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SB1449HIEngrossed 2026 Regular Session

Relating To Prior Authorization Of Health Care Services.

Last status update Mar 4, 2025

What this measure contains

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

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

  • HB1130— Same As
  • SB1449— Carry Over

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. SD1by HHS
  3. HD1by HLT
  4. HD2by CPC

Companion measures: HB1130, SB1449. A companion follows its own path; its votes are not combined with this one.

Decision stages

  1. Health and Human Services (HHS) on the introduced draft: Passed, with amendments, reported as SD1

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

  2. Commerce and Consumer Protection (CPN) on SD1: Passed, unamended

    3 aye · 0 no · 2 excused · Source roll call

  3. Senate third reading on SD1: Passed

    25 aye · 0 no · 0 excused

  4. House HLT committee on SD1: Passed, with amendments, reported as HD1

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

  5. House second reading on HD1: Passed

    48 aye · 1 aye with reservations · 0 no · 2 excused

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

    9 aye · 0 no · 1 excused

  7. House third reading on HD2: Passed

    48 aye · 0 no · 2 excused

Senate members along the path

Senate members' votes at each stage of SB1449
MemberHHS
Introduced		CPN
SD1		Third reading
SD1		Change along the path
Henry AquinoSD-019AyeAye
Brenton AwaSD-023ExcusedAye
Kurt FevellaSD-020ExcusedAye
Carol FukunagaSD-011AyeAye
Troy HashimotoSD-005AyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Angus McKelveySD-006AyeAye
Tim RichardsSD-004ExcusedAye
Joy San BuenaventuraSD-002AyeAye
16 more Senate members only counted as floor ayes
MemberHHS
Introduced		CPN
SD1		Third reading
SD1		Change along the path
Stanley ChangSD-009Aye
Donovan CruzSD-017Aye
Lynn DecoiteSD-007Aye
Samantha DeCorteSD-022Aye
Brandon ElefanteSD-016Aye
Mike GabbardSD-021Aye
Les IharaSD-010Aye
Lorraine InouyeSD-001Aye
Dru KanuhaSD-003Aye
Michelle KidaniSD-018Aye
Donna KimSD-014Aye
Ronald KouchiSD-008Aye
Chris LeeSD-025Aye
Sharon MoriwakiSD-012Aye
Karl RhoadsSD-013Aye
Glenn WakaiSD-015Aye

House members along the path

House members' votes at each stage of SB1449
MemberHLT
SD1		Second reading
HD1		CPC
HD1		Third reading
HD2		Change along the path
David AlcosHD-041ExcusedAyeAye
Terez AmatoHD-011AyeAyeAye
Cory ChunHD-035AyeAyeAyeAye
Elle CochranHD-014ExcusedExcused
Diamond GarciaHD-042Aye*Aye*AyeDropped reservations at House third reading (HD2)
Linda IchiyamaHD-031AyeExcusedAye
Greggor IlaganHD-004AyeAyeAye
Kim IwamotoHD-025AyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAye
Sam KongHD-033AyeAyeAye
Nicole LowenHD-007AyeAyeAye
Lisa MartenHD-051AyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Elijah PierickHD-039AyeAyeAye
Gregg TakayamaHD-034AyeAyeAye
Jenna TakenouchiHD-027AyeAyeAye
Adrian TamHD-024AyeAyeAye
Gene WardHD-018Excused
Justin WoodsonHD-009AyeExcused
31 more House members only counted as floor ayes
MemberHLT
SD1		Second reading
HD1		CPC
HD1		Third reading
HD2		Change along the path
Della au BelattiHD-026AyeAye
Luke EvslinHD-016AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Andrew GarrettHD-022AyeAye
Tina GrandinettiHD-020AyeAye
Mark HashemHD-019AyeAye
Daniel HoltHD-028AyeAye
Ikaika HusseyHD-029AyeAye
Kirstin KahaloaHD-006AyeAye
Jeanne KapelaHD-005AyeAye
Darius KilaHD-044AyeAye
Lisa KitagawaHD-048AyeAye
Matthias KuschHD-001AyeAye
Trish La ChicaHD-037AyeAye
Mike LeeHD-050AyeAye
Lauren MatsumotoHD-038AyeAye
Tyson MiyakeHD-010AyeAye
Daynette MorikawaHD-017AyeAye
Chris MuraokaHD-045AyeAye
Nadine NakamuraHD-015AyeAye
Amy PerrusoHD-046AyeAye
Mahina PoepoeHD-013AyeAye
Sean QuinlanHD-047AyeAye
Julie Reyes OdaHD-040AyeAye
Jackson SayamaHD-021AyeAye
Garner ShimizuHD-032AyeAye
Kanani SouzaHD-043AyeAye
David TarnasHD-008AyeAye
Shirley Ann TemploHD-030AyeAye
Chris ToddHD-003AyeAye
Kyle YamashitaHD-012AyeAye

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 passed First Reading.

  3. Referred to HHS, CPN.

  4. The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference.

  5. 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, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  6. Reported from HHS (Stand. Com. Rep. No. 502) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.

  7. Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.

  8. The committee(s) on CPN will hold a public decision making on 02-20-25 9:30AM; Conference Room 229 & Videoconference.

  9. The committee(s) on CPN deferred the measure until 02-25-25 9:30AM; Conference Room 229 & Videoconference.

  10. The committee(s) on CPN deferred the measure until 02-26-25 9:31AM; Conference Room 229 & Videoconference.

  11. The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Richards, Awa.

  12. Reported from CPN (Stand. Com. Rep. No. 871) with recommendation of passage on Third Reading.

  13. One Day Notice 03-04-25.

  14. Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

  15. Received from Senate (Sen. Com. No. 341) in amended form (SD 1).

  16. Pass First Reading

  17. Referred to HLT, CPC, referral sheet 19

  18. Bill scheduled to be heard by HLT on Wednesday, 03-12-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  19. 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, Chun, Marten, Olds, Takenouchi; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Alcos.

  20. Reported from HLT (Stand. Com. Rep. No. 1311) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  21. Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2).

  22. Bill scheduled to be heard by CPC on Tuesday, 03-25-25 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  23. The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Ichiyama.

  24. Reported from CPC (Stand. Com. Rep. No. 1745) as amended in HD 2, recommending passage on Third Reading.

  25. Forty-eight (48) hours notice Thursday, 04-03-25.

  26. Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Woodson excused (2). Transmitted to Senate.

  27. Received from House (Hse. Com. No. 493).

  28. Senate disagrees with House amendments.

  29. Received notice of disagreement (Sen. Com. No. 590).

  30. House Conferees Appointed: Takayama, Chun Co-Chairs; Alcos.

  31. Received notice of appointment of House conferees (Hse. Com. No. 731).

  32. Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; Hashimoto, Fevella.

  33. Received notice of Senate conferees (Sen. Com. No. 789).

  34. Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.

  35. Re-referred to HLT, CPC, FIN, referral sheet 36

  36. House Conferees Added: Representative Keohokapu-Lee Loy added as Co-Chair.

  37. Received notice of change in conferees (Hse. Com. No. 807).

  38. Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.

  39. Conference committee meeting to reconvene on 04-25-25 3:30PM; Conference Room 329.

  40. Carried over to 2026 Regular Session.

  41. Senate Conferee(s) discharged.

  42. Received notice of all Senate conferees being discharged (Sen. Com. No. 409).

  43. House Conferee(s) discharged.

  44. Received notice of the discharge of all House Conferees (Hse. Com. No. 457).

Bill sponsors