SB 642 Hawaii Senate · 2025 Regular Session

RELATING TO INSURANCE.

Summary

Requires all health insurance policies, contracts, plans, and agreements issued or renewed after 12/31/2025, to provide optional coverage for standard fertility preservation services for persons undergoing medically necessary cancer-related treatments that may cause iatrogenic infertility. Effective 12/31/2050. (SD2)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Mar 2025

Senate Passage

Mar 2025

House Passage

Governor

Introduced Jan 17, 2025 Last action Mar 7, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

SB642_SD1 → SB642_SD2 · 5 edits

MODERATE

This bill adds optional fertility preservation coverage to health insurance policies in Hawaii, effective December 31, 2025. The main substantive change is that the bill now specifies that covered treatments must be cancer-related, and it references the 2018 American Society of Clinical Oncology guidelines instead of current guidelines. The effective date was also changed from December 31, 2025 to December 31, 2050 in the final section.

Scope change

The bill now explicitly limits coverage to cancer-related medical treatments that may cause infertility, rather than any medically necessary treatment that may cause infertility.

DEFINITION

Changed the definition of covered treatments from 'any medically necessary treatment' to specifically 'any cancer-related medical treatment' that may cause infertility.

Updated references to use the 2018 American Society of Clinical Oncology guidelines instead of 'current guidelines' or 'most recent professional guidelines'.

TIMELINE

Changed the effective date from December 31, 2025 to December 31, 2050, which would delay implementation by over 25 years.

REQUIREMENT

Added a new section requiring health maintenance organizations to include benefits from the new fertility preservation provisions.

TECHNICAL

Changed the bill designation from S.D. 1 to S.D. 2 and added metadata fields including author information and timestamps.

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

Mar 6, 2025

Committee

Referred to HLT, CPC, FIN, referral sheet 19

lower

Mar 4, 2025

Introduced

Received from Senate (Sen. Com. No. 180) in amended form (SD 2).

lower

Mar 4, 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

Feb 26, 2025

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Aquino, Fevella.

upper

Feb 26, 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

Feb 20, 2025

Upper · Passed

The committee(s) on CPN/WAM will hold a public decision making on 02-26-25 10:00AM; Conference Room 211 & Videoconference.

upper

Feb 10, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 120) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

upper

Jan 29, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Jan 24, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 01-29-25 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 23, 2025

Committee

Referred to HHS, CPN/WAM.

upper

Jan 17, 2025

Introduced

Introduced.

upper

3 primary · 2 co-sponsors