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SB2047HIEngrossed 2026 Regular Session

Relating To Pharmacy Benefit Managers.

Last status update Mar 10, 2026

What this measure contains

Establishes certain requirements for pharmacy benefit managers, other than health maintenance organizations that own and operate their own pharmacies, that reimburse contracting pharmacies for drugs on a maximum allowable cost basis. Allows contracting pharmacies to reverse and rebill claims if a maximum allowable cost is denied on appeal. Authorizes the Insurance Commissioner to assess fines for violations. Appropriates funds. Effective 7/1/3000. (HD2)

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

Read the latest imported text

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.

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. SD2by WAM
  4. HD1by HLT
  5. HD2by CPC

Decision stages

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

    5 aye · 0 no · 0 excused · Source roll call

  2. Commerce and Consumer Protection (CPN) on SD1: Passed, with amendments, reported as SD2

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

  3. Ways and Means (WAM) on SD1: Passed, with amendments, reported as SD2

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

  4. Senate third reading on SD2: Passed

    25 aye · 0 no · 0 excused

  5. House HLT committee on SD2: Passed, with amendments, reported as HD1

    8 aye · 0 no · 1 excused

  6. House second reading on HD1: Passed

    49 aye · 0 no · 1 excused

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

    11 aye · 0 no · 0 excused

  8. House report adoption on HD2: Report adopted

    46 aye · 0 no · 4 excused

Senate members along the path

Senate members' votes at each stage of SB2047
MemberHHS
Introduced		CPN
SD1		WAM
SD1		Third reading
SD2		Change along the path
Brenton AwaSD-023ExcusedAye
Lynn DecoiteSD-007AyeAye
Donovan CruzSD-017AyeAye
Brandon ElefanteSD-016AyeAye
Kurt FevellaSD-020AyeExcusedAye
Carol FukunagaSD-011AyeAye
Troy HashimotoSD-005AyeAye
Lorraine InouyeSD-001AyeAye
Dru KanuhaSD-003AyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Michelle KidaniSD-018AyeAye
Donna KimSD-014AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Chris LeeSD-025AyeAye
Angus McKelveySD-006AyeAyeAye
Sharon MoriwakiSD-012AyeAye
Tim RichardsSD-004AyeAye
Joy San BuenaventuraSD-002AyeAye
Glenn WakaiSD-015AyeAye
6 more Senate members only counted as floor ayes
MemberHHS
Introduced		CPN
SD1		WAM
SD1		Third reading
SD2		Change along the path
Stanley ChangSD-009Aye
Samantha DeCorteSD-022Aye
Mike GabbardSD-021Aye
Les IharaSD-010Aye
Ronald KouchiSD-008Aye
Karl RhoadsSD-013Aye

House members along the path

House members' votes at each stage of SB2047
MemberHLT
SD2		Second reading
HD1		CPC
HD1		Report adoption
HD2		Change along the path
David AlcosHD-041AyeAyeAye
Terez AmatoHD-011AyeAyeAye
Cory ChunHD-035AyeAyeAye
Elle CochranHD-014AyeExcused
Diamond GarciaHD-042AyeAyeAye
Tina GrandinettiHD-020AyeAyeAye
Daisy HartsfieldHD-036ExcusedAyeAye
Linda IchiyamaHD-031AyeAyeAye
Greggor IlaganHD-004AyeAyeAye
Kim IwamotoHD-025AyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAye
Sam KongHD-033AyeAyeAye
Nicole LowenHD-007AyeAyeExcused
Lisa MartenHD-051AyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Amy PerrusoHD-046AyeExcused
Elijah PierickHD-039AyeAyeAye
Sean QuinlanHD-047ExcusedExcused
Gregg TakayamaHD-034AyeAyeAye
Jenna TakenouchiHD-027AyeAyeAye
Adrian TamHD-024AyeAyeAye
28 more House members only counted as floor ayes
MemberHLT
SD2		Second reading
HD1		CPC
HD1		Report adoption
HD2		Change along the path
Della au BelattiHD-026AyeAye
Luke EvslinHD-016AyeAye
Andrew GarrettHD-022AyeAye
Joe GedeonHD-018AyeAye
Mark HashemHD-019AyeAye
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
Mahina PoepoeHD-013AyeAye
Julie Reyes OdaHD-040AyeAye
Jackson SayamaHD-021AyeAye
Garner ShimizuHD-032AyeAye
Kanani SouzaHD-043AyeAye
David TarnasHD-008AyeAye
Shirley Ann TemploHD-030AyeAye
Chris ToddHD-003AyeAye
Justin WoodsonHD-009AyeAye
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 02-02-26 1:05PM; 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: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

  6. Re-Referred to HHS, CPN/WAM.

  7. Reported from HHS (Stand. Com. Rep. No. 2200) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

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

  9. The committee(s) on CPN/WAM will hold a public decision making on 03-03-26 10:16AM; Conference Room 211 & Videoconference.

  10. 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.

  11. The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. 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 ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  12. Reported from CPN/WAM (Stand. Com. Rep. No. 2918) with recommendation of passage on Third Reading, as amended (SD 2).

  13. 48 Hrs. Notice 03-10-26.

  14. 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.

  15. Received from Senate (Sen. Com. No. 156) in amended form (SD 2).

  16. Pass First Reading

  17. Referred to HLT, CPC, FIN, referral sheet 17

  18. Bill scheduled to be heard by HLT on Wednesday, 03-18-26 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, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.

  20. Reported from HLT (Stand. Com. Rep. No. 1278-26) 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 none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1).

  22. Bill scheduled to be heard by CPC on Tuesday, 03-24-26 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: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.

  24. Reported from CPC (Stand. Com. Rep. No. 1483-26) as amended in HD 2, recommending referral to FIN.

  25. Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).

Bill sponsors