---
type: "Bill"
title: "RELATING TO INSURANCE."
description: "Increases the reimbursement rate for chiropractic treatments for personal injury protection benefits under motor vehicle insurance from $75 to $100. (CD1)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2024"
identifier: "HB 1686"
citation: "Hawaii HB 1686 (2024)"
classification: ["bill"]
subjects: ["Charges", "Chiropractic", "Motor Vehicle Insurance"]
status: "enacted"
primary_sponsors: ["NAKASHIMA", "NISHIMOTO"]
version_count: 4
action_count: 50
vote_count: 7
first_action: "2024-01-17"
last_action: "2024-06-28"
source: "openstates"
source_identifier: "ocd-bill/81ac0f09-4130-4d30-9352-584cfd2c45c1"
source_url: "https://capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=HB&billnumber=1686&year=2024"
source_hash: "07152025f253aae79289d558c3e9c6f6512752eb261bc8c0232b9eafca17853e"
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 HB 1686 (2024) — RELATING TO INSURANCE.

Increases the reimbursement rate for chiropractic treatments for personal injury protection benefits under motor vehicle insurance from $75 to $100. (CD1)

## Version chain

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

1. **HB1686** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB1686_.HTM)
2. **HB1686_CD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB1686_CD1_.HTM)
3. **HB1686_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB1686_HD1_.HTM)
4. **HB1686_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2024/bills/HB1686_SD1_.HTM)

## Votes

- The committee on LGO recommend that the measure be PASSED, WITH AMENDMENTS. — **6–0** (pass) · lower
- The committee on FIN recommend that the measure be PASSED, UNAMENDED. — **15–0** (pass) · lower
- The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper
- The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. — **12–0** (pass) · upper
- The Conference Committee recommends that the measure be Passed, with Amendments. — **4–0** (pass) · lower
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. — **3–0** (pass) · upper
- The committee on CPC recommend that the measure be PASSED, UNAMENDED. — **7–0** (pass) · lower

## Sponsors

- NAKASHIMA — primary (person)
- NISHIMOTO — primary (person)

