HawaiiHealth plans would cover glucose monitors for people with diabetes
For plans issued or renewed after December 31, 2026, people with diabetes could receive coverage for glucose monitors and related supplies if a health professional prescribes them as medically necessary.
What it does
Health plans would cover glucose monitors and related supplies for people with diabetes, including gestational diabetes, whether or not they use insulin.
Health maintenance organizations would provide the corresponding glucose monitor benefit for plans and agreements issued or renewed after December 31, 2026.
The Department of Human Services would seek needed federal approval and waivers; this duty takes effect only after federal approval of Hawaii's Medicaid state plan.
Argument forPeople with diabetes who do not use insulin could get monitor coverage and may be able to track glucose levels more consistently.
Argument againstPeople could still pay copays, deductibles, or coinsurance for monitors, though plans could not set them less favorably than for other covered care.
More detail
Health plans would cover continuous glucose monitors and related supplies. Coverage applies to people diagnosed with diabetes, including gestational diabetes, whether or not they use insulin. Limited-benefit health insurance is excluded. A monitor must be medically necessary and prescribed by a health professional authorized to prescribe it. Plans may charge copays, deductibles, and coinsurance, but not on terms less favorable than for other covered medical care or equipment. The text leaves the minimum benefit amount and interval blank. The coverage applies to policies, contracts, plans, or agreements issued or renewed in Hawaii after December 31, 2026.
Health maintenance organizations would provide the corresponding monitor benefit. This applies to health maintenance organization policies, contracts, plans, or agreements issued or renewed in Hawaii. The benefit corresponds to the coverage described in section 431:10A-121. This requirement applies to policies, contracts, plans, or agreements issued or renewed after December 31, 2026.
The Department of Human Services would seek federal authorization and waivers needed to implement the act. The duty applies to Hawaii's Department of Human Services. The coverage provisions also apply to state Medicaid managed care plans. This section takes effect only after the federal Centers for Medicare and Medicaid Services approves Hawaii's Medicaid state plan. Section 6 takes effect upon approval of Hawaii's Medicaid state plan by the federal Centers for Medicare and Medicaid Services.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jul 7Act 197, 07/07/2026 (Gov. Msg. No. 1299).Latest
- Jul 7Act 197, on 07/07/2026 (Gov. Msg. No. 1299).Became Law
- May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
- May 8Enrolled to Governor.To Governor
- May 6Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.Major
- Vote recorded Passed Final Reading as amended in CD 1. Result: pass.Lower
- May 6Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).Major
- May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
- May 1The 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) Kanuha, Lamosao; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
- Vote recorded The Conference Committee recommends that the measure be Passed, with Amendments. Result: pass.Lower
- Vote recorded The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
- May 1The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 5 Ayes: Representative(s) Takayama, Marten, Grandinetti, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
- May 1Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 235-26).
- May 148 Hrs. Notice (as amended CD 1) 05-06-26.
- May 1Reported from Conference Committee (Conf Com. Rep. No. 235-26) as amended in (CD 1).
- May 1Forty-eight (48) hours notice Wednesday, 05-06-26.
- Apr 30Conference Committee Meeting will reconvene on Friday 05-01-26 4:30PM in conference room 329.
- Apr 29Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 4:30PM in conference room 329.
- Apr 27Received notice of Senate conferees (Sen. Com. No. 762).Minor
- Apr 24Senate Conferees Appointed: Kanuha Chair; Lamosao Co-Chair; Fevella.
- Apr 20House Conferees Appointed: Takayama, Marten, Grandinetti, Keohokapu-Lee Loy Co-Chairs; Alcos.
- Apr 20Received notice of appointment of House conferees (Hse. Com. No. 787).Minor
- Apr 16Received from House (Hse. Com. No. 733).Minor
- Apr 16Senate disagrees with House amendments.Minor
- Apr 16Received notice of disagreement (Sen. Com. No. 710).Minor
- Apr 14Passed Third Reading with Representative(s) Belatti voting aye with reservations; Representative(s) Shimizu voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate.Passed House
- Vote recorded Passed Third Reading. Result: pass.Lower
- Apr 10Reported from FIN (Stand. Com. Rep. No. 2092-26), recommending passage on Third Reading.
- Apr 7The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
- Vote recorded The committee on FIN recommend that the measure be PASSED, UNAMENDED. Result: pass.Lower
- Apr 2Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
- Mar 30Reported from CPC (Stand. Com. Rep. No. 1538-26) as amended in HD 2, recommending referral to FIN.
- Vote recorded Report adopted; referred to the committee(s) on FIN as amended in HD 2. Result: pass.Lower
- Mar 30Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).Minor
- Mar 24The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none.Minor
- Vote recorded The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
- Mar 20Reported from HLT/HSH (Stand. Com. Rep. No. 1277-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- Vote recorded Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC. Result: pass.Lower
- Mar 20Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1).Minor
- Mar 20Bill scheduled to be heard by CPC on Tuesday, 03-24-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- Mar 18The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.Minor
- Vote recorded The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
- Vote recorded The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
- Mar 18The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Marten, Olds, Amato, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield.Minor
- Mar 12Pass First ReadingMinor
- Mar 12Referred to HLT/HSH, CPC, FIN, referral sheet 17Minor
- Mar 12Bill scheduled to be heard by HLT/HSH on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
- Mar 10Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.Passed Senate
- Vote recorded Report adopted; Passed Third Reading. Result: pass.Upper
- Mar 10Received from Senate (Sen. Com. No. 349) in amended form (SD 1).Minor
- Mar 6Reported from CPN (Stand. Com. Rep. No. 2894) with recommendation of passage on Third Reading.
- Mar 6One Day Notice 03-10-26.
- Feb 26The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao.Minor
- Vote recorded The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. Result: pass.Upper
- Feb 20The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference.
- Feb 19Reported from HHS (Stand. Com. Rep. No. 2433) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
- Feb 19Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.Minor
- Feb 13The 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, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.Minor
- Vote recorded The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
- Feb 9The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference.
- Feb 8The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference.
- Feb 5The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference.
- Jan 30Referred to HHS, CPN.Minor
- Jan 28Introduced.Minor
- Jan 28Passed First Reading.Introduced
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