Relating To Insurance.
Last status update Jul 10, 2026
What this measure contains
For policies, contracts, plans, and agreements issued or renewed after 12/31/2026, requires insurers, mutual benefit societies, and health maintenance organizations to provide coverage for standard fertility preservation services for persons undergoing medically necessary treatment that may cause iatrogenic infertility. (CD1)
Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.
Read the full bill at its source ↗Bill text and versions
Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.
- Introduced · Official document ↗· Jan 23, 2026
- Amended · Official document ↗· Feb 18, 2026
- Amended · Official document ↗· Mar 6, 2026
- Amended · Official document ↗· Mar 24, 2026
- Amended · Official document ↗· Apr 9, 2026
- Amended · Official document ↗· Apr 30, 2026
Related measures
- SB2899— Same As
Related measures may contain different language or follow different histories.
Legislative path
Each stage below is a recorded decision from the official measure history, attached to the draft it considered. A member's row follows their votes from the first draft to the latest, and a highlighted vote marks where it changed. Committee and conference votes list every member by name. Floor votes list only exceptions; members serving that day who aren't named are shown as ayes in a dashed outline.
Companion measure: SB2899. A companion follows its own path; its votes are not combined with this one.
Decision stages
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House HLT committee on the introduced draft: Passed, with amendments, reported as HD1
7 aye · 1 aye with reservations · 0 no · 1 excused
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House second reading on HD1: Passed
48 aye · 2 aye with reservations · 0 no · 0 excused
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House CPC committee on HD1: Passed, with amendments, reported as HD2
9 aye · 1 aye with reservations · 0 no · 1 excused
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House third reading on HD2: Passed
47 aye · 3 aye with reservations · 0 no · 0 excused
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Health and Human Services (HHS) on HD2: Passed, with amendments, reported as SD1
5 aye · 0 no · 0 excused · Source roll call
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Commerce and Consumer Protection (CPN) on SD1: Passed, with amendments, reported as SD2
4 aye · 0 no · 1 excused · Source roll call
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Senate third reading on SD2: Passed
25 aye · 0 no · 0 excused
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Senate conference managers on SD2: Passed, with amendments, reported as CD1
3 aye · 0 no · 0 excused · Source roll call
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House conference managers on SD2: Passed, with amendments, reported as CD1
3 aye · 1 aye with reservations · 0 no · 0 excused · Source roll call
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Senate final reading on CD1: Passed
25 aye · 0 no · 0 excused
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House final reading on CD1: Passed
50 aye · 1 aye with reservations · 0 no · 0 excused
Senate members along the path
| Member | HHS HD2 | CPN SD1 | Third reading SD2 | Conference SD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|
| Brenton AwaSD-023 | Excused | Aye | Aye | |||
| Kurt FevellaSD-020 | Aye | Aye | Aye | |||
| Carol FukunagaSD-011 | Aye | Aye | Aye | |||
| Dru KanuhaSD-003 | Aye | Aye | Aye | |||
| Jarrett KeohokaloleSD-024 | Aye | Aye | Aye | Aye | Aye | |
| Rachele Fernandez LamosaoSD-019 | Aye | Aye | Aye | |||
| Angus McKelveySD-006 | Aye | Aye | Aye | Aye | Aye | |
| Joy San BuenaventuraSD-002 | Aye | Aye | Aye | Aye |
17 more Senate members only counted as floor ayes
| Member | HHS HD2 | CPN SD1 | Third reading SD2 | Conference SD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|
| Stanley ChangSD-009 | Aye | Aye | ||||
| Donovan CruzSD-017 | Aye | Aye | ||||
| Lynn DecoiteSD-007 | Aye | Aye | ||||
| Samantha DeCorteSD-022 | Aye | Aye | ||||
| Brandon ElefanteSD-016 | Aye | Aye | ||||
| Mike GabbardSD-021 | Aye | Aye | ||||
| Troy HashimotoSD-005 | Aye | Aye | ||||
| Les IharaSD-010 | Aye | Aye | ||||
| Lorraine InouyeSD-001 | Aye | Aye | ||||
| Michelle KidaniSD-018 | Aye | Aye | ||||
| Donna KimSD-014 | Aye | Aye | ||||
| Ronald KouchiSD-008 | Aye | Aye | ||||
| Chris LeeSD-025 | Aye | Aye | ||||
| Sharon MoriwakiSD-012 | Aye | Aye | ||||
| Karl RhoadsSD-013 | Aye | Aye | ||||
| Tim RichardsSD-004 | Aye | Aye | ||||
