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HB1898HIEngrossed 2026 Regular Session

Relating To Health.

Last status update Mar 10, 2026

What this measure contains

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 established 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 coverage for child health supervision services, the prevailing medical standards include recommendations by the Department of Health. Specifies that coverage for clinical preventive services shall not be denied on the basis of medical necessity or subject to prior authorization. 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 1/30/2050. (SD1)

Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.

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Read the full bill at its source ↗
Source: legiscan· Loaded Oct 30, 2026· Snapshot export date not suppliedOriginal record ↗

Bill text and versions

Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.

Related measures

  • SB3057— Same As

Related measures may contain different language or follow different histories.

How this measure moved

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.

  1. Introduced
  2. HD1by HLT
  3. HD2by CPC
  4. SD1by CPN

Companion measure: SB3057. A companion follows its own path; its votes are not combined with this one.

Decision stages

  1. House HLT committee on the introduced draft: Passed, with amendments, reported as HD1

    7 aye · 2 no · 0 excused

  2. House second reading on HD1: Passed

    42 aye · 5 aye with reservations · 3 no · 0 excused

  3. House CPC committee on HD1: Passed, with amendments, reported as HD2

    9 aye · 1 aye with reservations · 0 no · 1 excused

  4. House third reading on HD2: Passed

    41 aye · 1 aye with reservations · 8 no · 0 excused

  5. Health and Human Services (HHS) on HD2: Passed, with amendments, reported as SD1

    4 aye · 0 no · 1 excused · Source roll call

  6. Commerce and Consumer Protection (CPN) on HD2: Passed, with amendments, reported as SD1

    4 aye · 1 no · 0 excused · Source roll call

  7. Ways and Means (WAM) on SD1: Passed, unamended

    12 aye · 1 no · 0 excused · Source roll call

  8. Judiciary (JDC) on SD1: Passed, unamended

    4 aye · 1 no · 0 excused · Source roll call

  9. Senate third reading on SD1: Passed

    22 aye · 3 no · 0 excused

Senate members along the path

2 more Senate members only counted as floor ayes

House members along the path

25 more House members only counted as floor ayes

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 ↗

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Legislative history

  1. Pending introduction.

  2. Introduced and Pass First Reading.

  3. Referred to HLT, CPC, referral sheet 2

  4. Bill scheduled to be heard by HLT on Wednesday, 02-11-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  5. The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and Excused: none.

  6. Reported from HLT (Stand. Com. Rep. No. 366-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  7. Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Gedeon, Kila, Matsumoto, Muraoka, Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Pierick voting no (3) and none excused (0).

  8. Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  9. 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.

  10. Reported from CPC (Stand. Com. Rep. No. 1069-26) as amended in HD 2, recommending passage on Third Reading.

  11. Forty-eight (48) hours notice Tuesday, 03-10-26.

  12. Passed Third Reading as amended in HD 2 with Representative(s) Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kila, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and none excused (0). Transmitted to Senate.

  13. Received from House (Hse. Com. No. 316).

  14. Passed First Reading.

  15. Referred to HHS/CPN, JDC/WAM.

  16. The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference.

  17. 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.

  18. The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference.

  19. 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 ; 1 No(es): Senator(s) Awa; and 0 Excused: none.

  20. Reported from HHS/CPN (Stand. Com. Rep. No. 3235) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.

  21. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.

  22. The committee(s) on JDC/WAM will hold a public decision making on 04-08-26 10:15AM; Conference Room 211 & Videoconference.

  23. The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 1 No(es): Senator(s) Fevella; and 0 Excused: none.

  24. The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. 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.

  25. Reported from JDC/WAM (Stand. Com. Rep. No. 3780) with recommendation of passage on Third Reading.

  26. One Day Notice 04-14-26.

  27. Report Adopted; Passed Third Reading. Ayes, 22; Aye(s) with reservations: none. Noes, 3 (Senator(s) Awa, DeCorte, Fevella). Excused, 0 (none). Transmitted to House.

  28. Returned from Senate (Sen. Com. No. 640) in amended form (SD 1).

  29. House disagrees with Senate amendment (s).

  30. Received notice of disagreement (Hse. Com. No. 780).

  31. Re-referred to HLT, CPC, FIN, referral sheet 30

  32. House Conferees Appointed: Takayama, Matayoshi, Keohokapu-Lee Loy Co-Chairs; Garcia.

  33. Received notice of appointment of House conferees (Hse. Com. No. 786).

  34. Senate Conferees Appointed: San Buenaventura Chair; McKelvey, Rhoads, Moriwaki Co-Chairs; Fevella.

  35. Received notice of Senate conferees (Sen. Com. No. 741).

  36. Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.

  37. Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.

  38. Conference Committee Meeting will reconvene on Friday, 05-01-26 at 5:38PM in Conference Room 329.

Bill sponsors