HB 139 Hawaii House · 2026 Regular Session

RELATING TO INSURANCE.

Summary

For policies, contracts, plans, and agreements issued or renewed after 12/31/2025, requires insurers, mutual benefit societies, and health maintenance organizations to provide coverage for standard fertility preservation services for persons undergoing medically necessary treatment that may cause iatrogenic infertility. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed both 4 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

House Passage

Feb 2025

Senate Passage

Apr 2025

Governor

Introduced Jan 14, 2025 Last action Apr 2, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

HB139_HD2 → HB139_SD1 · 4 edits

MODERATE

The bill was amended to clarify that fertility preservation coverage applies specifically to cancer-related treatments, updated the reference guidelines to the 2018 American Society of Clinical Oncology standards, and added a new section requiring health maintenance organizations to include these benefits. The effective date for HMO coverage was added, while the general insurance mandate remains effective after December 31, 2025.

Scope change

The bill's scope was expanded to explicitly include health maintenance organizations (HMOs) and to clarify that the fertility preservation mandate applies only to cancer-related treatments rather than all medical treatments.

DEFINITION

Changed the definition of covered treatments from any medically necessary treatment to specifically 'cancer-related medical treatment' to narrow the scope of required coverage.

REQUIREMENT

Updated the clinical guidelines reference from 'current guidelines' to the specific '2018 update' of the American Society of Clinical Oncology guidelines.

SCOPE

Added a new section (Section 3) requiring health maintenance organizations to include fertility preservation benefits in their contracts.

TIMELINE

Added a specific effective date of December 31, 2050, for the benefits provided by health maintenance organizations.

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 23, 2025

Lower · Passed

Bill scheduled for Conference Committee Meeting on Thursday, 04-24-25 3:16PM 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. 599) in amended form (SD 1).

lower

Apr 8, 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

Apr 2, 2025

Upper · Passed

The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. 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

Apr 2, 2025

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. 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

Mar 27, 2025

Upper · Passed

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

upper

Mar 20, 2025

Upper · Passed

Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM.

upper

Mar 20, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 1197) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM.

upper

Mar 17, 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

Mar 11, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-17-25 1:00PM; Conference Room 225 & Videoconference.

upper

Mar 4, 2025

Committee

Referred to HHS, CPN/WAM.

upper

Mar 4, 2025

Introduced

Received from House (Hse. Com. No. 85).

upper

Feb 28, 2025

Lower · Passed

Passed Third Reading with Representative(s) Belatti 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

Lower · Passed

Report adopted; referred to the committee(s) on FIN as amended in HD 2 with Representative(s) Belatti, Garcia voting aye with reservations; none voting no (0) and Representative(s) Cochran, Sayama, Ward excused (3).

lower

Feb 12, 2025

Committee

Reported from CPC (Stand. Com. Rep. No. 526) as amended in HD 2, recommending referral to FIN.

lower

Feb 6, 2025

Lower · Passed

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Feb 4, 2025

Committee

Reported from HLT (Stand. Com. Rep. No. 65) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Jan 31, 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; Noes: none; and Excused: none.

lower

Jan 21, 2025

Committee

Referred to HLT, CPC, FIN, referral sheet 1

lower

Jan 16, 2025

Introduced

Introduced and Pass First Reading.

lower

Jan 14, 2025

Introduced

Prefiled.

lower

12 primary · 0 co-sponsors