| Glenn WakaiSD-015 | Aye | Aye |
House members along the path
| Member | HLT Introduced | Second reading HD1 | CPC HD1 | Third reading HD2 | Conference SD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| David AlcosHD-041 | Aye | Aye | Aye | Aye | |||
| Terez AmatoHD-011 | Aye | Aye | Aye | Aye | |||
| Della au BelattiHD-026 | Aye* | Aye | Aye | Dropped reservations at House third reading (HD2) | |||
| Cory ChunHD-035 | Aye | Aye | Aye | Aye | |||
| Diamond GarciaHD-042 | Aye* | Aye | Aye* | Aye* | Aye* | Dropped reservations at House second reading (HD1)Added reservations at House third reading (HD2) | |
| Tina GrandinettiHD-020 | Aye | Aye | Aye | Aye | |||
| Daisy HartsfieldHD-036 | Aye | Aye | Aye | Aye | |||
| Linda IchiyamaHD-031 | Aye | Aye | Aye | Aye | |||
| Greggor IlaganHD-004 | Aye | Aye | Aye | Aye | |||
| Kim IwamotoHD-025 | Aye | Aye* | Aye* | Aye | Added reservations at House CPC committee (HD1)Dropped reservations at House final reading (CD1) | ||
| Sue Keohokapu-Lee LoyHD-002 | Aye | Aye | Aye | Aye | Aye | ||
| Sam KongHD-033 | Aye | Aye | Aye | Aye | |||
| Nicole LowenHD-007 | Aye | Aye | Aye | Aye | |||
| Lisa MartenHD-051 | Aye | Aye | Aye | Aye | Aye | ||
| Scot MatayoshiHD-049 | Aye | Aye | Aye | Aye | Aye | ||
| Ikaika OldsHD-023 | Excused | Aye | Aye | Aye | |||
| Elijah PierickHD-039 | Aye* | Excused | Aye* | Aye | Dropped reservations at House final reading (CD1) | ||
| Gregg TakayamaHD-034 | Aye | Aye | Aye | Aye | Aye | ||
| Jenna TakenouchiHD-027 | Aye | Aye | Aye | Aye | |||
| Adrian TamHD-024 | Aye | Aye | Aye | Aye |
31 more House members only counted as floor ayes
| Member | HLT Introduced | Second reading HD1 | CPC HD1 | Third reading HD2 | Conference SD2 | Final reading CD1 | Change along the path |
|---|---|---|---|---|---|---|---|
| Elle CochranHD-014 | Aye | Aye | Aye | ||||
| Luke EvslinHD-016 | Aye | Aye | Aye | ||||
| Andrew GarrettHD-022 | Aye | Aye | Aye | ||||
| Joe GedeonHD-018 | Aye | Aye | Aye | ||||
| Mark HashemHD-019 | Aye | Aye | Aye | ||||
| Ikaika HusseyHD-029 | Aye | Aye | Aye | ||||
| Kirstin KahaloaHD-006 | Aye | Aye | Aye | ||||
| Jeanne KapelaHD-005 | Aye | Aye | Aye | ||||
| Darius KilaHD-044 | Aye | Aye | Aye | ||||
| Lisa KitagawaHD-048 | Aye | Aye | Aye | ||||
| Matthias KuschHD-001 | Aye | Aye | Aye | ||||
| Trish La ChicaHD-037 | Aye | Aye | Aye | ||||
| Mike LeeHD-050 | Aye | Aye | Aye | ||||
| Lauren MatsumotoHD-038 | Aye | Aye | Aye | ||||
| Tyson MiyakeHD-010 | Aye | Aye | Aye | ||||
| Daynette MorikawaHD-017 | Aye | Aye | Aye | ||||
| Chris MuraokaHD-045 | Aye | Aye | Aye | ||||
| Nadine NakamuraHD-015 | Aye | Aye | Aye | ||||
| Amy PerrusoHD-046 | Aye | Aye | Aye | ||||
| Mahina PoepoeHD-013 | Aye | Aye | Aye | ||||
| Sean QuinlanHD-047 | Aye | Aye | Aye | ||||
| Michael RatcliffeHD-028 | Aye | ||||||
| Julie Reyes OdaHD-040 | Aye | Aye | Aye | ||||
| Jackson SayamaHD-021 | Aye | Aye | Aye | ||||
| Garner ShimizuHD-032 | Aye | Aye | Aye | ||||
| Kanani SouzaHD-043 | Aye | Aye | Aye | ||||
| David TarnasHD-008 | Aye | Aye | Aye | ||||
| Shirley Ann TemploHD-030 | Aye | Aye | Aye | ||||
| Chris ToddHD-003 | Aye | Aye | Aye | ||||
| Justin WoodsonHD-009 | Aye | Aye | Aye | ||||
| Kyle YamashitaHD-012 | Aye | Aye | Aye |
Aye named · Aye* with reservations · Aye floor vote, not named as an exception · No · Excused · Changed reversed from the previous vote
Names are matched to legislators only when exactly one person fits; every printed name on this measure was matched. A missing vote means no record was found for that member at that stage, not a no vote. Committee codes follow the Legislature's abbreviations.Official measure history ↗
Your lawmakers and participating residents.
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Legislative history
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Pending introduction.
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Introduced and Pass First Reading.
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Referred to HLT, CPC, referral sheet 2
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Bill scheduled to be heard by HLT on Wednesday, 02-18-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
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The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Takenouchi, Alcos; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Olds.
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Reported from HLT (Stand. Com. Rep. No. 555-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
