SB 3133: DOH; Insurance; Preventive Services Coverage; Recommendations; Standing Orders; Child Health Supervision Services; Immunization; Prevailing Medical Standards; Pharmacists; EUTF
- Session Year: 2025-2026
- House: Senate
- Latest Version Date: 2026-04-08
Current Status:
Failed
(2026-04-16: Received notice of disagreement (Sen. Com. No. 710).)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Final Decking
Enacted
What does this bill do?
The bill requires health insurers, mutual benefit societies, health maintenance organizations, and the state employee-union health plan to cover clinical preventive services that the Hawaii Department of Health recommends and bars denials or prior authorization of those services based on medical necessity. It lets the Department of Health issue recommendations and standing orders (pre-authorized instructions) for medications and vaccines, allows registered pharmacists to order vaccines per those recommendations, and protects people from civil, criminal, or professional discipline when they provide preventive services in line with the Department’s recommendations.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
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)
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 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. (HD2)
Establishes the Hawaii Preventive Services Advisory Committee to serve in an advisory capacity to the Department of Health on matters relating to clinical preventive services. Authorizes the Department of Health to issue clinical preventive service recommendations. Provides immunity for health care professionals who provide clinical preventive services based on recommendations of the Department of Health. Requires coverage of evidence-based clinical preventive services without cost-sharing. Effective 7/1/3000. (HD1)
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services. (SD2)
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services. (SD1)
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
S.D. 2 |
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STATE OF HAWAII |
H.D. 3 |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that the loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
The purpose of this Act is to:
(1) Specify that no person is subject to liability for providing clinical preventive services in accordance with department of health recommendations;
(2) Require 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;
(3) Authorize the department of health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations;
(4) Clarify that for child health supervision services coverage, the prevailing medical standards include recommendations by the department of health;
(5) Prohibit the denial of coverage and prior authorization for clinical preventive services based on medical necessity; and
(6) Specify that a registered pharmacist may order a vaccine in accordance with department of health recommendations.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to part II to be appropriately designated and to read as follows:
"§321- Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A, part I, to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) Each individual policy of accident and health or sickness insurance delivered or issued for delivery in the State beginning January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any health insurance policy for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1, part VI, to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) Each individual or group hospital or medical service plan contract delivered or issued for delivery in the State beginning January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any health insurance policy for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that provide
for a range of child abuse and neglect prevention services in relation to assessed
needs, regardless of whether the programs are conducted by the department, other
government agencies, or private organizations and to coordinate the prevention programs
with child abuse and neglect treatment services; provided that this paragraph shall
not be interpreted to compel a specified level of services; [and]
(6) To make recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and relating to immunizations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions as
may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsections (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section[, except]; provided that the limitations authorized
by this subsection shall not apply to immunizations [recommended by the
Advisory Committee on Immunization Practices of the United States Department of
Health and Human Services and the American Academy of Pediatrics; provided that
if the recommendations of the committee and the academy differ, the department
of health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e)
For the purposes of this section[, "child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsections (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section[, except]; provided that the limitations authorized
by this subsection shall not apply to immunizations [recommended by the
Advisory Committee on Immunization Practices of the United States Department of
Health and Human Services and the American Academy of Pediatrics; provided that
if the recommendations of the committee and the academy differ, the department
of health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e)
For the purposes of this section[, "child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 432:1-602.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsections (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section[, except]; provided that the limitations authorized
by this subsection shall not apply to immunizations [recommended by the
Advisory Committee on Immunization Practices of the United States Department of
Health and Human Services and the American Academy of Pediatrics; provided that
if the recommendations of the committee and the academy differ, the department
of health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e) For the purposes of this section[,
"child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 10. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding
any provision of law to the contrary, each policy, contract, plan, or agreement
issued in the State after January 1, 1995, by health maintenance organizations
pursuant to this chapter, shall include benefits provided in sections 431:10-212,
431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5,
431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125,
431:10A-126, 431:10A-132, 431:10A-133, 431:10A-134, 431:10A-140, and [431:10A-134,]
431:10A- , and chapter 431M."
SECTION 11. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 12. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4 Vaccinations[; children]. (a) A
pharmacist, pharmacy intern, or registered pharmacy technician under the direct
supervision of a registered pharmacist may administer a vaccine to a person
three years of age or older; provided that:
(1) The vaccine is authorized or approved
by the United States Food and Drug Administration[;] for any
indication;
(2) The vaccine has been ordered by a
registered pharmacist and administered in accordance with the recommendations
of the Advisory Committee on Immunization Practices of the United States
Department of Health and Human Services[;], or the department of
health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The registered pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The registered pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The registered pharmacist, pharmacy intern, or registered pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The registered pharmacist or registered pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The registered pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The registered pharmacist, pharmacy intern, or registered pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The registered pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where a prescription has been ordered
by a person other than the registered pharmacist[,] or a standing
order pursuant to section 321-31, the registered pharmacist, pharmacy
intern, or registered pharmacy technician shall verify that the prescriber or
the prescriber's authorized agent is the patient's medical home."
SECTION 13. Notwithstanding sections 23-51 and 23-52, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 14. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under section 431:10- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 10 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State from January 1, 2027.
SECTION 15. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 9, 10, and 11 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes, issued in the State from January 1, 2027.
SECTION 16. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 17. If any provision of this Act, or the application thereof to any person or circumstances, triggers a cost to the State pursuant to title 45 Code of Federal Regulations section 155.170, that provision shall be repealed but does not affect other provisions or applications of the Act that can be given effect without triggering costs to the State pursuant to title 45 Code of Federal Regulations section 155.170, and to this end the provisions of this Act are severable.
SECTION 18. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 19. This Act shall take effect on July 1, 3000.
Report Title:
DOH; Insurance; Preventive Services Coverage; Recommendations; Standing Orders; Child Health Supervision Services; Immunization; Prevailing Medical Standards; Pharmacists; EUTF
Description:
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)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
S.D. 2 |
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STATE OF HAWAII |
H.D. 2 |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that the loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
The purpose of this Act is to:
(1) Specify that no person is subject to liability for providing clinical preventive services in accordance with department of health recommendations;
(2) Require health insurers, mutual benefit societies, health maintenance organizations, and plans issued by the Hawaii employer-union health benefits trust to provide coverage for clinical preventive services;
(3) Authorize the department of health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations;
(4) Clarify that for child health supervision services coverage, the prevailing medical standards include recommendations by the department of health;
(5) Prohibit the denial of coverage and prior authorization for clinical preventive services based on medical necessity; and
(6) Specify that a registered pharmacist may order a vaccine in accordance with department of health recommendations.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to part II to be appropriately designated and to read as follows:
"§321- Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article I, part I, to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) Each individual policy of accident and health or sickness insurance delivered or issued for delivery in the State beginning January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any health insurance policy for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article I, part VI, to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) Each individual or group hospital and medical service plan contract delivered or issued for delivery in the State beginning January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any health insurance policy for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that provide
for a range of child abuse and neglect prevention services in relation to assessed
needs, regardless of whether the programs are conducted by the department, other
government agencies, or private organizations and to coordinate the prevention programs
with child abuse and neglect treatment services; provided that this paragraph shall
not be interpreted to compel a specified level of services; [and]
(6) To make recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and relating to immunizations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions as
may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsection (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section, except that the limitations authorized by this subsection shall
not apply to immunizations [recommended by the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics; provided that if the
recommendations of the committee and the academy differ, the department of
health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e)
For the purposes of this section[, "child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse") , which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsections (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section, except that the limitations authorized by this subsection shall
not apply to immunizations [recommended by the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics; provided that if the
recommendations of the committee and the academy differ, the department of
health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e)
For the purposes of this section[, "child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 432:1-602.5, Hawaii Revised Statutes, is amended as follows:
1. By amending subsections (b) and (c) to read:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with the
prevailing medical standards. [For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics; provided that if the recommendations of the committee
and the academy differ, the department of health shall determine which
recommendations shall apply.]
