STAND. COM. REP. NO. 2036-26

Honolulu, Hawaii

, 2026

RE: S.B. No. 3133

S.D. 2

H.D. 3

Honorable Nadine K. Nakamura

Speaker, House of Representatives

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Madame:

Your Committee on Judiciary & Hawaiian Affairs, to which was referred S.B. No. 3133, S.D. 2, H.D. 2, entitled:

"A BILL FOR AN ACT RELATING TO PREVENTIVE MEDICINE,"

begs leave to report as follows:

The purpose of this measure is to:

(1) Specify that no person is subject to liability for providing clinical preventive services in accordance with Department of Health recommendations;

(2) Require 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;

(3) Authorize the Department of Health to make recommendations relating to clinical preventive services and issue standing orders for medications and immunizations;

(4) Clarify that, for child health supervision services coverage, the prevailing medical standards include recommendations by the Department of Health;

(5) Prohibit the denial of coverage and prior authorization for clinical preventive services based on medical necessity;

(6) Specify that a registered pharmacist may order a vaccine in accordance with the recommendations from the Department of Health; and

(7) Exempt this measure from an Auditor impact assessment report.

Your Committee received testimony in support of this measure from the Department of Health; State Health Planning and Development Agency; Healthcare Association of Hawaii; Hawaii Medical Association; American Academy of Pediatrics, Hawaiʻi Chapter; Pride at Work – Hawaiʻi; and two individuals. Your Committee received testimony in opposition to this measure from the Hawaiian Islands Republican Women; Hawaiʻi Christian Coalition; Aloha Freedom Coalition; and numerous individuals. Your Committee received comments on this measure from the Department of Commerce and Consumer Affairs and Hawaii Medical Service Association.

Your Committee finds that recent discrepancies between federal immunization recommendations and established medical practices, coupled with expiring insurance coverage commitments, create significant uncertainty regarding the accessibility of essential preventive care for Hawaii families. Your Committee further finds that ensuring the continuity of no-cost clinical services is critical to preventing increased financial burdens on residents and mitigating the public health risks associated with delayed or foregone medical treatment. This measure mandates insurance coverage for clinical preventive services, authorizes the Department of Health to issue recommendations relating to clinical preventive services and standing orders for medications and immunizations, and provides certain liability protections for persons providing clinical preventive services.

Your Committee has amended this measure by making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.

As affirmed by the record of votes of the members of your Committee on Judiciary & Hawaiian Affairs that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 3133, S.D. 2, H.D. 2, as amended herein, and recommends that it pass Third Reading in the form attached hereto as S.B. No. 3133, S.D. 2, H.D. 3.

Respectfully submitted on behalf of the members of the Committee on Judiciary & Hawaiian Affairs,

____________________________

DAVID A. TARNAS, Chair