HB1969 • 2026

RELATING TO COLORECTAL CANCER.

Budget

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: CHUN, AMATO, BELATTI, EVSLIN, GARRETT, GRANDINETTI, HUSSEY, ILAGAN, KAHALOA, KILA, KITAGAWA, KONG, KUSCH, LA CHICA, LEE, M., MARTEN, MATAYOSHI, MIYAKE, MORIKAWA, OLDS, PERRUSO, POEPOE, TAKAYAMA, TAKENOUCHI, TAM, TARNAS, WOODSON
Last action: 2026-05-07
Official status: Transmitted to Governor.
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

RELATING TO COLORECTAL CANCER.

What This Bill Does

RELATING TO COLORECTAL CANCER.
DHS; Colorectal Cancer Screenings; Colorectal Cancer Treatment; State-Funded Financial Assistance; Appropriation ($) Requires the Department of Human Services to develop and implement a state-funded financial assistance program to offer state-funded colorectal screenings and treatment for certain persons.
Requires state-funded coverage for follow-up treatment for colorectal cancer for certain persons.
Requires coverage to include a follow-up colonoscopy after a positive test result.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

CD1

Hawaii published version CD1

Plain English: HB1969 CD1 HOUSE OF REPRESENTATIVES H.B.

HB1969 CD1 HOUSE OF REPRESENTATIVES H.B.
NO.
1969 THIRTY-THIRD LEGISLATURE, 2026 H.D.
2 STATE OF HAWAII S.D.

HD1

Hawaii published version HD1

Plain English: HB1969 HD1 HOUSE OF REPRESENTATIVES H.B.

HB1969 HD1 HOUSE OF REPRESENTATIVES H.B.
NO.
1969 THIRTY-THIRD LEGISLATURE, 2026 H.D.
1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO COLORECTAL CANCER .

HD2

Hawaii published version HD2

Plain English: HB1969 HD2 HOUSE OF REPRESENTATIVES H.B.

HB1969 HD2 HOUSE OF REPRESENTATIVES H.B.
NO.
1969 THIRTY-THIRD LEGISLATURE, 2026 H.D.
2 STATE OF HAWAII A BILL FOR AN ACT RELATING TO COLORECTAL CANCER .

SD1

Hawaii published version SD1

Plain English: HB1969 SD1 HOUSE OF REPRESENTATIVES H.B.

HB1969 SD1 HOUSE OF REPRESENTATIVES H.B.
NO.
1969 THIRTY-THIRD LEGISLATURE, 2026 H.D.
2 STATE OF HAWAII S.D.

