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SB1449Introduced in the Senate

Relating To Prior Authorization Of Health Care Services.

Engrossed

Introduced by Ronald Kouchi, District 8

What does this bill do?

Plain-English breakdown

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Official description

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)

Where it stands

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

April 2, 2026

How did lawmakers vote?

SenateStage: Senate Commerce and Consumer Protection: Passed, Unamended · February 26, 2025

3

Yes

0

No

2

Absent or Not Voting

5 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

See how each senator voted

SenatorDistrictVote
Tim Richards4Absent
Angus McKelvey6Yes
Carol Fukunaga11Yes
Brenton Awa23Absent
Jarrett Keohokalole24Yes

Bill 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).

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