(c) Minimum benefits may be limited to one visit
payable to one provider for all of the services provided at each visit cited in
this section, except that the limitations authorized by this subsection shall
not apply to immunizations [recommended by the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics; provided that if the
recommendations of the committee and the academy differ, the department of
health shall determine which recommendations shall apply.] in keeping
with the prevailing medical standards."
2. By amending subsection (e) to read:
"(e) For the purposes of this section[,
"child]:
"Child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section.
"Prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics, or the recommendations of the department of health made pursuant to section 321-31; provided that if these recommendations differ, the department of health shall determine which recommendations shall apply."
SECTION 10. Section 432D:23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding
any provision of law to the contrary, each policy, contract, plan, or agreement
issued in the State after January 1, 1995, by health maintenance organizations
pursuant to this chapter, shall include benefits provided in sections 431:10-212,
431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5,
431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125,
431:10A-126, 431:10A-132, 431:10A-133, 431:10A-140, [and] 431:10A-134, and
431:10A- , and chapter 431M."
SECTION 11. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 12. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4 Vaccinations[; children]. (a) A
pharmacist, pharmacy intern, or registered pharmacy technician under the direct
supervision of a registered pharmacist may administer a vaccine to a person
three years of age or older; provided that:
(1) The vaccine is authorized or approved
by the United States Food and Drug Administration[;] for any
indication;
(2) The vaccine has been ordered by a
registered pharmacist and administered in accordance with the recommendations
of the Advisory Committee on Immunization Practices of the United States
Department of Health and Human Services[;], or the department of
health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The registered pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The registered pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The registered pharmacist, pharmacy intern, or registered pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The registered pharmacist or registered pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The registered pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The registered pharmacist, pharmacy intern, or registered pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The registered pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where a prescription has been ordered
by a person other than the registered pharmacist[,] or a standing
order pursuant to section 321-31, the registered pharmacist, pharmacy
intern, or registered pharmacy technician shall verify that the prescriber or
the prescriber's authorized agent is the patient's medical home."
SECTION 13. Notwithstanding sections 23-51 and 23-52, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 14. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under section 431:10- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 10 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State from January 1, 2027.
SECTION 15. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 9, 10, and 11 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes issued in the State from January 1, 2027.
SECTION 16. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 17. If any provision of this Act, or the application thereof to any person or circumstances, triggers a cost to the State pursuant to title 45 Code of Federal Regulations section 155.170, that provision shall be repealed but does not affect other provisions or applications of the Act that can be given effect without triggering costs to the State pursuant to title 45 Code of Federal Regulations section 155.170, and to this end the provisions of this Act are severable.
SECTION 18. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 19. This Act shall take effect on July 1, 3000.
Report Title:
DOH; Insurance; Preventive Services Coverage; Recommendations; Standing Orders; Child Health Supervision Services; Immunization; Prevailing Medical Standards; Pharmacists; EUTF
Description:
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 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. (HD2)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
S.D. 2 |
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STATE OF HAWAII |
H.D. 1 |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that clinical preventive services recommended by the Advisory Committee on Immunization Practices and the United States Preventive Services Task Force, such as immunizations and other evidence-based preventive interventions, are currently required to be covered by health insurance without cost-sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing.
The loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
Accordingly, the purpose of this Act is to ensure continued access to preventive medicine for Hawaii residents by:
(1) Establishing the Hawaii preventive services advisory committee to serve in an advisory capacity to the department of health on matters relating to clinical preventive services;
(2) Authorizing the department of health to issue clinical preventive service recommendations;
(3) Providing immunity for health care professionals who provide clinical preventive services based on recommendations of the department of health; and
(4) Requiring coverage of evidence-based clinical preventive services without cost-sharing.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding three new sections to part II to be appropriately designated and to read as follows:
"§321-A Hawaii preventive services advisory committee; established. (a) There is established within the department of health the Hawaii preventive services advisory committee, which shall serve in an advisory capacity to the department of health on matters relating to clinical preventive services.
(b) The Hawaii preventive services advisory committee shall be composed of ten members. The director of health or the director's designee shall serve as an ex officio nonvoting chair of the advisory committee and invite one representative from each of the following organizations to serve as the advisory committee members:
(1) American Academy of Pediatrics, Hawaii Chapter;
(2) Hawaii Academy of Family Physicians;
(3) American Academy of Obstetricians and Gynecologists, Hawaii Section;
(4) American College of Physicians, Hawaii Chapter;
(5) Hawaii Association of Professional Nurses;
(6) Hawaii Medical Association;
(7) Hawaii Association of Health Plans;
(8) Healthcare Association of Hawaii;
(9) Hawaii Primary Care Association, which may nominate a consumer representative knowledgeable about consumer perspectives or community aspects of clinical prevention; and
(10) Hawaii Academy of Nutrition and Dietetics, who may nominate a representative who is a registered dietitian nutritionist or licensed nutrition professional.
(c) The members of the Hawaii preventive services advisory committee shall be subject to chapter 84.
(d) Each member shall serve for a term of up to four years, as determined by the director of health; provided that no members shall serve more than eight consecutive years. The director of health or the director's designee may designate staggered term lengths for initial members, including terms of one, two, three, or four years.
(e) The members of the Hawaii preventive services advisory committee shall serve without compensation but shall be reimbursed for expenses, including travel expenses, necessary for the performance of their duties.
(f) There shall be no liability on the part of, and no cause of action against, the Hawaii preventive services advisory committee, its members, or the department of health for any act or omission done in good faith in the performance of their duties or functions under this section, including the development, adoption, issuance, or implementation of clinical preventive service recommendations; provided that this subsection shall not be construed to limit or affect the liability of any person arising from the provision of direct medical care.
