Sen. Kurt Fevella

Expands workers' compensation medical benefits for firefighters to include coverage for adenocarcinoma or mesothelioma of the respiratory system; cancer of the buccal cavity, colon, pharynx, and thyroid; and malignant melanoma. Specifies that an employer may prove that the cancer or disease was not associated with the firefighting duties to deny medical benefits under workers' compensation law. Effective 7/1/3000. (HD1)

Allows terminally ill patients and qualifying patients over sixty-five years of age with chronic diseases to use medical cannabis within specified health care facilities under certain conditions. Requires enforcement by the Department of Health. Effective 7/1/3000. (HD1)

Maddy summarySCR 18 is a procedural resolution requesting Hawaii's Auditor to assess the social and financial effects of a proposed mandate requiring health insurance coverage for intravenous ketamine therapy to treat depression. This assessment is required by Hawaii law (HRS § 23-51) before the Legislature can consider Senate Bill 967, which proposes the coverage mandate. The Auditor must submit a report to the Legislature by a deadline set for the 2027 Regular Session to inform their decision on SB 967.

Requires the Auditor to conduct a financial audit of each charter school under the State Public Charter School Commission. Requires a report to the Legislature. Requires the State Public Charter School Commission to take action based on the Auditor's recommendations. Appropriates funds. Effective 7/1/3000. (HD1)

Maddy summarySCR 4 is a procedural resolution requesting Hawaii's Auditor to assess the social and financial impacts of Senate Bill 46 (2025), which proposes requiring health insurance to cover annual mental health wellness examinations. The resolution directs the Auditor to analyze both the societal effects (e.g., access to care for mental health conditions) and financial implications (e.g., costs to insurers/policyholders) of this mandated coverage. It requires the Auditor to submit a report to the Legislature by January 2027, as mandated by Hawaii Revised Statutes §23-51 before such coverage can be enacted. This resolution does not change insurance requirements but seeks data to inform future legislative decisions on SB 46.

Requires the Public Utilities Commission to open a docketed proceeding no later than 9/1/2026, to conduct a comprehensive, objective, and independent analysis of the State's energy pathways. Effective 7/1/3000. (HD2)

Establishes certain requirements for pharmacy benefit managers, other than health maintenance organizations that own and operate their own pharmacies, that reimburse contracting pharmacies for drugs on a maximum allowable cost basis. Allows contracting pharmacies to reverse and rebill claims if a maximum allowable cost is denied on appeal. Authorizes the Insurance Commissioner to assess fines for violations. Appropriates funds. Effective 7/1/3000. (HD2)

Repeals the $10,000 value threshold for certain prohibited contracts involving legislators or employees. Prohibits state agencies from contracting to procure or dispose of goods or services, or for construction, with businesses owned, operated, or controlled by relatives or household members of department heads or deputy directors. Requires department heads, acting department heads, and deputy directors of principal state departments to ensure compliance with the Code of Ethics provision governing contracts and provides for liability for violations. Effective 7/1/3000. (HD1)

Establishes a temporary Solid Waste Management Working Group in the Office of the Governor to examine materials management policies and programs that reduce solid waste and protect the environment, and to present a list of alternative technologies to address solid waste management. Requires a report to the Legislature. Repeals 6/30/2027. Effective 7/1/2050. (SD1)

Amends the collective bargaining negotiation procedure on the repricing of classes within a bargaining unit for public employees. Establishes an impasse procedure to be applied when an employer fails to initiate the negotiation or the parties fail to reach an agreement within 90 days. Repeals existing law that requires a different impasse procedure to apply in those situations. Sunsets 6/30/2029. Effective 7/1/3000. (HD1)