---
type: "Bill"
title: "RELATING TO HEALTH INSURANCE."
description: "Ensures certain benefits under the federal Affordable Care Act are preserved under Hawaii law, including: extending dependent coverage for adult children up to 26 years of age; prohibiting health insurance entities from imposing a preexisting condition exclusion; and prohibiting health insurance entities from using an individual's gender to determine premiums or contributions. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2018 Regular Session"
identifier: "SB 2340"
citation: "Hawaii SB 2340 (2018 Regular Session)"
classification: ["bill"]
subjects: ["Health Insurance", "Extended Coverage", "Preexisting Conditions", "Nondiscrimination"]
status: "enacted"
primary_sponsors: ["BAKER", "Dela Cruz", "ENGLISH", "GREEN", "INOUYE", "K. Kahele", "KIM", "Kidani", "L. THIELEN", "S. CHANG", "SHIMABUKURO", "TOKUDA"]
version_count: 4
action_count: 50
vote_count: 7
first_action: "2018-01-19"
last_action: "2018-07-06"
source: "openstates"
source_identifier: "ocd-bill/92e62079-1312-40b4-921b-a170bd23d60e"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=SB&billnumber=2340&year=2018"
source_hash: "df52a77dfd4afac7b6a67cca9863c3d686d39407dd783e21279954b3289acc90"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-hi"]
---

# Hawaii SB 2340 (2018 Regular Session) — RELATING TO HEALTH INSURANCE.

Ensures certain benefits under the federal Affordable Care Act are preserved under Hawaii law, including: extending dependent coverage for adult children up to 26 years of age; prohibiting health insurance entities from imposing a preexisting condition exclusion; and prohibiting health insurance entities from using an individual's gender to determine premiums or contributions. (CD1)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **SB2340** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2340_.HTM)
2. **SB2340_CD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2340_CD1_.HTM)
3. **SB2340_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2340_HD1_.HTM)
4. **SB2340_SD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2018/bills/SB2340_SD1_.HTM)

## Votes

- The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · upper
- The committees on FIN recommend that the measure be PASSED, UNAMENDED. — **12–0** (pass) · lower
- The Conference Committee recommends that the measure be Passed, with Amendments. — **3–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **3–0** (pass) · upper
- The committees on HHS recommend that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · lower
- The committees on CPC recommend that the measure be PASSED, UNAMENDED. — **8–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **5–0** (pass) · upper