§321-B Hawaii preventive services advisory committee; scope; duties. (a) The scope of the Hawaii preventive services advisory committee shall be limited to recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and to recommendations relating to immunizations.
(b) The Hawaii preventive services advisory committee shall base its recommendations on the best available scientific evidence and shall give due consideration to recommendations issued by recognized national medical professional organizations.
(c) The Hawaii preventive services advisory committee shall make its recommendations independently of any recommendations developed through, or in coordination with, any multi-state alliance or agreement made for the purpose of issuing clinical prevention service recommendations.
(d) The department of health shall consider recommendations submitted by the Hawaii preventive services advisory committee when issuing clinical preventive service recommendations pursuant to section 321-31.
§321-C Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A, part I, to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) Each individual and group policy of accident and health or sickness insurance issued or renewed in the State after January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any health insurance policy for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1, part VI, to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) Each individual hospital and medical service plan contract delivered or issued for delivery in the State after January 1, 2027, shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, hospital indemnity policies, or any medical service plan contract for which federal law would require the State to pay the defrayal cost of otherwise noncovered state mandated benefits."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that
provide for a range of child abuse and neglect prevention services in relation
to assessed needs, regardless of whether the programs are conducted by the
department, other government agencies, or private organizations and to
coordinate the prevention programs with child abuse and neglect treatment
services; provided that this paragraph shall not be interpreted to compel a
specified level of services; [and]
(6) To make clinical preventive service recommendations based on the recommendations of the Hawaii preventive services advisory committee established pursuant to section 321-A, or pursuant to an alliance entered into with another state for the purpose of issuing clinical preventive service recommendations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions
as may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 431:26-103, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Network adequacy requirements shall be as follows:
(1) A
health carrier providing a network plan shall maintain a network that is
sufficient in numbers and appropriate types of providers, including those that
serve predominantly low-income, medically underserved individuals, to assure
that all covered benefits will be accessible without unreasonable travel or
delay; [and]
(2) Covered
persons shall have access to emergency services twenty-four hours per day,
seven days per week[.]; and
(3) The network shall include an adequate number and geographic distribution of providers authorized to furnish clinical preventive services for which coverage is required under state law or rule, including services recommended by the department of health pursuant to section 321-31, to ensure timely access to those services without unreasonable travel or delay."
SECTION 10. Section 432:1-602.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 11. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to
the contrary, each policy, contract, plan, or agreement issued in the State
after January 1, 1995, by health maintenance organizations pursuant to this
chapter, shall include benefits provided in sections 431:10-212, 431:10A-115,
431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6,
431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126,
431:10A-132, 431:10A-133, 431:10A-134, 431:10A-140, and [431:10A-134],
431:10A- , and chapter
431M."
SECTION 12. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 13. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4
Vaccinations[; children].
(a) A pharmacist, pharmacy
intern, or registered pharmacy technician under the direct supervision of a
registered pharmacist may administer a vaccine to a person three years of age
or older; provided that:
(1) The vaccine is authorized or approved
by the United States Food and Drug Administration[;] for any indication;
(2) The vaccine has been ordered by a
registered pharmacist and administered in accordance with the recommendations
of the Advisory Committee on Immunization Practices of the United States
Department of Health and Human Services[;],
or the department of health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The registered pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The registered pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The registered pharmacist, pharmacy intern, or registered pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The registered pharmacist or registered pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The registered pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The registered pharmacist, pharmacy intern, or registered pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The registered pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where a prescription has been ordered
by a person other than the registered pharmacist[,] or a standing order pursuant
to section 321-31, the registered pharmacist, pharmacy intern, or
registered pharmacy technician shall verify that the prescriber or the
prescriber's authorized agent is the patient's medical home."
SECTION 14. Notwithstanding section 23-51, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 15. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under section 431:10A- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 11 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State after January 1, 2027.
SECTION 16. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 10, 11, and 12 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes, in the State.
SECTION 17. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 18. In codifying the new sections added by section 2 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 19. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 20. This Act shall take effect on July 1, 3000.
Report Title:
DOH; Hawaii Preventive Services Advisory Committee; Insurance Coverage; Cost-Share; Standing Orders; Immunity; Sunrise Analysis Exemption
Description:
Establishes the Hawaii Preventive Services Advisory Committee to serve in an advisory capacity to the Department of Health on matters relating to clinical preventive services. Authorizes the Department of Health to issue clinical preventive service recommendations. Provides immunity for health care professionals who provide clinical preventive services based on recommendations of the Department of Health. Requires coverage of evidence-based clinical preventive services without cost-sharing. Effective 7/1/3000. (HD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
S.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that clinical preventive services recommended by the Advisory Committee on Immunization Practices and by the United States Preventive Services Task Force, such as immunizations and other evidence-based preventive interventions, are currently required to be covered by health insurance without cost-sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing.
The loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
Accordingly, the purpose of this Act is to ensure continued access to preventive medicine by requiring coverage of evidence‑based clinical preventive services without cost-sharing for the people of Hawaii.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding three new sections to part II to be appropriately designated and to read as follows:
"§321-A Hawaii preventive services advisory committee; established. (a) There is established within the department of health the Hawaii preventive services advisory committee, which shall serve in an advisory capacity to the department of health on matters relating to clinical preventive services.
(b) The Hawaii preventive services advisory committee shall be composed of ten members. The director of health or the director's designee shall serve as an ex officio nonvoting chair of the advisory committee and invite one representative from each of the following organizations to serve as the advisory committee members:
(1) Hawaii chapter of the American Academy of Pediatrics;
(2) Hawaii chapter of the American Academy of Family Physicians;
(3) Hawaii chapter of the American Academy of Obstetricians and Gynecologists;
(4) Hawaii chapter of the American College of Physicians;
(5) Hawaii Association of Professional Nurses;
(6) Hawaii Medical Association;
(7) Hawaii Association of Health Plans;
(8) Healthcare Association of Hawaii; and
(9) Hawaii Primary Care Association, which may nominate a consumer representative knowledgeable about consumer perspectives or community aspects of clinical prevention.
(c) The members of the Hawaii preventive services advisory committee shall be subject to chapter 84. Each member shall serve for a term of up to four years, as determined by the director of health; provided that no members shall serve more than eight consecutive years. The director of health or the director's designee may designate staggered term lengths for initial members, including terms of one, two, three, or four years.
(d) The members of the Hawaii preventive services advisory committee shall serve without compensation but shall be reimbursed for expenses, including travel expenses, necessary for the performance of their duties.
§321-B Hawaii preventive services advisory committee; scope; duties. (a) The scope of the Hawaii preventive services advisory committee shall be limited to recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and to recommendations relating to immunizations.
(b) The Hawaii preventive services advisory committee shall base its recommendations on the best available scientific evidence and shall give due consideration to recommendations issued by recognized national medical professional organizations.