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Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Belatti, Pierick voting aye with reservations; none voting no (0) and none excused (0).
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Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
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The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Kong, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Iwamoto; 0 Noes: none; and 1 Excused: Representative(s) Pierick.
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Reported from CPC (Stand. Com. Rep. No. 1068-26) as amended in HD 2, recommending passage on Third Reading.
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Forty-eight (48) hours notice Tuesday, 03-10-26.
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Passed Third Reading as amended in HD 2 with Representative(s) Garcia, Iwamoto, Pierick voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.
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Received from House (Hse. Com. No. 303).
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Passed First Reading.
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Referred to HHS, CPN.
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The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
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The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
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Reported from HHS (Stand. Com. Rep. No. 3176) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
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Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.
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The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference.
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The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.
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Reported from CPN (Stand. Com. Rep. No. 3716) with recommendation of passage on Third Reading, as amended (SD 2).
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48 Hrs. Notice 04-14-26.
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Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
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Returned from Senate (Sen. Com. No. 631) in amended form (SD 2).
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House disagrees with Senate amendment (s).
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Received notice of disagreement (Hse. Com. No. 780).
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House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Garcia.
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Received notice of appointment of House conferees (Hse. Com. No. 786).
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Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; McKelvey.
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Received notice of Senate conferees (Sen. Com. No. 725).
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Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
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The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Keohokalole, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
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The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Garcia; 0 Noes: none; and 0 Excused: none.
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Reported from Conference Committee (Conf Com. Rep. No. 79-26) as amended in (CD 1).
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Forty-eight (48) hours notice Wednesday, 05-06-26.
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Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).
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48 Hrs. Notice (as amended CD 1) 05-06-26
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Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
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Passed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).
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Received notice of Final Reading (Sen. Com. No. 816).
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Received notice of passage on Final Reading in House (Hse. Com. No. 888).
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Transmitted to Governor.
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Act 218, 07/09/2026 (Gov. Msg. No. 1320).
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Act 218, on 07/09/2026 (Gov. Msg. No. 1320).