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SB3133HIEngrossed 2026 Regular Session

Relating To Preventive Medicine.

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 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)

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

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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

  • HB2313— 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. SD1by CPN
  3. SD2by WAM
  4. HD1by HLT
  5. HD2by CPC
  6. HD3by JHA

Companion measure: HB2313. 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 the introduced draft: Passed, with amendments, reported as SD1

    3 aye · 1 no · 1 excused · Source roll call

  3. Judiciary (JDC) on SD1: Passed, with amendments, reported as SD2

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

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

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

  5. Senate third reading on SD2: Passed

    24 aye · 1 no · 0 excused

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

    6 aye · 2 no · 1 excused

  7. House second reading on HD1: Passed

    42 aye · 7 no · 1 excused

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

    9 aye · 2 aye with reservations · 0 no · 0 excused

  9. House report adoption on HD2: Report adopted

    39 aye · 7 no · 4 excused

  10. House JHA committee on HD2: Passed, with amendments, reported as HD3

    5 aye · 3 no · 2 excused

  11. House third reading on HD3: Passed

    40 aye · 2 aye with reservations · 9 no · 0 excused

Senate members along the path

Senate members' votes at each stage of SB3133
MemberHHS
Introduced		CPN
Introduced		JDC
SD1		WAM
SD1		Third reading
SD2		Change along the path
Brenton AwaSD-023NoNoNo
Stanley ChangSD-009AyeAye
Lynn DecoiteSD-007AyeAye
Donovan CruzSD-017AyeAye
Brandon ElefanteSD-016AyeAye
Kurt FevellaSD-020AyeAyeAye
Carol FukunagaSD-011AyeAye
Mike GabbardSD-021AyeAye
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-006ExcusedExcusedAye
Sharon MoriwakiSD-012AyeAye
Karl RhoadsSD-013AyeAye
Tim RichardsSD-004AyeAye
Joy San BuenaventuraSD-002AyeAyeAye
Glenn WakaiSD-015AyeAye
3 more Senate members only counted as floor ayes
MemberHHS
Introduced		CPN
Introduced		JDC
SD1		WAM
SD1		Third reading
SD2		Change along the path
Samantha DeCorteSD-022Aye
Les IharaSD-010Aye
Ronald KouchiSD-008Aye

House members along the path

House members' votes at each stage of SB3133
MemberHLT
SD2		Second reading
HD1		CPC
HD1		Report adoption
HD2		JHA
HD2		Third reading
HD3		Change along the path
Elle CochranHD-014AyeExcusedNoNoAye → No at House JHA committee (HD2)
Sam KongHD-033AyeAye*AyeNoAdded reservations at House CPC committee (HD1)Dropped reservations at House report adoption (HD2)Aye → No at House third reading (HD3)
Elijah PierickHD-039NoAyeNoNoNo → Aye at House CPC committee (HD1)Aye → No at House report adoption (HD2)
David AlcosHD-041NoNoNoNo
Terez AmatoHD-011AyeAyeAyeAye
Della au BelattiHD-026AyeAyeAyeAye
Cory ChunHD-035AyeAyeAyeAye
Diamond GarciaHD-042NoNoNoNoNo
Joe GedeonHD-018NoNoNo
Tina GrandinettiHD-020AyeAyeAyeAye
Daisy HartsfieldHD-036ExcusedAyeAyeAye
Mark HashemHD-019AyeAyeExcusedAye
Linda IchiyamaHD-031AyeAyeAyeAye
Greggor IlaganHD-004AyeAyeAyeAye
Kim IwamotoHD-025AyeAye*AyeAye*Added reservations at House CPC committee (HD1)Dropped reservations at House report adoption (HD2)Added reservations at House third reading (HD3)
Kirstin KahaloaHD-006AyeAyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAye
Darius KilaHD-044AyeAyeAye*Added reservations at House third reading (HD3)
Nicole LowenHD-007AyeAyeExcusedAye
Lisa MartenHD-051AyeAyeAyeAyeAye
Scot MatayoshiHD-049AyeAyeAyeAye
Lauren MatsumotoHD-038NoNoNo
Chris MuraokaHD-045NoNoNo
Ikaika OldsHD-023AyeAyeAyeAye
Amy PerrusoHD-046AyeExcusedAye
Mahina PoepoeHD-013AyeAyeAyeAye
Sean QuinlanHD-047ExcusedExcusedAye
Jackson SayamaHD-021AyeAyeExcusedAye
Garner ShimizuHD-032NoNoNoNo
Gregg TakayamaHD-034AyeAyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAye
Adrian TamHD-024AyeAyeAyeAye
David TarnasHD-008AyeAyeAyeAye
18 more House members only counted as floor ayes
MemberHLT
SD2		Second reading
HD1		CPC
HD1		Report adoption
HD2		JHA
HD2		Third reading
HD3		Change along the path
Luke EvslinHD-016AyeAyeAye
Andrew GarrettHD-022AyeAyeAye
Ikaika HusseyHD-029AyeAyeAye
Jeanne KapelaHD-005AyeAyeAye
Lisa KitagawaHD-048AyeAyeAye
Matthias KuschHD-001AyeAyeAye
Trish La ChicaHD-037AyeAyeAye
Mike LeeHD-050AyeAyeAye
Tyson MiyakeHD-010AyeAyeAye
Daynette MorikawaHD-017AyeAyeAye
Nadine NakamuraHD-015AyeAyeAye
Michael RatcliffeHD-028Aye
Julie Reyes OdaHD-040AyeAyeAye
Kanani SouzaHD-043AyeAyeAye
Shirley Ann TemploHD-030AyeAyeAye
Chris ToddHD-003AyeAyeAye
Justin WoodsonHD-009AyeAyeAye
Kyle YamashitaHD-012AyeAyeAye

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.

  3. Passed First Reading.

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

  5. The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.

  6. The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference.

  7. 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.

  8. 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.

  9. 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.

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

  11. The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.

  12. 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.

  13. 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.

  14. Reported from JDC/WAM (Stand. Com. Rep. No. 3068) with recommendation of passage on Third Reading, as amended (SD 2).

  15. 48 Hrs. Notice 03-10-26.

  16. 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.

  17. Received from Senate (Sen. Com. No. 367) in amended form (SD 2).

  18. Pass First Reading

  19. Referred to HLT, CPC, JHA, referral sheet 17

  20. Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  21. 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.

  22. Reported from HLT (Stand. Com. Rep. No. 1281-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  23. 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).

  24. Bill scheduled to be heard by CPC on Wednesday, 03-25-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.

  25. 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.

  26. Reported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA.

  27. 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).

  28. Bill scheduled to be heard by JHA on Wednesday, 04-01-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.

  29. 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.

  30. Reported from JHA (Stand. Com. Rep. No. 2036-26) as amended in HD 3, recommending passage on Third Reading.

  31. Forty-eight (48) hours notice Tuesday, 04-14-26.

  32. 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.

  33. Received from House (Hse. Com. No. 749).

  34. Senate disagrees with House amendments.

  35. Received notice of disagreement (Sen. Com. No. 710).

Bill sponsors