(c) The Hawaii preventive services advisory committee shall make its recommendations independently of any recommendations developed through, or in coordination with, any multi-state alliance or agreement made for the purpose of issuing clinical prevention service recommendations.
(d) The department of health shall consider recommendations submitted by the Hawaii preventive services advisory committee when issuing clinical preventive service recommendations pursuant to section 321-31.
§321-C Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A, part I, to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) Each individual and group accident and health or sickness insurance policy, contract, plan, or agreement issued or renewed in the State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1, part VI, to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) All individual and group hospital and medical health service corporation contracts delivered or issued for delivery in the State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that
provide for a range of child abuse and neglect prevention services in relation
to assessed needs, regardless of whether the programs are conducted by the
department, other government agencies, or private organizations and to
coordinate the prevention programs with child abuse and neglect treatment
services; provided that this paragraph shall not be interpreted to compel a
specified level of services; [and]
(6) To make clinical preventive service recommendations based on the recommendations of the Hawaii preventive services advisory committee established pursuant to section 321-A, or pursuant to an alliance entered into with another state for the purpose of issuing clinical preventive service recommendations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions
as may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 431:26-103, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Network adequacy requirements shall be as follows:
(1) A
health carrier providing a network plan shall maintain a network that is
sufficient in numbers and appropriate types of providers, including those that
serve predominantly low-income, medically underserved individuals, to assure
that all covered benefits will be accessible without unreasonable travel or
delay; [and]
(2) Covered
persons shall have access to emergency services twenty-four hours per day,
seven days per week[.]; and
(3) The network shall include an adequate number and geographic distribution of providers authorized to furnish clinical preventive services for which coverage is required under state law or rule, including services recommended by the department of health pursuant to section 321-31, to ensure timely access to those services without unreasonable travel or delay."
SECTION 10. Section 432:1-602.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For the
purposes of this subsection, [the term] "prevailing medical
standards" means the recommendations of the Advisory Committee on
Immunization Practices of the United States Department of Health and Human
Services and the American Academy of Pediatrics[;], or the
recommendations of the department of health made pursuant to section 321-31;
provided that if [the] these recommendations [of the committee
and the academy] differ, the department of health shall determine which
recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 11. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to
the contrary, each policy, contract, plan, or agreement issued in the State
after January 1, 1995, by health maintenance organizations pursuant to this
chapter, shall include benefits provided in sections 431:10-212, 431:10A-115,
431:10A-115.5, 431:10A- ,
431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119,
431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132,
431:10A-133, 431:10A-134, 431:10A-140, [and 431:10A-134,] and
chapter 431M."
SECTION 12. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 13. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4 Vaccinations[;
children]. (a) A pharmacist, pharmacy intern, or registered
pharmacy technician under the direct supervision of a registered pharmacist may
administer a vaccine to a person three years of age or older; provided that:
(1) The vaccine is authorized or approved
by the United States Food and Drug Administration[;] for any indication;
(2) The vaccine has been ordered by a
registered pharmacist and administered in accordance with the recommendations
of the Advisory Committee on Immunization Practices of the United States
Department of Health and Human Services[;],
or the department of health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The registered pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The registered pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The registered pharmacist, pharmacy intern, or registered pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The registered pharmacist or registered pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The registered pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The registered pharmacist, pharmacy intern, or registered pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The registered pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where a prescription has been ordered
by a person other than the registered pharmacist[,] or a standing order pursuant
to section 321-31, the registered pharmacist, pharmacy intern, or
registered pharmacy technician shall verify that the prescriber or the
prescriber's authorized agent is the patient's medical home."
SECTION 14. Notwithstanding section 23-51, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 15. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under sections 431:10A- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 11 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State after January 1, 2027.
SECTION 16. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 10, 11, and 12 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes.
SECTION 17. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 18. In codifying the new sections added by section 2 and referenced in section 5 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 19. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 20. This Act shall take effect on July 1, 2026.
Report Title:
DOH; Hawaii Preventive Services Advisory Committee; Insurance Coverage; Cost-Share; Standing Orders; Immunity; Sunrise Analysis Exemption
Description:
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services. (SD2)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
S.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that clinical preventive services recommended by the Advisory Committee on Immunization Practices and by the United States Preventive Services Task Force, such as immunizations and other evidence-based preventive interventions, are currently required to be covered by health insurance without cost-sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing.
The loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
Accordingly, the purpose of this Act is to ensure continued access to preventive medicine by requiring coverage of evidence‑based clinical preventive services without cost-sharing for the people of Hawaii.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding three new sections to part II to be appropriately designated and to read as follows:
"§321-A Hawaii preventive services advisory committee; established. (a) There is established within the department of health the Hawaii preventive services advisory committee, which shall serve in an advisory capacity to the department of health on matters relating to clinical preventive services.
(b) The Hawaii preventive services advisory committee shall be composed of ten members. The director of health or the director's designee shall serve as an ex officio nonvoting chair of the advisory committee and invite one representative from each of the following organizations to serve as the advisory committee members:
(1) Hawaii chapter of the American Academy of Pediatrics;
(2) Hawaii chapter of the American Academy of Family Physicians;
(3) Hawaii chapter of the American Academy of Obstetricians and Gynecologists;
(4) Hawaii chapter of the American College of Physicians;
(5) Hawaii Association of Professional Nurses;
(6) Hawaii Medical Association;
(7) Hawaii Association of Health Plans;
(8) Healthcare Association of Hawaii; and
(9) Hawaii Primary Care Association, which may nominate a consumer representative knowledgeable about consumer perspectives or community aspects of clinical prevention.
(c) The members of the Hawaii preventive services advisory committee shall not be deemed officers or employees of the State; provided that the members shall be subject to chapter 84. Each member shall serve for a term of up to four years, as determined by the director of health; provided that no members shall serve more than eight consecutive years. The director of health or the director's designee may designate staggered term lengths for initial members, including terms of one, two, three, or four years.
(d) There shall be no liability on the part of, and no cause of action of any nature shall arise against, the Hawaii preventive services advisory committee, the advisory committee members, or the department of health for any act or omission done in good faith in the performance of their duties in the exercise of their functions under this section, including development, adoption, issuance, or implementation of clinical preventive service recommendations; provided that this subsection shall not be construed to limit or affect the liability of any person arising from the provision of direct medical care.
(e) The members of the Hawaii preventive services advisory committee shall serve without compensation but shall be reimbursed for expenses, including travel expenses, necessary for the performance of their duties.
§321-B Hawaii preventive services advisory committee; scope; duties. (a) The scope of the Hawaii preventive services advisory committee shall be limited to recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and to recommendations relating to immunizations.
(b) The Hawaii preventive services advisory committee shall base its recommendations on the best available scientific evidence and shall give due consideration to recommendations issued by recognized national medical professional organizations.