## Sponsors

- BAKER — primary (person)
- Dela Cruz — primary (person)
- ENGLISH — primary (person)
- GREEN — primary (person)
- INOUYE — primary (person)
- K. Kahele — primary (person)
- KIM — primary (person)
- Kidani — primary (person)
- L. THIELEN — primary (person)
- S. CHANG — primary (person)
- SHIMABUKURO — primary (person)
- TOKUDA — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-01-19** Introduced. `introduction`
- **2018-01-22** Passed First Reading. `reading-1`
- **2018-01-22** Referred to CPH, WAM. `referral-committee`
- **2018-01-25** The committee(s) on CPH has scheduled a public hearing on 01-31-18 9:30AM in conference room 229.
- **2018-01-31** The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPH were as follows: 5 Aye(s): Senator(s) Baker, Tokuda, S. Chang, Espero, Ruderman; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Ihara, Nishihara. `committee-passage-favorable`
- **2018-02-06** Reported from CPH (Stand. Com. Rep. No. 2045) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
- **2018-02-06** Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
- **2018-02-20** The committee(s) on WAM will hold a public decision making on 02-23-18 11:00AM in conference room 211.
- **2018-02-23** The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 10 Aye(s): Senator(s) Dela Cruz, Keith-Agaran, English, Galuteria, Harimoto, Inouye, K. Kahele, Kidani, Riviere, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Shimabukuro. `committee-passage-favorable`
- **2018-03-02** Reported from WAM (Stand. Com. Rep. No. 2711) with recommendation of passage on Third Reading, as amended (SD 2).
- **2018-03-02** 48 Hrs. Notice 03-06-18.
- **2018-03-06** Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. `passage`
- **2018-03-06** Received from Senate (Sen. Com. No. 152) in amended form (SD 2). `introduction`
- **2018-03-08** Pass First Reading `reading-1`
- **2018-03-08** Referred to HHS, CPC, FIN, referral sheet 35 `referral-committee`
- **2018-03-09** Bill scheduled to be heard by HHS on Tuesday, 03-13-18 8:30AM in House conference room 329.
- **2018-03-13** The committees on HHS recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Mizuno, Kobayashi, Belatti, Learmont, Tupola; Ayes with reservations: none; Noes: none; and Excused: none. `committee-passage-favorable`
- **2018-03-16** Reported from HHS (Stand. Com. Rep. No. 1177-18) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2018-03-16** Passed 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) DeCoite, Fukumoto, Har, Holt, Nakashima, Souki, Tokioka excused (7). `reading-2, referral-committee`
- **2018-03-16** Bill scheduled to be heard by CPC on Tuesday, 03-20-18 2:00PM in House conference room 329.
- **2018-03-20** The committees on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 8 Ayes: Representative(s) Takumi, Ichiyama, Aquino, Ito, LoPresti, Say, Tokioka, Yamane; Ayes with reservations: none; 0 Noes: none; and 3 Excused: Representative(s) Johanson, Mizuno, McDermott. `committee-passage-favorable`
- **2018-03-22** Reported from CPC (Stand. Com. Rep. No. 1315-18), recommending referral to FIN.
- **2018-03-22** Report adopted; referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Fukumoto, Johanson, C. Lee, Souki, Todd excused (5).
- **2018-04-02** Bill scheduled to be heard by FIN on Wednesday, 04-04-18 1:30PM in House conference room 308.
- **2018-04-04** The committees on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 12 Ayes: Representative(s) Luke, Cullen, Cachola, DeCoite, Gates, Keohokalole, Kobayashi, Lowen, Nakamura, Yamashita, Tupola, Ward; Ayes with reservations: none; Noes: none; and 3 Excused: Representative(s) Fukumoto, Holt, Todd. `committee-passage-favorable`
- **2018-04-06** Reported from FIN (Stand. Com. Rep. No. 1890-18), recommending passage on Third Reading.
- **2018-04-06** Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Holt excused (1). Transmitted to Senate. `passage`
- **2018-04-10** Received from House (Hse. Com. No. 506). `introduction`
- **2018-04-10** Senate disagrees with House amendments.
- **2018-04-10** Received notice of disagreement (Sen. Com. No. 778).
- **2018-04-16** House Conferees Appointed: Mizuno, Ichiyama, Kobayashi Co-Chairs; Tupola.
- **2018-04-16** Received notice of appointment of House conferees (Hse. Com. No. 610).
- **2018-04-17** Senate Conferees Appointed: Baker Chair; English Co-Chair; Tokuda.
- **2018-04-17** Received notice of Senate conferees (Sen. Com. No. 788).
- **2018-04-17** Conference committee meeting scheduled for 04-19-18 9:00AM in conference room 229.
- **2018-04-19** Conference committee meeting to reconvene on 04-20-18 9:05AM in conference room 229.
- **2018-04-20** Conference committee meeting to reconvene on 04-23-18 10:45AM in conference room 229.
- **2018-04-23** The 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) Baker, English, Tokuda; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. `committee-passage-favorable`
- **2018-04-23** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Mizuno, Ichiyama, Kobayashi; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Tupola.
- **2018-04-26** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 19-18).
- **2018-04-26** 48 Hrs. Notice (as amended CD 1) 05-01-18.
- **2018-04-26** Reported from Conference Committee (Conf Com. Rep. No. 19-18) as amended in (CD 1).
- **2018-04-26** Forty-eight (48) hours notice Tuesday, 05-01-18.
- **2018-05-01** Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
- **2018-05-01** Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- **2018-05-01** Received notice of Final Reading (Sen. Com. No. 849).
- **2018-05-03** Received notice of passage on Final Reading in House (Hse. Com. No. 705).
- **2018-05-03** Enrolled to Governor. `executive-receipt`
- **2018-07-06** Act 111, on 07/05/2018 (Gov. Msg. No. 1212). `executive-signature`
- **2018-07-06** Act 111, 07/05/2018 (Gov. Msg. No. 1212). `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/92e62079-1312-40b4-921b-a170bd23d60e`. Confidence: reported (aggregated from official Hawaii legislature records).