REQUESTING THE ADMINISTRATOR OF THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY TO CONVENE A PHARMACY BENEFIT MANAGER WORKING GROUP TO DETERMINE THE BEST POLICIES TO REFORM PHARMACY BENEFIT MANAGER PRACTICES IN THE STATE TO ENSURE TRANSPARENCY AND FAIRNESS FOR CONSUMERS AND IN THE PHARMACEUTICAL SECTOR, LOWER DRUG COSTS FOR PATIENT CONSUMERS, AND INCREASE ACCESS TO HEALTH CARE.
This Senate Resolution (SR 53) requests Hawaii's State Health Planning and Development Agency to form a Pharmacy Benefit Manager (PBM) Working Group. The group, including pharmacy associations, insurers, and state agencies, will evaluate PBM practices to improve transparency, lower drug costs for patients, and increase healthcare access. It will specifically examine issues like fair pharmacy reimbursements, PBM reporting requirements, and practices that restrict patient access. The Working Group must submit recommendations to the Legislature by early 2026. This resolution does not change laws but seeks to identify policy reforms for future legislation.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Governor
Introduced Mar 7, 2025
Last action Apr 3, 2025
Maddy AI version diff · 1 comparison
What changed between versions
SR53
→
SR53_SD1
·
4 edits
MODERATE
The bill was reformatted from a traditional Senate Resolution document to a structured digital template format. The most significant substantive change is that the agency responsible for convening the Pharmacy Benefit Manager Working Group was changed from the Director of Health to the Administrator of the State Health Planning and Development Agency (SHPDA). This shifts the oversight and leadership of the working group to a different state agency.
Scope change
The scope of the bill's operational authority changed by transferring the convening authority from the Department of Health to the State Health Planning and Development Agency.
REQUIREMENT
The agency responsible for convening the Pharmacy Benefit Manager Working Group was changed from the Director of Health to the Administrator of the State Health Planning and Development Agency.
The chairperson of the Working Group was changed from the Director of Health to the Administrator of the State Health Planning and Development Agency.
The list of agencies receiving certified copies of the resolution was updated to reflect the new lead agency (SHPDA) instead of the Director of Health.
TECHNICAL
The document was converted from a traditional text-based legislative format to a structured digital template with metadata fields.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
7
Key actions
4
Committee
4
Apr 3, 2025
Upper · Passed
Report and Resolution Adopted, as amended (SD 1).
upper
Apr 2, 2025
Upper · Passed
Reported from HHS (Stand. Com. Rep. No. 1538) with recommendation of adoption, as amended (SD 1).
upper
Mar 24, 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
Mar 19, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 03-24-25 1:00PM; Conference Room 225 & Videoconference.
upper
Mar 11, 2025
Committee
Referred to HHS.
upper
Mar 7, 2025
Introduced
Offered.
upper
10 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Angus McKelvey
DDemocratic
P
Brandon Elefante
DDemocratic
P
Henry Aquino
DDemocratic
P
Joy San Buenaventura
DDemocratic
P
Karl Rhoads
DDemocratic
P
Lorraine Inouye
DDemocratic
P
Michelle Kidani
DDemocratic
P
Mike Gabbard
DDemocratic
P
Stanley Chang
DDemocratic
P
Tim Richards
DDemocratic
Co
Glenn Wakai
DDemocratic
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