(c) The Hawaii preventive services advisory committee shall make its recommendations independently of any recommendations developed through, or in coordination with, any multi-state alliance or agreement made for the purpose of issuing clinical prevention service recommendations.
(d) The department of health shall consider recommendations submitted by the Hawaii preventive services advisory committee when issuing clinical preventive service recommendations pursuant to section 321-31.
§321-C Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A, part I, to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) Each individual and group accident and health or sickness insurance policy, contract, plan, or agreement issued or renewed in this State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1, part VI, to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) All individual and group hospital and medical health service corporation contracts delivered or issued for delivery in the State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that
provide for a range of child abuse and neglect prevention services in relation
to assessed needs, regardless of whether the programs are conducted by the
department, other government agencies, or private organizations and to
coordinate the prevention programs with child abuse and neglect treatment
services; provided that this paragraph shall not be interpreted to compel a
specified level of services; [and]
(6) To make clinical preventive service recommendations based on the recommendations of the Hawaii preventive services advisory committee established pursuant to section 321-A, or pursuant to an alliance entered into with another state for the purpose of issuing clinical preventive service recommendations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions
as may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five years. Services to be covered at each visit shall
include a history, physical examination, developmental assessment, anticipatory
guidance, immunizations, and laboratory tests, in keeping with prevailing
medical standards. For purposes of this
subsection, the term "prevailing medical standards" means the
recommendations of the Advisory Committee on Immunization Practices of the
United States Department of Health and Human Services and the American Academy
of Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics[;], or the recommendations of the department of
health made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 431:26-103, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Network adequacy requirements shall be as follows:
(1) A
health carrier providing a network plan shall maintain a network that is
sufficient in numbers and appropriate types of providers, including those that
serve predominantly low-income, medically underserved individuals, to assure
that all covered benefits will be accessible without unreasonable travel or
delay; [and]
(2) Covered
persons shall have access to emergency services twenty-four hours per day,
seven days per week[.]; and
(3) The network shall include an adequate number and geographic distribution of providers authorized to furnish clinical preventive services for which coverage is required under state law or rule, including services recommended by the department of health pursuant to section 321-31, to ensure timely access to those services without unreasonable travel or delay."
SECTION 10. Section 432:1-602.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics[;], or the recommendations of the department of
health made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 11. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to
the contrary, each policy, contract, plan, or agreement issued in the State
after January 1, 1995, by health maintenance organizations pursuant to this
chapter, shall include benefits provided in sections 431:10-212, 431:10A-115,
431:10A-115.5, 431:10A- ,
431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119,
431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132,
431:10A-133, 431:10A-134, 431:10A-140, [and 431:10A-134,] and
chapter 431M."
SECTION 12. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 13. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4 Vaccinations[; children]. (a) A
pharmacist, pharmacy intern, or registered pharmacy technician under the direct
supervision of a registered pharmacist may administer a vaccine to a person
three years of age or older; provided that:
(1) The vaccine is authorized or approved
by the United States Food and Drug Administration[;] for any indication;
(2) The vaccine has been ordered by a
registered pharmacist and administered in accordance with the recommendations
of the Advisory Committee on Immunization Practices of the United States
Department of Health and Human Services[;],
or the department of health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The registered pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The registered pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The registered pharmacist, pharmacy intern, or registered pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The registered pharmacist or registered pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The registered pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The registered pharmacist, pharmacy intern, or registered pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The registered pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where a prescription has been ordered
by a person other than the registered pharmacist[,] or a standing order pursuant
to section 321-31, the registered pharmacist, pharmacy intern, or
registered pharmacy technician shall verify that the prescriber or the
prescriber's authorized agent is the patient's medical home."
SECTION 14. Notwithstanding section 23-51, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 15. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under sections 431:10A- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 11 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State after January 1, 2027.
SECTION 16. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 10, 11, and 12 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes.
SECTION 17. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 18. In codifying the new sections added by section 2 and referenced in section 5 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 19. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 20. This Act shall take effect on July 1, 2026.
Report Title:
DOH; Hawaii Preventive Services Advisory Committee; Insurance Coverage; Cost-Share; Standing Orders; Immunity; Sunrise Analysis Exemption
Description:
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services. (SD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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THE SENATE |
S.B. NO. |
3133 |
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THIRTY-THIRD LEGISLATURE, 2026 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PREVENTIVE MEDICINE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that clinical preventive services recommended by the Advisory Committee on Immunization Practices and by the United States Preventive Services Task Force, such as immunizations and other evidence-based preventive interventions, are currently required to be covered by health insurance without cost-sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing.
The loss of no-cost access to these preventive services would likely increase out-of-pocket health care expenses for Hawaii residents, causing many individuals to delay or forego preventive care. Such delays would increase the risk of infectious disease outbreaks and contribute to the growing burden of chronic disease across the State.
Accordingly, the purpose of this Act is to ensure continued access to preventive medicine by requiring coverage of evidence-based clinical preventive services without cost-sharing for the people of Hawaii.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding to part II three new sections to be appropriately designated and to read as follows:
"§321-A Hawaii preventive services advisory committee; established. (a) There is established within the department of health the Hawaii preventive services advisory committee, which shall serve in an advisory capacity to the department of health on matters relating to clinical preventive services.
(b) The Hawaii preventive services advisory committee shall be composed of ten members. The director of health or the director's designee shall serve as an ex officio nonvoting chair of the advisory committee and invite one representative from each of the following organizations to serve as the advisory committee members:
(1) Hawaii chapter of the American Academy of Pediatrics;
(2) Hawaii chapter of the American Academy of Family Physicians;
(3) Hawaii chapter of the American Academy of Obstetricians and Gynecologists;
(4) Hawaii chapter of the American College of Physicians;
(5) Hawaii Association of Professional Nurses;
(6) Hawaii Medical Association;
(7) Hawaii Association of Health Plans;
(8) Healthcare Association of Hawaii; and
(9) Hawaii Primary Care Association, which may nominate a consumer representative knowledgeable about consumer perspectives or community aspects of clinical prevention.
(c) The members of the Hawaii preventive services advisory committee shall not be deemed officers or employees of the State; provided that the members shall be subject to chapter 84. Each member shall serve for a term of up to four years, as determined by the director of health; provided that no members shall serve more than eight consecutive years. The director of health or the director's designee may designate staggered term lengths for initial members, including terms of one, two, three, or four years.
(d) There shall be no liability on the part of, and no cause of action of any nature shall rise against, the Hawaii preventive services advisory committee, the advisory committee members, or the department of health for any act or omission done in good faith in the performance of their duties in the exercise of their functions under this section, including development, adoption, issuance, or implementation of clinical preventive service recommendations; provided that this subsection shall not be construed to limit or affect the liability of any person arising from the provision of direct medical care.
(e) The members of the Hawaii preventive services advisory committee shall serve without compensation but shall be reimbursed for expenses, including travel expenses, necessary for the performance of their duties.
