Hawaii SB3045: Relating to Health Insurance.

What the bill says

A bill for an act relating to health insurance.

From the enrolled text:

A BILL FOR AN ACT RELATING TO HEALTH INSURANCE. SECTION 1. The legislature finds that type two diabetes is a significant driver of preventable health care costs in the State, particularly in rural, neighbor island, and medically underserved communities where access to consistent outpatient management and specialty care is limited. Poorly controlled diabetes contributes to avoidable emergency department visits, hospitalizations, and long-term complications that place substantial strain on public and private health care systems. The legislature further finds that continuous glucose monitors are an evidence-based diabetes management technology that provide real-time glucose data, supports earlier clinical intervention, and improves glycemic control. The use of continuous glucose monitors has been shown to reduce hypoglycemic events and high-cost acute care utilization, making continuous glucose monitors an effective tool for improving health outcomes while mitigating downstream health care expenditures. 2026-2396 SB3045 GDI SMA.docx ininiHiiiiiMiiiiiiB Page 2 S.B. NO. C.D. The legislature also finds that inconsistent insurance coverage for continuous glucose monitors creates inefficiencies in care delivery and increases the likelihood of higher-cost interventions. Standardizing coverage across health plans, including medicaid managed care programs, promotes predictable benefits, reduces administrative burdens, and supports uniform clinical practice. Accordingly, the purpose of this Act is to require all health insurers in the State, including medicaid managed care programs, to cover the cost of continuous glucose monitors. SECTION …

Read the full official text

Sponsors

• Dru Kanuha (D, 3) · primary sponsor

Latest actions

1. July 7, 2026: Act 197, on 07/07/2026 (Gov. Msg. No. 1299).
2. July 7, 2026: Act 197, 07/07/2026 (Gov. Msg. No. 1299).
3. May 8, 2026: Enrolled to Governor.
4. May 8, 2026: Received notice of passage on Final Reading in House (Hse. Com. No. 888).
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 none 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. May 1, 2026: Forty-eight (48) hours notice Wednesday, 05-06-26.
9. May 1, 2026: Reported from Conference Committee (Conf Com. Rep. No. 235-26) as amended in (CD 1).
10. May 1, 2026: 48 Hrs. Notice (as amended CD 1) 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 none voting aye with reservations; none voting no (0) and none excused (0) (May 6, 2026): 51 yea, 0 nay, passed
• none. (May 1, 2026): 5 yea, 0 nay, passed
• Conference Committee Vote (May 1, 2026): 2 yea, 0 nay, passed
• Third Reading with Representative(s) Belatti voting aye with reservations; Representative(s) Shimizu voting no (1) and Representative(s) Quinlan excused (1) (April 14, 2026): 49 yea, 1 nay, passed
• FIN: recommend that the measure be PASSED, UNAMENDED (April 7, 2026): 16 yea, 0 nay, passed

Common questions

What is SB3045?

SB3045 is a bill in the Hawaii Legislature (2026 Regular Session): Relating to Health Insurance.

What does SB3045 do?

In its own words: A bill for an act relating to health insurance.

What is the status of SB3045?

Signed into law as of July 7, 2026. Latest action: Act 197, on 07/07/2026 (Gov. Msg. No. 1299). (July 7, 2026).

Who sponsored SB3045?

Dru Kanuha (D, 3).

Where is the official record for SB3045?

On the Hawaii Legislature website: https://www.capitol.hawaii.gov/measure_indiv.aspx?billtype=SB&billnumber=3045&year=2026