Bill History

2026-05-08 S
Received notice of passage on Final Reading in House (Hse. Com. No. 888).
2026-05-07 H
Transmitted to Governor.
2026-05-06 H
Received notice of Final Reading (Sen. Com. No. 816).
2026-05-06 H
Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Pierick voting no (1) and none excused (0).
2026-05-06 S
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none. Noes, 0 (none). Excused, 0 (none).
2026-05-01 S
48 Hrs. Notice (as amended CD 1) 05-06-26
2026-05-01 S
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 166-26).
2026-05-01 H
Forty-eight (48) hours notice Wednesday, 05-06-26.
2026-05-01 H
Reported from Conference Committee (Conf Com. Rep. No. 166-26) as amended in (CD 1).
2026-05-01 S
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, Wakai, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-05-01 H
The 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.
2026-04-30 H
Conference Committee Meeting will reconvene on Friday 05-01-26 3:40PM in conference room 329.
2026-04-28 H
Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 3:40PM in conference room 329.
2026-04-23 H
Received notice of Senate conferees (Sen. Com. No. 737).
2026-04-23 S
Senate Conferees Appointed: Keohokalole Chair; Wakai Co-Chair; San Buenaventura.
2026-04-21 S
Received notice of appointment of House conferees (Hse. Com. No. 799).
2026-04-21 H
House Conferees Appointed: Takayama, Marten, Grandinetti, Keohokapu-Lee Loy Co-Chairs; Alcos.
2026-04-16 S
Received notice of disagreement (Hse. Com. No. 599).
2026-04-14 H
House disagrees with Senate amendment (s).
2026-04-10 H
Returned from Senate (Sen. Com. No. 539) in amended form (SD 1).
2026-04-10 S
Report Adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: Senator(s) McKelvey, San Buenaventura. Noes, 0 (none). Excused, 0 (none). Transmitted to House.
2026-04-09 S
One Day Notice 04-10-26.
2026-04-09 S
Reported from WAM (Stand. Com. Rep. No. 3617) with recommendation of passage on Third Reading.
2026-04-06 S
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, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C..
2026-04-01 S
The committee(s) on WAM deferred the measure until 04-06-26 10:31AM; Conference Room 211 & Videoconference.
2026-03-30 S
Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
2026-03-30 S
The committee(s) on WAM will hold a public decision making on 04-01-26 10:03AM; Conference Room 211 & Videoconference.
2026-03-30 S
Reported from CPN (Stand. Com. Rep. No. 3325) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
2026-03-24 S
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-03-20 S
The committee(s) on CPN has scheduled a public hearing on 03-24-26 9:35AM; Conference Room 229 & Videoconference.
2026-03-19 S
Re-Referred to CPN, WAM.
2026-03-10 S
Referred to HHS/CPN, WAM.
2026-03-06 S
Passed First Reading.
2026-03-06 S
Received from House (Hse. Com. No. 67).
2026-03-05 H
Passed Third Reading with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Perruso excused (1). Transmitted to Senate.
2026-03-05 H
Reported from FIN (Stand. Com. Rep. No. 839-26), recommending passage on Third Reading.
2026-02-27 H
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Lee, M..
2026-02-24 H
Bill scheduled to be heard by FIN on Friday, 02-27-26 10:00AM in House conference room 308 VIA VIDEOCONFERENCE.
2026-02-20 H
Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1).
2026-02-20 H
Reported from CPC (Stand. Com. Rep. No. 691-26) as amended in HD 2, recommending referral to FIN.
2026-02-18 H
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, Iwamoto, Kong, Marten, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Pierick; and 2 Excused: Representative(s) Ichiyama, Lowen.
2026-02-13 H
Bill scheduled to be heard by CPC on Wednesday, 02-18-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
2026-02-10 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Pierick voting no (1) and none excused (0).
2026-02-09 H
Reported from HLT/HSH (Stand. Com. Rep. No. 58-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
2026-02-04 H
The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Hartsfield, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
2026-02-04 H
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
2026-01-30 H
Bill scheduled to be heard by HLT/HSH on Wednesday, 02-04-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
2026-01-28 H
Referred to HLT/HSH, CPC, FIN, referral sheet 3
2026-01-26 H
Introduced and Pass First Reading.
2026-01-23 H
Pending introduction.

Official Summary Text

RELATING TO COLORECTAL CANCER.
DHS; Colorectal Cancer Screenings; Colorectal Cancer Treatment; State-Funded Financial Assistance; Appropriation ($)
Requires the Department of Human Services to develop and implement a state-funded financial assistance program to offer state-funded colorectal screenings and treatment for certain persons. Requires state-funded coverage for follow-up treatment for colorectal cancer for certain persons. Requires coverage to include a follow-up colonoscopy after a positive test result. Specifies that coverage is not subject to a deductible, copayment, coinsurance, or any other cost-sharing requirements. Appropriates funds and establishes one full-time equivalent (1.0 FTE) position. (CD1)

Current Bill Text

Read the full stored bill text

HB1969

HOUSE OF REPRESENTATIVES

H.B. NO.

1969

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to colorectal cancer
.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

����
SECTION
1.
�
Chapter 346, Hawaii Revised Statutes,
is amended by adding a new section to part II to be appropriately designated
and to read as follows:

����
"
�346-
�
State-funded assistance for colorectal
cancer screenings.
�
(a)
�

The department shall provide state‑funded financial assistance, as
appropriated by the legislature, to pay for colorectal cancer screenings for
residents of the State who:

����
(1)
�
Are uninsured;

����
(2)
�
Have health care
coverage that does not provide coverage without cost sharing for colorectal
cancer screenings that meet the requirements of sections 431:10A-122 and 432:1-617;

����
(3)
�
Are permanent
United States resident aliens but are ineligible for medicaid; or

����
(4)
�
Are nonresident
aliens and are ineligible for medicaid.