§321-B Hawaii preventive services advisory committee; scope; duties. (a) The scope of the Hawaii preventive services advisory committee shall be limited to recommendations relating to clinical preventive service recommendations of the United States Preventive Services Task Force that have been assigned a grade of A or B as of July 1, 2025, and to recommendations relating to immunizations.
(b) The Hawaii preventive services advisory committee shall base its recommendations on the best available scientific evidence and shall give due consideration to recommendations issued by recognized national medical professional organizations.
(c) The Hawaii preventive services advisory committee shall make its recommendations independently of any recommendations developed through, or in coordination with, any multi-state alliance or agreement made for the purpose of issuing clinical prevention service recommendations.
(d) The department of health shall consider recommendations submitted by the Hawaii preventive services advisory committee when issuing clinical preventive service recommendations pursuant to section 321-31.
§321-C Preventive services; immunity. (a) No person shall be subject to civil or criminal liability or professional disciplinary action or deemed to have engaged in unprofessional conduct for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(b) No professional organization or association, health care provider, or health care facility shall subject any person to discipline, suspension, loss of license, loss of privileges, loss of membership, or other penalty for providing clinical preventive services in accordance with recommendations made pursuant to section 321-31.
(c) Nothing in this section shall be construed to limit, restrict, or prohibit any claim, cause of action, or right of recovery against any person or entity for injury arising from negligence."
SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding to article 10A, part I, a new section to be appropriately designated and to read as follows:
"§431:10A- Preventive services coverage; department of health recommendations. (a) All health insurance policies delivered or issued for delivery in the State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding to article 1, part VI, a new section to be appropriately designated and to read as follows:
"§432:1- Preventive services coverage; department of health recommendations. (a) All individual and group hospital and medical health service corporation contracts delivered or issued for delivery in the State shall provide coverage, without any deductible, copayment, coinsurance, or other cost-sharing requirements, for clinical preventive services recommended by the department of health pursuant to section 321-31.
(b) Coverage under this section shall include items and services furnished by a provider acting within the scope of the provider's license.
(c) This section shall not be construed to limit any broader coverage or benefits related to preventive services otherwise required under this chapter.
(d) This section shall not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies."
SECTION 5. Section 321-31, Hawaii Revised Statutes, is amended to read as follows:
"§321-31 Functions of the department. The powers, duties, and functions of the department of health relating to preventive medicine shall be as follows:
(1) To supervise and coordinate activities in the fields of preventive medicine, including cancer control, crippled children, epidemiology, geriatrics, laboratories, maternal and child health, mental hygiene, nutrition, and communicable diseases;
(2) To formulate and put into effect throughout the State educational programs for the purposes of preventing and reducing disease and disability;
(3) To engage in the collection and analysis of statistical information pertinent to any of its activities;
(4) To cooperate with and propose methods and programs to other governmental agencies relating to the fields of preventive medicine;
(5) To
serve as the coordinating agency for programs [which] that
provide for a range of child abuse and neglect prevention services in relation
to assessed needs, regardless of whether the programs are conducted by the
department, other government agencies, or private organizations and to
coordinate the prevention programs with child abuse and neglect treatment
services; provided that this paragraph shall not be interpreted to compel a
specified level of services; [and]
(6) To make clinical preventive service recommendations based on the recommendations of the Hawaii preventive services advisory committee established pursuant to section 321-A, or pursuant to an alliance entered into with another state for the purpose of issuing clinical preventive service recommendations;
(7) To issue standing orders for medications and immunizations; and
[(6)] (8) To perform such other appropriate functions
as may be required."
SECTION 6. Section 431:10A-115.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics[;], or the recommendations of the department of
health made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 7. Section 431:10A-206.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics[;], or the recommendations of the department of
health made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 8. Section 431:10A-207, Hawaii Revised Statutes, is amended to read as follows:
"§431:10A-207 Coverage for specific services. Every person insured under a group or blanket
disability insurance policy shall be entitled to the reimbursements and
coverages specified in [section] sections 431:10A-116[.] and
431:10A- ."
SECTION 9. Section 431:26-103, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Network adequacy requirements shall be as follows:
(1) A
health carrier providing a network plan shall maintain a network that is
sufficient in numbers and appropriate types of providers, including those that
serve predominantly low-income, medically underserved individuals, to assure
that all covered benefits will be accessible without unreasonable travel or
delay; [and]
(2) Covered
persons shall have access to emergency services twenty-four hours per day,
seven days per week[.]; and
(3) The network shall include an adequate number and geographic distribution of providers authorized to furnish clinical preventive services for which coverage is required under state law or rule, including services recommended by the department of health pursuant to section 321-31, to ensure timely access to those services without unreasonable travel or delay."
SECTION 10. Section 432:1-602.5, Hawaii Revised Statutes, is amended by amending subsections (b) and (c) to read as follows:
"(b)
Child health supervision services shall include twelve visits at
approximately the following intervals:
birth; two months; four months; six months; nine months; twelve months;
fifteen months; eighteen months; two years; three years; four years; and five
years. Services to be covered at each
visit shall include a history, physical examination, developmental assessment,
anticipatory guidance, immunizations, and laboratory tests, in keeping with
prevailing medical standards. For
purposes of this subsection, the term "prevailing medical standards"
means the recommendations of the Advisory Committee on Immunization Practices
of the United States Department of Health and Human Services and the American
Academy of Pediatrics[;], or the recommendations of the department of
health made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply.
(c)
Minimum benefits may be limited to one visit payable to one provider for
all of the services provided at each visit cited in this section, except that
the limitations authorized by this subsection shall not apply to immunizations
recommended by the Advisory Committee on Immunization Practices of the United
States Department of Health and Human Services and the American Academy of
Pediatrics[;], or the recommendations of the department of health
made pursuant to section 321-31; provided that if [the] these
recommendations [of the committee and the academy] differ, the
department of health shall determine which recommendations shall apply."
SECTION 11. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A- , 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132, 431:10A-133, 431:10A-140, and 431:10A-134, and chapter 431M."
SECTION 12. Section 432E-1.4, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) For contractual purposes, a health intervention shall be covered if it is an otherwise covered category of service, not specifically excluded, recommended by the treating licensed health care provider, and determined by the health plan's medical director to be medically necessary as defined in subsection (b). Notwithstanding any determination under this section, coverage for any clinical preventive service for which coverage is required under state law or rule, including clinical preventive services recommended by the department of health pursuant to section 321-31, shall not be denied on the basis of medical necessity or subject to prior authorization, except as permitted for reasonable medical management. A health intervention may be medically indicated and not qualify as a covered benefit or meet the definition of medical necessity. A managed care plan may choose to cover health interventions that do not meet the definition of medical necessity."
