waianae Coast. The plan must include an analysis of emergency response times, hospital usage for psychiatric crises, available crisis beds, service gaps, and coordination between outreach teams and first responders. It also requires evaluating the feasibility of a regional crisis stabilization center and identifying any legal or budget changes needed to improve outcomes. Community-based service providers must be involved in developing the plan, which will be reported to the Legislature by March 2027.

Topics ✓ HealthcareSupports HealthcareBill mandates development of strategic action plan for behavioral health and homelessness, improving access to mental health services and crisis stabilization on Waianae Coast.85% confidence ✓ HousingSupports HousingBill addresses homelessness and behavioral health needs through coordinated planning, which supports housing stability and access to services for vulnerable populations.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Hawaii · House Apr 9, 2026

HR 7: URGING THE COUNTIES TO ACT ON ANY BUILDING PERMIT APPLICATION FOR MODIFICATION OF A RESIDENCE THAT IS PRESCRIBED BY A LICENSED HEALTH CARE PROVIDER AND FOUND BY THE COUNTY TO BE ESSENTIAL TO THE SAFETY OR HEALTH OF AN OLDER ADULT OR PERSON WITH A DISABILITY WITHIN FORTY-FIVE DAYS OF RECEIPT OF A COMPLETE APPLICATION.

This House Resolution (HR 7) urges Hawaii counties to approve or deny building permit applications for home safety modifications within 45 days of receiving a complete application. It specifically targets modifications prescribed by healthcare providers for older adults (62+) or people with disabilities, such as ramps or grab bars, when deemed essential for safety or health. The resolution does not create new law but recommends a 45-day timeline to reduce delays causing fall risks and hospitalizations. It applies directly to county permitting departments and affected residents seeking urgent home modifications. (Note: As a non-binding resolution, it relies on voluntary county action, not enforcement.)

Topics ✓ HealthcareSupports HealthcareExpedited home modifications (ramps/grab bars) for older adults/disabled prevent falls/hospitalizations, improving healthcare access and safety per provider prescriptions.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Hawaii · Senate Apr 2, 2026

SB 1279: RELATING TO PHARMACISTS.

Authorizes a registered pharmacist under contract with a covered entity for purposes of the federal 340B Drug Pricing Program to supervise the filling or receipt of a prescription via telehealth in certain circumstances. Effective 7/1/3000. (HD1)

Topics ✓ HealthcareSupports HealthcareAuthorizes pharmacists to supervise telehealth prescriptions under 340B, expanding access for medically underserved patients via telepharmacy.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Hawaii · House Apr 2, 2026

HB 1308: RELATING TO SPORTS WAGERING.

Allows for the regulation of sports wagering by the Department of Law Enforcement. Establishes licensing requirements for sports wagering operators and sports wagering suppliers. Establishes a general excise tax to be levied on sports wagering operator licenses. Establishes the Problem Gambling Prevention and Treatment Special Fund to be administered and expended by the Department of Health. Specifies that legal sports wagering and fantasy sports contests shall not be considered contests of chance or gambling. Authorizes DLE to perform criminal history record checks on applicants and licensees relating to sports wagering. (SD2)

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishes general excise tax on sports wagering operators and funds Problem Gambling Prevention Special Fund, directly advancing tax revenue allocation for public health programs.90% confidence ✓ HealthcareSupports HealthcareCreates Problem Gambling Prevention and Treatment Special Fund administered by DOH, directly funding healthcare services for gambling-related mental health treatment.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Hawaii · Senate Apr 2, 2026

SB 1449: RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES.

Requires utilization review entities to submit data relating to the prior authorization of health care services to the State Health Planning and Development Agency. Establishes the Health Care Appropriateness and Necessity Working Group within the State Health Planning and Development Agency. Effective 7/1/3000. (HD2)

Topics ✓ HealthcareSupports HealthcareMandates data reporting and establishes working group to assess prior authorization appropriateness, aiming to improve patient access and reduce unnecessary care delays in healthcare system.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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