## Timeline

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

- **2024-06-28** Act 092, 06/27/2024 (Gov. Msg. No. 1193). `became-law`
- **2024-06-28** Act 092, on 06/27/2024 (Gov. Msg. No. 1193). `became-law`
- **2024-05-02** Transmitted to Governor.
- **2024-05-03** Received notice of passage on Final Reading in House (Hse. Com. No. 830). `receipt`
- **2024-05-01** Received notice of Final Reading (Sen. Com. No. 798). `receipt`
- **2024-05-01** Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Garcia voting no (1) and none excused (0). `passage`
- **2024-05-01** Passed Final Reading, as amended (CD 1). Ayes, 23; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 1 (Senator(s) McKelvey). `passage`
- **2024-04-26** 48 Hrs. Notice (as amended CD 1) 05-01-24
- **2024-04-26** Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 127-24).
- **2024-04-26** Forty-eight (48) hours notice Wednesday 05-01-24.
- **2024-04-26** Reported from Conference Committee (Conf Com. Rep. No. 127-24) as amended in (CD 1).
- **2024-04-26** The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Matayoshi, Nishimoto, Garrett, Alcos; Ayes with reservations: none; 0 Noes: none; and 2 Excused: Representative(s) Nakashima, Tam.
- **2024-04-26** 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) Keohokalole, Moriwaki, Aquino; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2024-04-26** Conference Committee Meeting will reconvene on Friday, 04-26-24 at 5:25PM in conference room 016.
- **2024-04-26** Conference Committee Meeting will reconvene on Friday, 04-26-24 at 3:14PM in conference room 224.
- **2024-04-25** Bill scheduled for Conference Committee Meeting on Friday, 04-26-24 10:25AM in conference room 016.
- **2024-04-24** Received notice of Senate conferees (Sen. Com. No. 775). `receipt`
- **2024-04-23** Senate Conferees Appointed: Keohokalole Chair; Moriwaki Co-Chair; Aquino, Fevella.
- **2024-04-18** Received notice of appointment of House conferees (Hse. Com. No. 760). `receipt`
- **2024-04-17** House Conferees Appointed: Matayoshi, Nakashima, Nishimoto Co-Chairs; Garrett, Tam, Alcos.
- **2024-04-12** Received notice of disagreement (Hse. Com. No. 731). `receipt`
- **2024-04-11** House disagrees with Senate amendment (s). `amendment-failure`
- **2024-04-09** Returned from Senate (Sen. Com. No. 512) in amended form (SD 1).
- **2024-04-09** Report Adopted; Passed Third Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 1 (Senator(s) Keohokalole). Transmitted to House. `passage`
- **2024-04-05** One Day Notice 04-09-24.
- **2024-04-05** Reported from WAM (Stand. Com. Rep. No. 3751) with recommendation of passage on Third Reading.
- **2024-04-04** The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, Shimabukuro, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) DeCoite. `committee-passage-favorable`
- **2024-04-02** The committee(s) on WAM will hold a public decision making on 04-04-24 10:15AM; CR 211 & Videoconference.
- **2024-03-22** Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. `reading-2, referral-committee`
- **2024-03-22** Reported from CPN (Stand. Com. Rep. No. 3217) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
- **2024-03-14** The 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, McKelvey, Richards; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. `committee-passage-favorable`
- **2024-03-08** The committee(s) on CPN has scheduled a public hearing on 03-14-24 9:30AM; CR 229 & Videoconference.
- **2024-03-07** Referred to CPN, WAM. `referral-committee`
- **2024-03-07** Passed First Reading. `reading-1`
- **2024-03-07** Received from House (Hse. Com. No. 210). `introduction, receipt`
- **2024-03-05** Passed Third Reading with none voting aye with reservations; Representative(s) Kila, Lamosao, Pierick voting no (3) and Representative(s) Cochran, Gates, Kahaloa, Matayoshi, Woodson excused (5). Transmitted to Senate. `passage`
- **2024-03-01** Reported from FIN (Stand. Com. Rep. No. 955-24), recommending passage on Third Reading.
- **2024-02-27** The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Yamashita, Kitagawa, Aiu, Chun, Garrett, Kahaloa, Kobayashi, Morikawa, Nishimoto, Poepoe, Takenouchi, Alcos, Ward; Ayes with reservations: Representative(s) Kila, Lamosao; Noes: none; and 1 Excused: Representative(s) Cochran. `committee-passage-favorable`
- **2024-02-23** Bill scheduled to be heard by FIN on Tuesday, 02-27-24 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
- **2024-02-14** Report adopted; referred to the committee(s) on FIN with Representative(s) Garcia voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Matayoshi, Takayama, Todd excused (3).
- **2024-02-14** Reported from CPC (Stand. Com. Rep. No. 403-24), recommending referral to FIN.
- **2024-02-08** The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 7 Ayes: Representative(s) Sayama, Belatti, Hussey-Burdick, Gates, Lowen, Onishi, Pierick; Ayes with reservations: none; Noes: none; and 4 Excused: Representative(s) Nakashima, Amato, Hashem, Tam. `committee-passage-favorable`
- **2024-02-05** Bill scheduled to be heard by CPC on Thursday, 02-08-24 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- **2024-02-02** Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with Representative(s) Garcia voting aye with reservations; none voting no (0) and Representative(s) Alcos, Gates, Kila, Nakashima excused (4). `reading-2, referral-committee`
- **2024-02-02** Reported from LGO (Stand. Com. Rep. No. 25-24) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
- **2024-01-30** The committee on LGO recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Matayoshi, Garrett, Kapela, Martinez, Tam, Alcos; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Sayama. `committee-passage-favorable`
- **2024-01-26** Bill scheduled to be heard by LGO on Tuesday, 01-30-24 9:30AM in House conference room 309 VIA VIDEOCONFERENCE.
- **2024-01-24** Referred to LGO, CPC, FIN, referral sheet 1 `referral-committee`
- **2024-01-18** Introduced and Pass First Reading. `introduction, reading-1`
- **2024-01-17** Pending introduction.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/81ac0f09-4130-4d30-9352-584cfd2c45c1`. Confidence: reported (aggregated from official Hawaii legislature records).