SECTION 13. Section 461-11.4, Hawaii Revised Statutes, is amended by amending its title and subsection (a) to read as follows:
"§461-11.4 Vaccinations[; children]. (a) A
pharmacist, pharmacy intern, or pharmacy technician under the direct
supervision of a pharmacist may administer a vaccine to a person three years of
age or older; provided that:
(1) The
vaccine is authorized or approved by the United States Food and Drug
Administration[;] for any indication;
(2) The
vaccine has been ordered by a pharmacist and administered in accordance with
the recommendations of the Advisory Committee on Immunization Practices of the
United States Department of Health and Human Services[;], or the
department of health pursuant to section 321-31;
(3) The pharmacy intern has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency responses to vaccines;
(4) The pharmacy technician has completed a practical training program approved by the Accreditation Council for Pharmacy Education that includes hands-on injection technique;
(5) The pharmacy technician has a Certified Pharmacy Technician certification from either the Pharmacy Technician Certification Board or National Healthcareer Association;
(6) The pharmacist, pharmacy intern, or pharmacy technician has a current certificate in basic cardiopulmonary resuscitation;
(7) The pharmacist or pharmacy technician has completed a minimum of two credit hours in immunization-related continuing education courses during each licensing biennium;
(8) The pharmacist is in compliance with all applicable recordkeeping and reporting requirements, including complying with adverse events reporting requirements;
(9) The pharmacist, pharmacy intern, or pharmacy technician has reviewed the patient's vaccination records before administering the vaccine;
(10) The pharmacist has informed the patient and the patient's primary guardian or caregiver of the importance of a well-child visit with a pediatrician or other licensed primary care provider and has referred the patient as appropriate; and
(11) Where
a prescription has been ordered by a person other than the pharmacist[,]
or a standing order pursuant to section 321-31, the pharmacist, pharmacy
intern, or pharmacy technician shall verify that the prescriber or the
prescriber's authorized agent is the patient's medical home."
SECTION 14. Notwithstanding section 23-51, Hawaii Revised Statutes, this Act shall be exempt from the requirements for an impact assessment report on proposed mandatory health insurance coverage.
SECTION 15. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under sections 431:10A- , Hawaii Revised Statutes, if any, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 11 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State after January 1, 2027.
SECTION 16. Notwithstanding any other law to the contrary, the coverage for evidence-based clinical preventive services required under sections 3, 4, 6, 7, 8, 10, 11, and 12 of this Act shall apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes.
SECTION 17. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 18. In codifying the new sections added by section 2 and referenced in section 5 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 19. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 20. This Act, upon its approval, shall take effect on July 1, 2026.
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INTRODUCED BY: |
_____________________________ |
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BY REQUEST |
Report Title:
DOH; Hawaii Preventive Services Advisory Committee; Insurance Coverage; Cost-Share; Standing Orders; Immunity; Sunrise Analysis Exemption
Description:
Establishes the Hawaii Preventive Services Advisory Committee and authorizes the Department of Health to issue preventive service recommendations. Requires health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services. Provides immunity for healthcare providers' and facilities' provision of recommended clinical preventive services.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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Date
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Status
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|---|---|
| Apr 16, 2026 | Received notice of disagreement (Sen. Com. No. 710). |
| Apr 16, 2026 | Senate disagrees with House amendments. |
| Apr 16, 2026 | Received from House (Hse. Com. No. 749). |
| Apr 14, 2026 | 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. |
| Apr 9, 2026 | Forty-eight (48) hours notice Tuesday, 04-14-26. |
| Apr 9, 2026 | Reported from JHA (Stand. Com. Rep. No. 2036-26) as amended in HD 3, recommending passage on Third Reading. |
| Apr 1, 2026 | 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. |
| Mar 30, 2026 | Bill scheduled to be heard by JHA on Wednesday, 04-01-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. |
| Mar 30, 2026 | 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). |
| Mar 30, 2026 | Reported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA. |
| Mar 25, 2026 | 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. |
| Mar 23, 2026 | Bill scheduled to be heard by CPC on Wednesday, 03-25-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. |
| Mar 20, 2026 | Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick, Shimizu voting no (7) and Representative(s) Quinlan excused (1). |
| Mar 20, 2026 | Reported from HLT (Stand. Com. Rep. No. 1281-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. |
| Mar 18, 2026 | 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. |
| Mar 12, 2026 | Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. |
| Mar 12, 2026 | Referred to HLT, CPC, JHA, referral sheet 17 |
| Mar 12, 2026 | Pass First Reading |
| Mar 10, 2026 | Received from Senate (Sen. Com. No. 367) in amended form (SD 2). |
| Mar 10, 2026 | 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. |
| Mar 6, 2026 | 48 Hrs. Notice 03-10-26. |
| Mar 6, 2026 | Reported from JDC/WAM (Stand. Com. Rep. No. 3068) with recommendation of passage on Third Reading, as amended (SD 2). |
| Mar 4, 2026 | 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. |
| Mar 4, 2026 | 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. |
| Mar 2, 2026 | The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference. |
| Feb 20, 2026 | Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM. |
| Feb 20, 2026 | 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. |
| Feb 18, 2026 | 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. |
| Feb 18, 2026 | 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. |
| Feb 17, 2026 | The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference. |
| Feb 13, 2026 | The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference. |
| Feb 2, 2026 | Referred to HHS/CPN, JDC/WAM. |
| Jan 28, 2026 | Introduced. |
| Jan 28, 2026 | Passed First Reading. |
| Jan 26, 2026 | Pending Introduction. |
|
Date
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Description
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Location
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Votes
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|---|---|---|---|---|
| Apr 14, 2026 | Third Reading | House Floor |
Passed |
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| Apr 1, 2026 | The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Judiciary & Hawaiian Affairs |
Passed |
|
| Mar 25, 2026 | The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Consumer Protection & Commerce |
Passed |
|
| Mar 18, 2026 | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS | House Standing Committee on Health |
Passed |
|
| Mar 10, 2026 | Third Reading | Senate Floor |
Passed |
|
| Mar 4, 2026 | The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Ways and Means |
Passed |
|
| Mar 4, 2026 | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Judiciary |
Passed |
|
| Feb 18, 2026 | The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Commerce and Consumer Protection |
Passed |
|
| Feb 18, 2026 | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS | Senate Standing Committee on Health and Human Services |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| Aloha Freedom Coalition | *** Against | Apr 1, 2026 |
| AlohaCare | ** Support | |
| American Academy of Pediatrics, Hawaiʻi Chapter | *** Support | Apr 1, 2026 |
| American Academy of Pediatrics, Hawaiʻi Chapter (HAAP) | *** Support | Mar 25, 2026 |
| Department of Health | *** Support | Apr 1, 2026 |
| Hawai'i Academy of Nutrition and Dietetics | *** Support | Mar 18, 2026 |
| Hawaii Medical Association (HMA) | *** Support | Mar 25, 2026 |
| Hawaiian Islands Republican Women | *** Against | Apr 1, 2026 |
| Hawaiʻi Academy of Nutrition and Dietetics | ** Support | |
| Hawai’i Academy of Nutrition and Dietetics | *** Support | Mar 18, 2026 |
| Hawai’i Christian Coalition | *** Against | Apr 1, 2026 |
| Healthcare Association of Hawaii | *** Support | Apr 1, 2026 |
| Pride at Work - Hawai‘i | *** Support | Apr 1, 2026 |
| State Health Planning and Development Agency (SHPDA) | *** Support | Mar 18, 2026 |
STAND. COM. REP. NO. 3068
Honolulu, Hawaii
RE: S.B. No. 3133
S.D. 2
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2026
State of Hawaii
Sir:
Your Committees on Judiciary and Ways and Means, to which was referred S.B. No. 3133, S.D. 1, entitled:
"A BILL FOR AN ACT RELATING TO PREVENTIVE MEDICINE,"
beg leave to report as follows:
The purpose and intent of this measure is to:
(1) Establish the Hawaii Preventive Services Advisory Committee (Advisory Committee) and authorize the Department of Health to issue preventive service recommendations;
(2) Require health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services; and
(3) Provide immunity for:
(A) The Advisory Committee, Advisory Committee members, and the Department of Health; and
(B) Health care providers' and facilities' provision of recommended clinical preventive services.
