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SB3133Introduced in the Senate

Relating To Preventive Medicine.

Engrossed

Introduced by Ronald Kouchi, District 8

What does this bill do?

Plain-English breakdown

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Official description

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)

Where it stands

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

April 16, 2026

How did lawmakers vote?

SenateStage: Senate Judiciary: Passed, With Amendments · March 4, 2026

4

Yes

1

No

0

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?

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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
Joy San Buenaventura2Yes
Stanley Chang9Yes
Karl Rhoads13Yes
Mike Gabbard21Yes
Brenton Awa23No

Bill 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).

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