STATE BILLHI SB 3133ENGROSSED

Relating To Preventive Medicine.

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)

Status: Engrossed; Passed its first chamber
Status date: Mar 10, 2026; 247 days ago
Current chamber: House of Representatives
Session: 2026 Regular Session

HI SB 3133 · EngrossedMar 10

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Bill details

Last action: Received notice of disagreement (Sen. Com. No. 710). · Apr 16, 2026

Sponsor

RKRonald KouchiSenator · Democrat · SD-008Primary sponsor

Bill history

Newest first.

Apr 16, 2026Received notice of disagreement (Sen. Com. No. 710).House

Apr 16, 2026Senate disagrees with House amendments.Senate

Apr 16, 2026Received from House (Hse. Com. No. 749).Senate

Apr 14, 2026Passed 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.House

Apr 9, 2026Forty-eight (48) hours notice Tuesday, 04-14-26.House

Apr 9, 2026Reported from JHA (Stand. Com. Rep. No. 2036-26) as amended in HD 3, recommending passage on Third Reading.House

Apr 1, 2026The 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.House

Mar 30, 2026Bill scheduled to be heard by JHA on Wednesday, 04-01-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.House

Show 27 earlier actions

Mar 30, 2026Report 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).House

Mar 30, 2026Reported from CPC (Stand. Com. Rep. No. 1535-26) as amended in HD 2, recommending referral to JHA.House

Mar 25, 2026The 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.House

Mar 23, 2026Bill scheduled to be heard by CPC on Wednesday, 03-25-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.House

Mar 20, 2026Passed 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).House

Mar 20, 2026Reported from HLT (Stand. Com. Rep. No. 1281-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.House

Mar 18, 2026The 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.House

Mar 12, 2026Bill scheduled to be heard by HLT on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.House

Mar 12, 2026Referred to HLT, CPC, JHA, referral sheet 17House

Mar 12, 2026Pass First ReadingHouse

Mar 10, 2026Received from Senate (Sen. Com. No. 367) in amended form (SD 2).House

Mar 10, 2026Report 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.Senate

Mar 6, 202648 Hrs. Notice 03-10-26.Senate

Mar 6, 2026Reported from JDC/WAM (Stand. Com. Rep. No. 3068) with recommendation of passage on Third Reading, as amended (SD 2).Senate

Mar 4, 2026The 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.Senate

Mar 4, 2026The 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.Senate

Mar 2, 2026The committee(s) on JDC/WAM will hold a public decision making on 03-04-26 10:35AM; Conference Room 211 & Videoconference.Senate

Feb 20, 2026Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC/WAM.Senate

Feb 20, 2026Reported from HHS/CPN (Stand. Com. Rep. No. 2636) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.Senate

Feb 18, 2026The 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.Senate

Feb 18, 2026The 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.Senate

Feb 17, 2026The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference.Senate

Feb 13, 2026The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.Senate

Feb 2, 2026Referred to HHS/CPN, JDC/WAM.Senate

Jan 28, 2026Passed First Reading.Senate

Jan 28, 2026Introduced.Senate

Jan 26, 2026Pending Introduction.Senate

Recorded votes

Senate Commerce and Consumer Protection: Passed, With AmendmentsFeb 18, 2026 · Senate · 3 yea · 1 nayPassed

Senate Health and Human Services: Passed, With AmendmentsFeb 18, 2026 · Senate · 4 yea · 0 nayPassed

Senate Ways and Means: Passed, With AmendmentsMar 4, 2026 · Senate · 13 yea · 0 nayPassed

Senate Judiciary: Passed, With AmendmentsMar 4, 2026 · Senate · 4 yea · 1 nayPassed

Subjects

DOH
Standing Orders
Insurance
Preventive Services Coverage
Recommendations
Child Health Supervision Services
Immunization
Prevailing Medical Standards
Pharmacists
EUTF

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