Your Committees received testimony in support of this measure from the Department of Health, State Health Planning and Development Agency, Healthcare Association of Hawaii, Hawaii Medical Association, Hawaiʻi Academy of Nutrition and Dietetics, and two individuals.
Your Committees received testimony in opposition to this measure from nine individuals.
Your Committees received comments on this measure from the Insurance Division of the Department of Commerce and Consumer Affairs.
Your Committees find that preventive services reduce health care costs and contribute to reducing avoidable emergency department use, progression of disease, and preventable disease complications over time. However, long-standing, evidence-based, and scientifically validated clinical practice guidelines for preventive medicine are increasingly at risk due to shifts in federal policies and priorities that depart from recommendations supported by the body of medical evidence. These shifts in federal policy and priorities may also restrict access to evidence-based immunizations and other preventive services. Establishing a process by which the Department of Health may continue to issue a unified set of evidence-based recommendations for immunizations and other preventive services would provide state-level guidance for health care providers and patients and maintain continuity. This measure will ensure that the residents of the State will continue to have full access to preventive services.
Your Committees note that existing law provides immunity under certain conditions for members of boards, commissions, and committees, including the Advisory Committee contemplated by this measure, for the performance of their duties. However, this measure extends special immunity that is unnecessary.
Accordingly, your Committees have amended this measure by:
(1) Deleting redundant language that would have specified that the advisory board members of the Hawaii Preventive Services Advisory Committee shall not be deemed officers or employees of the State;
(2) Deleting unnecessary language that would have provided immunity for the Hawaii Preventive Services Advisory Committees, its members, or the Department of Health for any act or omission done in good faith in the performance of their duties in the exercise of their functions; and
(3) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.
As affirmed by the records of votes of the members of your Committees on Judiciary and Ways and Means that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 3133, S.D. 1, as amended herein, and recommend that it pass Third Reading in the form attached hereto as S.B. No. 3133, S.D. 2.
Respectfully submitted on behalf of the members of the Committees on Judiciary and Ways and Means,
|
________________________________ DONOVAN M. DELA CRUZ, Chair |
|
________________________________ KARL RHOADS, Chair |
|
|
|
|
STAND. COM. REP. NO. 2636
Honolulu, Hawaii
RE: S.B. No. 3133
S.D. 1
Honorable Ronald D. Kouchi
President of the Senate
Thirty-Third State Legislature
Regular Session of 2026
State of Hawaii
Sir:
Your Committees on Health and Human Services and Commerce and Consumer Protection, to which was referred S.B. No. 3133 entitled:
"A BILL FOR AN ACT RELATING TO PREVENTIVE MEDICINE,"
beg leave to report as follows:
The purpose and intent of this measure is to:
(1) Establish the Hawaii Preventive Services Advisory Committee and authorize the Department of Health to issue preventive service recommendations;
(2) Require health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services; and
(3) Provide immunity for health care providers' and facilities' provision of recommended clinical preventive services.
Your Committees received testimony in support of this measure from the Department of Health, State Health Planning and Development Agency, Healthcare Association of Hawaii, Hawaii Medical Association, and AlohaCare.
Your Committees received testimony in opposition to this measure from two individuals.
Your Committees received comments on this measure from the Insurance Division of the Department of Commerce and Consumer Affairs.
Your Committees find that access to preventive medicine, including evidence-based clinical preventive services, is fundamental to maintaining and improving the health of the people of the State. Your Committees further find that clinical preventive services recommended by the Advisory Committee on Immunization Practices and by the United States Preventive Services Task Force, such as immunizations and other evidence‑based preventive interventions, are currently required to be covered by health insurance without cost‑sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing. This measure helps ensure that the State's residents continue to have coverage without cost-sharing of evidence-based immunizations and certain other clinical preventive services for those who choose to receive them.
Your Committees have amended this measure by making technical, nonsubstantive amendments for the purposes of clarity and consistency.
As affirmed by the records of votes of the members of your Committees on Health and Human Services and Commerce and Consumer Protection that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 3133, as amended herein, and recommend that it pass Second Reading in the form attached hereto as S.B. No. 3133, S.D. 1, and be referred to your Committees on Judiciary and Ways and Means.
Respectfully submitted on behalf of the members of the Committees on Health and Human Services and Commerce and Consumer Protection,
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________________________________ JARRETT KEOHOKALOLE, Chair |
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________________________________ JOY A. SAN BUENAVENTURA, Chair |
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Date
|
Testimony PDF
|
|---|---|
| Apr 1, 2026 | SB3133_HD2_TESTIMONY_JHA_04-01-26_.PDF |
| Mar 25, 2026 | SB3133_HD1_TESTIMONY_CPC_03-25-26_.PDF |
| Mar 18, 2026 | SB3133_SD2_TESTIMONY_HLT-HSH_03-18-26_.PDF |
| Mar 4, 2026 | SB3133_SD1_TESTIMONY_WAM-JDC_03-04-26_.PDF |
| Feb 19, 2026 | SB3133_TESTIMONY_HHS-CPN_02-17-26_.PDF |
Discussed in Hearing
49SEC
House Standing Committee on Judiciary & Hawaiian Affairs
44MIN
House Standing Committee on Judiciary & Hawaiian Affairs
37SEC
House Standing Committee on Consumer Protection & Commerce
3MIN
House Standing Committee on Consumer Protection & Commerce
1MIN
House Standing Committee on Human Services & Homelessness
1MIN
House Standing Committee on Health
17MIN
House Standing Committee on Human Services & Homelessness
17MIN
House Standing Committee on Health
Bill Author
Bill Co-Author(s):