����
(b)
�
The state-funded colorectal cancer screenings
shall meet the requirements of sections 431:10A-122 and 432:1-617.
"

����
SECTION
2
.
�
Section 431:10A-122, Hawaii Revised Statutes,
is amended to read as follows:

����
"
[
[
]�431:
10A-122[
]
�
Colon
]
Colorectal
cancer screening
coverage.

�
(a)
�
Each policy of accident and health or
sickness insurance providing coverage for health care, except for policies that
only provide coverage for specified diseases or other limited benefit coverage,
shall provide coverage for [
colorectal-cancer
]
colorectal cancer

screening by all A and B grade screening modalities as recommended by the
United States Preventive Services Task Force.

����
(b)
�
For purposes of this section, all coverage
for colorectal cancer screenings shall be consistent with the Affordable Care
Act implementation frequently asked questions published by the United States
Department of Labor, United States Department of Health and Human Services, and
United States Department of the Treasury.

����
[
(b)
]

(c)
�
Beginning March 1, 2011, all
health insurance providers in Hawaii shall inform their insured about the risk
associated with undiagnosed [
colorectal-cancer
]
colorectal cancer

and encourage the insured to consult with the insured's physician about
available screening options."

����
SECTION
3
.
�
Section 432:1-617, Hawaii Revised Statutes,
is amended to read as follows:

����
"
[
[
]
�432:1-617[
]
�
Colon
]
Colorectal

cancer screening coverage.
�
(a)
�
All individual and group hospital and medical
service contracts providing health care coverage shall provide coverage for [
colorectal-cancer
]

colorectal cancer
screening by all A and B grade screening modalities as
recommended by the United States Preventive Services Task Force.

����
(b)
�
For purposes of this section, all coverage
for colorectal cancer screenings shall be consistent with the Affordable Care
Act implementation frequently asked questions published by the United States
Department of Labor, United States Department of Health and Human Services, and
United States Department of the Treasury.

����
[
(b)
]

(c)
�
Beginning March 1, 2011, all health
insurance providers in Hawaii shall inform their insured of the risk associated
with undiagnosed colorectal cancer and encourage the insured to consult with the
insured's physician about available screening options."

����
SECTION
4.
�
(a)
�

The department of human services shall adopt rules pursuant to chapter
91, Hawaii Revised Statutes, to implement section 1 of this Act, including
rules establishing an application process for state-funded colorectal cancer
screenings.

����
(b)
�
In adopting rules pursuant to this Act, the
department shall ensure that:

����
(1)
�
The
state-funded colorectal cancer screenings meet the requirements of sections
431:10A-122 and 432:1-617, Hawaii Revised Statutes; and

����
(2)
�
No
cost-sharing requirements are imposed.

����
SECTION
5.
�
There is appropriated out of the
general revenues of the State of Hawaii the sum of
$ or so much
thereof as may be necessary for fiscal year 2026-2027 for the department of
human services to develop and implement a public assistance program offering
state-funded colorectal cancer screenings.

����
The sum
appropriated shall be expended by the department of human services for the
purposes of this Act.

����
SECTION
6.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION 7.
�
This Act shall take effect on July 1, 2026.

INTRODUCED BY:

_____________________________

Report Title:

DHS;
Colorectal Cancer Screenings; State-Funded Public Assistance; Appropriation

Description:

Requires
and appropriates funds for the Department of Human Services to develop and
implement a public assistance program offering state-funded colorectal
screenings for certain persons.
�
Requires
coverage for all colorectal cancer screenings in the State to be consistent
with the Affordable Care Act Implementation Frequently Asked Questions
published by the United States Department of Labor, United States Department of
Health and Human Services, and United States Department of the Treasury.

The summary description
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not legislation or evidence of legislative intent.