HB 1864HawaiiProcess complete

Health plans would cover fertility care before cancer treatment

Eligible health plans would cover fertility-preserving services for people facing cancer treatment likely to cause infertility, beginning with plans issued or renewed after December 31, 2026.

What it does

Eligible health plans would cover standard fertility-preserving services for people facing cancer treatment likely to cause infertility. Coverage excludes experimental procedures, third-party reproduction, and storage of frozen material.

Health maintenance organizations would include the fertility-preservation benefit in their plans, with the listed limits on covered services.

Argument forPeople facing cancer treatment that is likely to cause infertility may get coverage for established fertility-preserving care guided by clinical standards.

Argument againstPeople may still have to pay for fertility storage or third-party reproduction because the listed coverage excludes those services.

More detail

Health insurers and mutual benefit societies would cover standard fertility-preserving services. This applies to individual or group insurance policies and hospital or medical service plan contracts. The coverage is for policyholders or members and covered people under 26 when an insured or covered person may undergo qualifying treatment. The treatment must be cancer-related and likely to cause infertility. Plans may not restrict required coverage because of an earlier diagnosis or fertility treatment, or discriminate based on health conditions, disability, medical needs, or expected length of life. Any limits must reflect the person's medical history and follow the full scope of the 2018 American Society of Clinical Oncology guidelines. Coverage does not include experimental or unestablished procedures, third-party reproduction such as donor eggs or surrogates, or storage of frozen material. The requirement applies to policies and plan contracts issued or renewed after December 31, 2026.

Health maintenance organizations would include the fertility-preservation benefit in their plans. This applies to health maintenance organization policies, contracts, plans, or agreements issued in Hawaii. The referenced benefit is subject to the service limits and exclusions in the bill text. The benefit applies to plans issued or renewed on or after December 31, 2026.

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More on this bill

Where it stands

IntroducedJan 23
Passed HouseMar 10
Passed SenateApr 14
To Governor
Became LawJul 10

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jul 10Act 218, 07/09/2026 (Gov. Msg. No. 1320).Latest
2. Jul 10Act 218, on 07/09/2026 (Gov. Msg. No. 1320).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 7Transmitted to Governor.
5. 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
6. May 6Passed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. Apr 29The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Keohokalole, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.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
9. Apr 29The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Garcia; 0 Noes: none; and 0 Excused: none.Minor
10. Apr 29Reported from Conference Committee (Conf Com. Rep. No. 79-26) as amended in (CD 1).
11. Apr 29Forty-eight (48) hours notice Wednesday, 05-06-26.
12. Apr 29Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).
13. Apr 2948 Hrs. Notice (as amended CD 1) 05-06-26
14. Apr 28Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
15. Apr 23Received notice of Senate conferees (Sen. Com. No. 725).Minor
16. Apr 22Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; McKelvey.
17. Apr 20House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Garcia.
18. Apr 20Received notice of appointment of House conferees (Hse. Com. No. 786).Minor
19. Apr 17Received notice of disagreement (Hse. Com. No. 780).Minor
20. Apr 16House disagrees with Senate amendment (s).Minor
21. Apr 14Report adopted; Passed Third Reading, as amended (SD 2). 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, as amended (SD 2). Result: pass.Upper
22. Apr 14Returned from Senate (Sen. Com. No. 631) in amended form (SD 2).
23. Apr 10Reported from CPN (Stand. Com. Rep. No. 3716) with recommendation of passage on Third Reading, as amended (SD 2).
24. Apr 1048 Hrs. Notice 04-14-26.
25. Apr 7The 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, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.Minor
  - Vote recorded The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
26. Apr 2The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference.
27. Mar 25Reported from HHS (Stand. Com. Rep. No. 3176) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
28. Mar 25Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.Minor
29. Mar 18The 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
30. Mar 13The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
31. Mar 12Received from House (Hse. Com. No. 303).Minor
32. Mar 12Passed First Reading.Minor
33. Mar 12Referred to HHS, CPN.Minor
34. Mar 10Passed Third Reading as amended in HD 2 with Representative(s) Garcia, Iwamoto, Pierick voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading as amended in HD 2. Result: pass.Lower
35. Mar 6Reported from CPC (Stand. Com. Rep. No. 1068-26) as amended in HD 2, recommending passage on Third Reading.
36. Mar 6Forty-eight (48) hours notice Tuesday, 03-10-26.
37. Mar 3The 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, Kong, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Iwamoto; 0 Noes: none; and 1 Excused: Representative(s) Pierick.Minor
  - Vote recorded The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
38. Feb 27Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
39. Feb 19Reported from HLT (Stand. Com. Rep. No. 555-26) 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
40. Feb 19Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Belatti, Pierick voting aye with reservations; none voting no (0) and none excused (0).Minor
41. Feb 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, Hartsfield, Marten, Takenouchi, Alcos; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Olds.Minor
  - Vote recorded The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
42. Feb 13Bill scheduled to be heard by HLT on Wednesday, 02-18-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
43. Jan 26Introduced and Pass First Reading.Minor
44. Jan 26Referred to HLT, CPC, referral sheet 2Minor
45. Jan 23Pending introduction.Introduced

HealthcareReproductive Rights

Issue with this bill?

