Hawaii HB1864: Relating to Insurance.

What the bill says

A bill foran act relating to insurance.

From the enrolled text:

A BILL FORAN ACT RELATING TO INSURANCE. SECTION 1. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article bA, part I, to be appropriately designated and to read as follows: "~431:lOA- Standard fertility preservation services coverage. (a) Each individual or group policy of accident and health or sickness insurance issued or renewed in the State after December 31, 2026, shall provide to the policyholder, or any dependent of the policyholder who is covered under the policy, coverage for standard fertility preservation services for any insured who may undergo a medically necessary treatment that may directly or indirectly cause iatrogenic infertility. (b) No policy that provides coverage for standard fertility preservation services as required by subsection (a) shall: (1) Use any prior diagnosis or prior fertility treatment as a basis for excluding, limiting, or otherwise 2026--3405 HB1864 CD1 HMSO NcJ. ~ H.B. Page2 C.D. restricting the availability of the required coverage; or (2) Discriminate based on the insured's expected length of life, present or predicted disability, degree of medical dependency, perceived quality of life, or other health conditions. (c) Except as provided in subsection (b), any limitations imposed by a policy shall be based on the insured's medical history and clinical guidelines adopted by the insurer. Any clinical guidelines used by the insurer shall be based …

Read the full official text

Sponsors

• Sean Quinlan (D, 47) · primary sponsor
• Kirstin Kahaloa (D, 6)
• Jeanne Kapela (D, 5)
• Nicole Lowen (D, 7)

Latest actions

1. July 10, 2026: Act 218, on 07/09/2026 (Gov. Msg. No. 1320).
2. July 10, 2026: Act 218, 07/09/2026 (Gov. Msg. No. 1320).
3. May 8, 2026: Received notice of passage on Final Reading in House (Hse. Com. No. 888).
4. May 7, 2026: Transmitted to Governor.
5. May 6, 2026: Received notice of Final Reading (Sen. Com. No. 816).
6. May 6, 2026: Passed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).
7. May 6, 2026: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
8. April 29, 2026: 48 Hrs. Notice (as amended CD 1) 05-06-26
9. April 29, 2026: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).
10. April 29, 2026: Forty-eight (48) hours notice Wednesday, 05-06-26.

Votes

• Passed Final Reading, as amended (CD 1) (May 6, 2026): 25 yea, 0 nay, passed
• Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0) (May 6, 2026): 51 yea, 0 nay, passed
• none. (April 29, 2026): 4 yea, 0 nay, passed
• Conference Committee Vote (April 29, 2026): 3 yea, 0 nay, passed
• Report adopted; Passed Third Reading, as amended (SD 2) (April 14, 2026): 25 yea, 0 nay, passed
• CPN: recommend(s) that the measure be PASSED, WITH AMENDMENTS (April 7, 2026): 4 yea, 0 nay, passed

Common questions

What is HB1864?

HB1864 is a bill in the Hawaii Legislature (2026 Regular Session): Relating to Insurance.

What does HB1864 do?

In its own words: A bill foran act relating to insurance.

What is the status of HB1864?

Signed into law as of July 10, 2026. Latest action: Act 218, on 07/09/2026 (Gov. Msg. No. 1320). (July 10, 2026).

Who sponsored HB1864?

Sean Quinlan (D, 47), with 3 co-sponsors.

Where is the official record for HB1864?

On the Hawaii Legislature website: https://www.capitol.hawaii.gov/measure_indiv.aspx?billtype=HB&billnumber=1864&year=2026