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republic-os/legislation/us/states/hi/2026/hb-1875.md
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Fabio a43f31b272 Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:26:56 -04:00

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---
type: "Bill"
title: "RELATING TO HEALTH CARE."
description: "Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care services or gender-affirming health care services. (SD2)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2026"
identifier: "HB 1875"
citation: "Hawaii HB 1875 (2026)"
classification: ["bill"]
subjects: ["Abusive Litigation", "Covered Entities", "Gender-Affirming Health Care Services", "Health Carriers", "Medical Malpractice Insurance", "Protected Health Information", "Protections", "Reproductive Health Care Services"]
status: "enacted"
primary_sponsors: ["AMATO", "GRANDINETTI", "ICHIYAMA", "ILAGAN", "IWAMOTO", "MARTEN", "PERRUSO", "TAM"]
version_count: 5
action_count: 41
vote_count: 7
first_action: "2026-01-23"
last_action: "2026-05-29"
source: "openstates"
source_identifier: "ocd-bill/e616b682-525d-40f9-b406-f2c8fcd1368b"
source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=1875&year=2026"
source_hash: "a6c2a3462c6be0f99214d720ba147fb9002e8c68e2be24d41508eaf234871ea0"
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 1875 (2026) — RELATING TO HEALTH CARE.
Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services, including clarifying permitted disclosures of protected health information to address changes in federal regulations. Establishes protections against abusive litigation. Prohibits medical malpractice insurers and health carriers from taking certain adverse actions against health care providers solely on the basis that the health care provider provides lawful reproductive health care services or gender-affirming health care services. (SD2)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **HB1875** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_.HTM)
2. **HB1875_HD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD1_.HTM)
3. **HB1875_HD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_HD2_.HTM)
4. **HB1875_SD1** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD1_.HTM)
5. **HB1875_SD2** (committee substitute) — [source](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB1875_SD2_.HTM)
## Votes
- Reconsider: Report Adopted; Passed Third Reading, as amended (SD 2). — **21–4** (pass) · upper
- The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper
- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–0** (pass) · upper
- Reconsider: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. — **7–1** (pass) · lower
- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **6–2** (pass) · lower
- The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **8–1** (pass) · lower
- The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **3–1** (pass) · upper
## Sponsors
- AMATO — primary (person)
- GRANDINETTI — primary (person)
- ICHIYAMA — primary (person)
- ILAGAN — primary (person)
- IWAMOTO — primary (person)
- MARTEN — primary (person)
- PERRUSO — primary (person)
- TAM — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-05-29** Act 059, on 05/29/2026 (Gov. Msg. No. 1159). `became-law`
- **2026-05-29** Act 059, 05/29/2026 (Gov. Msg. No. 1159). `became-law`
- **2026-04-23** Transmitted to Governor.
- **2026-04-24** Received notice of passage on Final Reading in House (Hse. Com. No. 823). `receipt`
- **2026-04-23** Passed Final Reading as amended in SD 2 with Representative(s) Kila, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Matsumoto, Muraoka, Pierick, Shimizu voting no (8) and Representative(s) Evslin excused (1). `passage`
- **2026-04-23** House agrees to Senate amendment(s).
- **2026-04-23** Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 815). `receipt`
- **2026-04-22** Reconsideration of action taken on 04-16-26.
- **2026-04-17** Received notice of disagreement (Hse. Com. No. 780). `receipt`
- **2026-04-16** House disagrees with Senate amendment (s). `amendment-failure`
- **2026-04-14** Returned from Senate (Sen. Com. No. 633) in amended form (SD 2).
- **2026-04-14** Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 21; Aye(s) with reservations: none. Noes, 4 (Senator(s) Awa, DeCorte, Fevella, Gabbard). Excused, 0 (none). Transmitted to House. `passage`
- **2026-04-10** 48 Hrs. Notice 04-14-26.
- **2026-04-10** Reported from JDC (Stand. Com. Rep. No. 3798) with recommendation of passage on Third Reading, as amended (SD 2).
- **2026-04-07** The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Gabbard; and 1 Excused: Senator(s) Awa. `committee-passage-favorable`
- **2026-04-01** The committee(s) on JDC will hold a public decision making on 04-07-26 10:15AM; Conference Room 016 & Videoconference.
- **2026-03-30** Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. `reading-2, referral-committee`
- **2026-03-30** Reported from HHS/CPN (Stand. Com. Rep. No. 3338) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
- **2026-03-24** 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, Lamosao, McKelvey; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. `committee-passage-favorable`
- **2026-03-20** The committee(s) on CPN deferred the measure until 03-24-26 9:30AM; Conference Room 229 & Videoconference. `deferral`
- **2026-03-20** The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole; Aye(s) with reservations: Senator(s) Fevella ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. `committee-passage-favorable`
- **2026-03-16** The committee(s) on HHS/CPN has scheduled a public hearing on 03-20-26 9:30AM; Conference Room 229 & Videoconference.
- **2026-03-12** Referred to HHS/CPN, JDC. `referral-committee`
- **2026-03-12** Passed First Reading. `reading-1`
- **2026-03-12** Received from House (Hse. Com. No. 306). `introduction, receipt`
- **2026-03-10** Passed Third Reading as amended in HD 2 with Representative(s) Kila, Matsumoto, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Kong, Pierick, Shimizu voting no (6) and none excused (0). Transmitted to Senate. `passage`
- **2026-03-06** Forty-eight (48) hours notice Tuesday, 03-10-26.
- **2026-03-06** Reported from JHA (Stand. Com. Rep. No. 1141-26) as amended in HD 2, recommending passage on Third Reading.
- **2026-02-24** The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Kahaloa, Sayama, Takayama; Ayes with reservations: Representative(s) Cochran; 1 Noes: Representative(s) Shimizu; and 2 Excused: Representative(s) Hashem, Garcia. `committee-passage-favorable`
- **2026-02-20** Bill scheduled to be heard by JHA on Tuesday, 02-24-26 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
- **2026-02-18** Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with Representative(s) Kila, Reyes Oda, Souza voting aye with reservations; Representative(s) Alcos, Garcia, Gedeon, Matsumoto, Muraoka, Pierick voting no (6) and none excused (0). `reading-2, referral-committee`
- **2026-02-18** Reported from HLT/CPC (Stand. Com. Rep. No. 476-26) as amended in HD 1, recommending passage on Second Reading and referral to JHA.
- **2026-02-11** The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Marten, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Kong; and 2 Excused: Representative(s) Lowen, Pierick. `committee-passage-favorable`
- **2026-02-11** The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Hartsfield, Marten, Olds, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 1 Excused: Representative(s) Amato. `committee-passage-favorable`
- **2026-02-08** Bill scheduled to be heard by HLT/CPC on Wednesday, 02-11-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- **2026-02-08** This measure has been deleted from the meeting scheduled on Monday 02-09-26 2:00PM in conference room 329 VIA VIDEOCONFERENCE.
- **2026-02-06** Bill scheduled to be heard by HLT/CPC on Monday, 02-09-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
- **2026-01-30** Re-referred to HLT/CPC, JHA, referral sheet 5 `referral-committee`
- **2026-01-26** Referred to HLT, CPC, JHA, referral sheet 2 `referral-committee`
- **2026-01-26** Introduced and Pass First Reading. `introduction, reading-1`
- **2026-01-23** Pending introduction.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e616b682-525d-40f9-b406-f2c8fcd1368b`. Confidence: reported (aggregated from official Hawaii legislature records).
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