HB 700 Hawaii House · 2025 Regular Session

RELATING TO COGNITIVE ASSESSMENTS.

Summary

Establishes, with certain exceptions, standardized cognitive assessments for qualified Medicare beneficiaries. Establishes a two-year Dementia Data Pilot Program within the Executive Office on Aging to collect and analyze cognitive assessment data. Requires the Executive Office on Aging to report de-identified aggregated data to the Legislature. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

House Passage

Apr 2025

Senate Passage

Apr 2025

Signed into Law

Jul 2025

Introduced Jan 17, 2025 Signed Jul 3, 2025

Maddy AI version diff · 4 comparisons

What changed between versions

HB700_SD1 → HB700_SD2 · 3 edits

MINOR

The bill was reformatted from a standard legislative document into a structured template with metadata, while the substantive policy content remained largely the same. The main substantive change is the addition of a new section requiring the Executive Office on Aging to dissolve the dementia data pilot program two years after its start date, which was not present in the original version. The effective date of July 1, 2050 remains unchanged.

Scope change

The bill's scope and applicability remain unchanged; the substantive policy provisions regarding cognitive assessments for Medicare beneficiaries and the dementia data pilot program are preserved.

REQUIREMENT

Added a requirement that the dementia data pilot program must be dissolved two years from its start date (Section 2(h)).

TECHNICAL

The document was reformatted from a standard legislative text format into a structured template with metadata fields including author names, timestamps, and revision numbers.

Added a detailed summary description field explaining the bill's purpose and key provisions for informational purposes.

HB700_HD1 → HB700_SD1 · 7 edits

MODERATE

The bill was converted from a House Draft (HD1) to a Senate Draft (SD1) version, which includes substantive policy changes expanding eligibility, clarifying definitions, and adjusting reporting requirements. The most significant change is the expansion of the pilot program to include Medicare beneficiaries of any age at heightened risk for cognitive impairments, not just those aged 65 or older. The bill also adds specific exemptions for patients with existing dementia diagnoses or physical/mental impairments that prevent assessment, and includes new definitions for key terms like 'qualified patient' and 'health care provider'.

Scope change

The bill's scope was expanded from targeting only Medicare beneficiaries aged 65 or older to include Medicare beneficiaries of any age who are at heightened risk for cognitive impairments, while adding specific exemptions for those with existing dementia diagnoses or physical/mental impairments.

ELIGIBILITY

Expanded eligibility from Medicare beneficiaries aged 65 or older to include Medicare beneficiaries of any age at heightened risk for cognitive impairments.

Added exemptions for qualified patients who have already received a diagnosis of dementia or mild cognitive impairment, and those unable to undergo assessment due to physical or mental impairment or disability.

DEFINITION

Added new definitions for 'qualified patient' (including individuals with developmental disabilities predisposed to early cognitive decline) and 'health care provider' (specifically physicians or surgeons licensed under Hawaii Revised Statutes chapter 453, or advanced practice registered nurses licensed under chapter 457).

REQUIREMENT

Modified reporting requirements to include additional data points such as patient age, zip code, race, gender, type of assessment administered, and whether the assessment was conducted in person or via telehealth.

Added requirement that the executive office on aging shall dissolve the pilot program on a specified date (currently blank in SD1), creating a sunset provision for the program.

TIMELINE

Changed the effective date from unspecified in HD1 to July 1, 2026 in SD1.

FISCAL

Modified funding language to specify appropriations for fiscal years 2025-2026 and 2026-2027 for data management and reporting requirements, with the exact amount left blank for legislative determination.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 30, 2025

Lower · Passed

Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick excused (2).

lower

Apr 30, 2025

Upper · Passed

Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

upper

Apr 25, 2025

Introduced

48 Hrs. Notice (as amended CD 1) 04-30-25

upper

Apr 25, 2025

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 252).

upper

Apr 25, 2025

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 252) as amended in (CD 1).

lower

Apr 25, 2025

Upper · Passed

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Moriwaki, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Apr 25, 2025

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Marten, Keohokapu-Lee Loy, Chun, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Apr 24, 2025

Lower · Passed

Conference Committee Meeting will reconvene on Friday 04-25-25 4:30PM in conference room 329.

lower

Apr 24, 2025

Lower · Passed

Conference Committee Meeting will reconvene on Thursday 04-24-25 4:30PM in conference room 329.

lower

Apr 22, 2025

Lower · Passed

Bill scheduled for Conference Committee Meeting on Wednesday, 04-23-25 4:30PM in conference room 329.

lower

Apr 10, 2025

Amended

House disagrees with Senate amendment (s).

lower

Apr 8, 2025

Introduced

Returned from Senate (Sen. Com. No. 663) in amended form (SD 2).

lower

Apr 8, 2025

Upper · Passed

Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

upper

Apr 2, 2025

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Apr 2, 2025

Upper · Passed

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, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Mar 27, 2025

Upper · Passed

The committee(s) on WAM/CPN will hold a public decision making on 04-02-25 10:00AM; Conference Room 211 & Videoconference.

upper

Mar 19, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 1145) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM/CPN.

upper

Mar 10, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Keohokalole, Fevella.

upper

Mar 6, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-10-25 1:00PM; Conference Room 225 & Videoconference.

upper

Mar 4, 2025

Committee

Referred to HHS, WAM/CPN.

upper

Mar 4, 2025

Introduced

Received from House (Hse. Com. No. 117).

upper

Feb 28, 2025

Lower · Passed

Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Pierick, Templo, Ward excused (4). Transmitted to Senate.

lower

Feb 21, 2025

Lower · Passed

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 12 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Miyake, Morikawa, Templo, Reyes Oda; Ayes with reservations: none; Noes: none; and 4 Excused: Representative(s) Holt, Lee, M., Alcos, Ward.

lower

Feb 12, 2025

Committee

Reported from HLT/HSH (Stand. Com. Rep. No. 511) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

lower

Feb 7, 2025

Lower · Passed

The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Feb 7, 2025

Lower · Passed

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Jan 21, 2025

Committee

Referred to HLT/HSH, FIN, referral sheet 2

lower

Jan 21, 2025

Introduced

Introduced and Pass First Reading.

lower

Jan 17, 2025

Introduced

Pending introduction.

lower

15 primary · 0 co-sponsors