HB 1864HawaiiProcess complete

Health plans would cover fertility care before cancer treatment

Eligible health plans would cover fertility-preserving services for people facing cancer treatment likely to cause infertility, beginning with plans issued or renewed after December 31, 2026.

What it does

Health maintenance organizations would include the fertility-preservation benefit in their plans, with the listed limits on covered services.

Argument forPeople facing cancer treatment that is likely to cause infertility may get coverage for established fertility-preserving care guided by clinical standards.

Argument againstPeople may still have to pay for fertility storage or third-party reproduction because the listed coverage excludes those services.

More detail

Where do you stand?

Tell your reps

Take a position to see your representatives and ways to contact them.

More on this bill

Where it stands

IntroducedJan 23
Passed HouseMar 10
Passed SenateApr 14
To Governor
Became LawJul 10

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jul 10Act 218, 07/09/2026 (Gov. Msg. No. 1320).Latest
2. Jul 10Act 218, on 07/09/2026 (Gov. Msg. No. 1320).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 7Transmitted to Governor.
5. 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
6. May 6Passed Final Reading as amended in CD 1 with Representative(s) Garcia voting aye with reservations; none voting no (0) and none excused (0).Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. Apr 29The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Keohokalole, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.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
9. Apr 29The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy; Ayes with reservations: Representative(s) Garcia; 0 Noes: none; and 0 Excused: none.Minor
10. Apr 29Reported from Conference Committee (Conf Com. Rep. No. 79-26) as amended in (CD 1).
11. Apr 29Forty-eight (48) hours notice Wednesday, 05-06-26.
12. Apr 29Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 79-26).
13. Apr 2948 Hrs. Notice (as amended CD 1) 05-06-26
14. Apr 28Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.
15. Apr 23Received notice of Senate conferees (Sen. Com. No. 725).Minor
16. Apr 22Senate Conferees Appointed: San Buenaventura Chair; Keohokalole Co-Chair; McKelvey.
17. Apr 20House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Garcia.
18. Apr 20Received notice of appointment of House conferees (Hse. Com. No. 786).Minor
19. Apr 17Received notice of disagreement (Hse. Com. No. 780).Minor
20. Apr 16House disagrees with Senate amendment (s).Minor
21. Apr 14Report adopted; Passed Third Reading, as amended (SD 2). 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, as amended (SD 2). Result: pass.Upper
22. Apr 14Returned from Senate (Sen. Com. No. 631) in amended form (SD 2).
23. Apr 10Reported from CPN (Stand. Com. Rep. No. 3716) with recommendation of passage on Third Reading, as amended (SD 2).
24. Apr 1048 Hrs. Notice 04-14-26.
25. Apr 7The 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, McKelvey; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa.Minor
  - Vote recorded The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
26. Apr 2The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference.
27. Mar 25Reported from HHS (Stand. Com. Rep. No. 3176) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN.
28. Mar 25Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN.Minor
29. Mar 18The 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
30. Mar 13The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference.
31. Mar 12Received from House (Hse. Com. No. 303).Minor
32. Mar 12Passed First Reading.Minor
33. Mar 12Referred to HHS, CPN.Minor
34. Mar 10Passed Third Reading as amended in HD 2 with Representative(s) Garcia, Iwamoto, Pierick voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading as amended in HD 2. Result: pass.Lower
35. Mar 6Reported from CPC (Stand. Com. Rep. No. 1068-26) as amended in HD 2, recommending passage on Third Reading.
36. Mar 6Forty-eight (48) hours notice Tuesday, 03-10-26.
37. Mar 3The 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, Kong, Lowen, Marten, Tam; Ayes with reservations: Representative(s) Iwamoto; 0 Noes: none; and 1 Excused: Representative(s) Pierick.Minor
  - Vote recorded The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
38. Feb 27Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
39. Feb 19Reported from HLT (Stand. Com. Rep. No. 555-26) 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
40. Feb 19Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Belatti, Pierick voting aye with reservations; none voting no (0) and none excused (0).Minor
41. Feb 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, Hartsfield, Marten, Takenouchi, Alcos; Ayes with reservations: Representative(s) Garcia; Noes: none; and 1 Excused: Representative(s) Olds.Minor
  - Vote recorded The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
42. Feb 13Bill scheduled to be heard by HLT on Wednesday, 02-18-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
43. Jan 26Introduced and Pass First Reading.Minor
44. Jan 26Referred to HLT, CPC, referral sheet 2Minor
45. Jan 23Pending introduction.Introduced

HealthcareReproductive Rights

Issue with this bill?

What it does

Where do you stand?

Choose your position

Tell your reps

More on this bill

Where it stands

Looking ahead

History

What it does

Where do you stand?

Choose your position

Tell your reps

More on this bill

Where it stands

Looking ahead

History