STAND. COM. REP. NO. 1052-26

Honolulu, Hawaii

, 2026

RE: H.B. No. 2164

H.D. 1

Honorable Nadine K. Nakamura

Speaker, House of Representatives

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Madame:

Your Committee on Consumer Protection & Commerce, to which was referred H.B. No. 2164, H.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO WORKERS' COMPENSATION,"

begs leave to report as follows:

The purpose of this measure is to define "compounded prescription drug" for purposes of the Workers' Compensation Law.

Your Committee received testimony in support of this measure from the Department of Labor and Industrial Relations; Hawaii RePack; Work Injury Medical Association of Hawaiʻi; Solera Integrated Medical Solutions; and Hawaii Insurers Council. Your Committee received testimony in opposition to this measure from the Department of Human Resources Development.

Your Committee finds that compounded prescription drugs may be medically necessary for injured workers when FDA-approved medications are not appropriate due to individual clinical needs, such as allergies, dosage requirements, or other clinical considerations. Your Committee further finds that inconsistent definitions under existing law have created confusion regarding the appropriate use, safety standards, and reimbursement of compounded prescription drugs within the workers' compensation system. Aligning state law with established federal compounding standards will promote patient safety, improve regulatory consistency, and provide clearer guidance regarding when compounded prescription drugs are appropriate, while preserving access to individualized medications when medically necessary.

As affirmed by the record of votes of the members of your Committee on Consumer Protection & Commerce that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 2164, H.D. 1, and recommends that it pass Third Reading.

Respectfully submitted on behalf of the members of the Committee on Consumer Protection & Commerce,

____________________________

SCOT Z. MATAYOSHI, Chair