RELATING TO PRIOR AUTHORIZATION OF HEALTH CARE SERVICES.
Summary
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)
Bill status
passed both
4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Mar 2025
House Passage
Apr 2025
Governor
Introduced Jan 21, 2025
Last action Apr 24, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
SB1449_HD2
→
SB1449_SD1
·
4 edits
MODERATE
The bill was reformatted from a House Draft version to a Senate Draft version, with most substantive policy language remaining identical. The primary changes involve formatting adjustments, metadata additions, and minor text corrections such as changing 'State' to 'Hawaii' in one instance and adding a new definition for 'prior authorization data' to clarify what information must be reported.
Scope change
No substantive change to the bill's scope or applicability; the policy content remains the same while the document structure was updated for Senate processing.
TECHNICAL
Document header and metadata were updated to reflect Senate Draft 1 (SD1) status, including adding bill tracking information and revision numbers.
Minor text corrections were made, including changing 'State' to 'Hawaii' in Section 1 and adjusting formatting of section references.
Added new sections 3 and 4 to clarify that new statutory material is underscored and that the bill takes effect on December 31, 2050.
DEFINITION
Added a new definition for 'prior authorization data' in Section 2(d) to specify exactly what information must be reported to the state agency, including patient demographics, procedure codes, diagnosis codes, provider specialties, and authorization status.
Floor votes · Senate Mar 4, 2025
How they voted
25–0
Passed
Total votes 25
Mar 4, 2025
D
Democratic22
100% Yea
R
Republican3
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
39
Key actions
11
Committee
14
Amendments
1
Apr 24, 2025
Upper · Passed
Conference committee meeting to reconvene on 04-25-25 3:30PM; Conference Room 329.
upper
Apr 23, 2025
Upper · Passed
Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.
upper
Apr 23, 2025
Committee
Re-referred to HLT, CPC, FIN, referral sheet 36
lower
Apr 22, 2025
Upper · Passed
Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
upper
Apr 4, 2025
Amended
Senate disagrees with House amendments.
upper
Apr 4, 2025
Introduced
Received from House (Hse. Com. No. 493).
upper
Apr 3, 2025
Lower · Passed
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.
lower
Mar 25, 2025
Lower · Passed
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.
lower
Mar 18, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 1311) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
lower
Mar 12, 2025
Lower · Passed
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.
lower
Mar 6, 2025
Committee
Referred to HLT, CPC, referral sheet 19
lower
Mar 4, 2025
Introduced
Received from Senate (Sen. Com. No. 341) in amended form (SD 1).
lower
Mar 4, 2025
Upper · Passed
Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
upper
Feb 26, 2025
Upper · Passed
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.
upper
Feb 14, 2025
Upper · Passed
The committee(s) on CPN will hold a public decision making on 02-20-25 9:30AM; Conference Room 229 & Videoconference.
upper
Feb 14, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 502) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
upper
Feb 5, 2025
Upper · Passed
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.
upper
Jan 31, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference.
upper
Jan 27, 2025
Committee
Referred to HHS, CPN.
upper
Jan 23, 2025
Introduced
Introduced and passed First Reading.
upper
Jan 21, 2025
Introduced
Pending Introduction.
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ron Kouchi
DDemocratic
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