HB 1643 Hawaii House · 2026 Regular Session

RELATING TO PHARMACY.

HB 1643 establishes clear rules for how state agencies conduct audits of pharmacy and pharmacist records. It directly affects pharmacists and pharmacies by defining the process, scope, and requirements for these audits. The bill specifies procedures for accessing records, conducting reviews, and documenting findings, ensuring consistency in administrative oversight. This is a procedural bill focused solely on audit mechanics, not changes to pharmacy practice or patient care.

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Apr 2026

House Passage

May 2026

Senate Passage

May 2026

Signed into Law

May 2026

Introduced Jan 20, 2026 Signed May 26, 2026

Maddy AI version diff · 5 comparisons

What changed between versions

HB1643_SD1 → HB1643_SD2 · 5 edits

MODERATE

This bill amends pharmacy audit regulations to enhance transparency and fairness for pharmacists. Key changes include requiring auditors to provide specific prescription lists rather than just numbers, removing the prohibition on entering prescription departments, and clarifying that clerical errors do not include missing documentation. The bill also updates the definition of 'pharmacy benefit manager' to exclude certain health maintenance organizations.

Scope change

The bill expands the scope of allowable audit procedures by removing restrictions on auditor access to prescription departments and clarifies the definition of 'pharmacy benefit manager' to exclude specific health maintenance organizations.

REQUIREMENT

Changed the audit notice requirement to include a list of prescriptions with masked numbers or date ranges instead of just prescription numbers and dates.

Removed the prohibition preventing auditors from entering the prescription department or disrupting pharmacy services during audits.

Added a specific provision stating that clerical or recordkeeping errors do not include the absence of documentation needed to validate a claim.

Adjusted the exclusion list for recoupments to include a new category for prescriptions not filled in accordance with the prescriber's order.

DEFINITION

Modified the definition of 'pharmacy benefit manager' to explicitly exclude health maintenance organizations that are part of fully integrated delivery systems.

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

May 6, 2026

Lower · Passed

Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

lower

May 6, 2026

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 29, 2026

Introduced

48 Hrs. Notice (as amended CD 1) 05-06-26

upper

Apr 29, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 52-26).

upper

Apr 29, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 52-26) as amended in (CD 1).

lower

Apr 24, 2026

Upper · Passed

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) McKelvey, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Apr 24, 2026

Lower · Passed

The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

lower

Apr 23, 2026

Lower · Passed

Bill scheduled for Conference Committee Meeting on Friday, 04-24-26 3:15PM in conference room 329.

lower

Apr 16, 2026

Amended

House disagrees with Senate amendment (s).

lower

Apr 14, 2026

Introduced

Returned from Senate (Sen. Com. No. 595) in amended form (SD 2).

lower

Apr 14, 2026

Upper · Passed

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

upper

Apr 7, 2026

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 1 Excused: Senator(s) Awa.

upper

Apr 2, 2026

Upper · Passed

The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference.

upper

Mar 25, 2026

Upper · Passed

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

upper

Mar 25, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 3189) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.

upper

Mar 20, 2026

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, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey.

upper

Mar 17, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-20-26 1:00PM; Conference Room 225 & Videoconference.

upper

Mar 12, 2026

Committee

Referred to HHS, CPN.

upper

Mar 12, 2026

Introduced

Received from House (Hse. Com. No. 253).

upper

Mar 10, 2026

Lower · Passed

Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

lower

Mar 3, 2026

Lower · Passed

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick.

lower

Feb 18, 2026

Committee

Reported from HLT (Stand. Com. Rep. No. 347-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

lower

Feb 13, 2026

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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

lower

Jan 26, 2026

Committee

Referred to HLT, CPC, referral sheet 1

lower

Jan 21, 2026

Introduced

Introduced and Pass First Reading.

lower

Jan 20, 2026

Introduced

Prefiled.

lower

9 primary · 0 co-sponsors