RELATING TO SUGAR-SWEETENED BEVERAGES.

HB2146

HOUSE OF REPRESENTATIVES

H.B. NO.

2146

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to sugar-sweetened beverages
.

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

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SECTION 1.
�
The legislature finds that there is a need to
continue to invest in the health of Hawaii's keiki and ohana.
�
Sugar-sweetened beverages are the largest
source of excess sugar in the American diet, contributing excess calories with
little or no nutritional value.
�

Sugar-sweetened beverage consumption is associated with negative health
effects such as obesity, which amounts to an estimated $470,000,000 annually in
obesity-related health care costs statewide.

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The consumption of sugar-sweetened
beverages is also linked to other serious health problems, including weight
gain, prediabetes, diabetes, tooth decay, heart disease, and other health
conditions.
�
Statewide, one out of four
middle and high school students, and more than half of all adults, are
overweight or obese.
�
Sixty-one per cent
of adults in Hawaii are living with at least one chronic disease such as
diabetes, heart disease, or cancer.
�
A
2016 report found that the State has the highest prevalence of tooth decay
among third graders in the nation, as seventy-one per cent of third graders
were affected by tooth decay.
�
The State
also received a failing grade in a series of oral health report cards released
by the Pew Center on the States.

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The legislature also finds that a
fee on sugar-sweetened beverages is a viable method to reduce sugar-sweetened
beverage consumption, improve health, and generate revenue for the State.
�
Studies have also found that sugar-sweetened
beverage fees can reduce rates of gestational diabetes by over forty per cent
and result in twenty-nine per cent fewer oral hygiene hospitalizations for
children.
�
Additionally, a 2017 study
conducted by the Harvard T.H. Chan School of Public Health and the department
of health found that a sugar-sweetened drink fee has the potential for major
cost-savings for the State.
�
According to
the Rudd Center Revenue Calculator for Sugary Drink Taxes, a two-cent-per-ounce
fee would have raised as much as $65,800,000 in 2020.
�
Moreover, passage of a two-cent-per-ounce
sugar-sweetened beverage fee is project to result in health care savings of
approximately $60,000,000 for Hawaii over a ten-year period.

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The legislature also finds that
sugar-sweetened beverage consumption is a health equity issue, as rates of
consumption are greatest among individuals with lower incomes and people of
color, due in part to issues surrounding a lack of access to healthy foods and
the targeted marketing by the sugar-sweetened beverage industry.
�
Lower-income populations and people of color
also have higher rates of chronic disease due to other social determinants of
health, including food and housing insecurity, lack of access to health care,
and lack of spaces for safe physical activity.
�

Notably, Pacific Islander, Filipino, and Native Hawaiian populations have
the highest rates of chronic disease and sugar-sweetened drink consumption but
often reside in communities most severely impacted by health care inequities.

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Over forty countries and eight major
United States cities have implemented sugar-sweetened beverage tax policies,
which involve the collection of a tax or fee from sugar-sweetened beverage
distributors that is passed on to consumers in the form of price increases that
influence purchasing behavior.
�

Jurisdictions with sugar-sweetened beverage taxes such as Berkeley,
California, and Philadelphia, Pennsylvania, have seen a reduction in
sugar-sweetened beverage consumption of over thirty-three per cent, while sales
of bottled water and other healthier options have substantially increased.
�
Further evaluation of data from these
jurisdictions shows that overall sales and revenue were not harmed by a fee at
the distributor level.
�
A sugar-sweetened
beverage fee has instead provided a source of public revenue that has generated
millions of dollars to aid in reducing health and socioeconomic disparities.

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Accordingly, the purpose of this Act
is to enact a fee on sugar-sweetened beverages in Hawaii to improve the health
of its residents and generate revenues for the State.

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SECTION 2.
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This Act shall be known and may be cited as
the Healthy Ohana Act of 2026.

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SECTION 3.
�
Chapter 321, Hawaii Revised Statutes, is
amended by adding a new part to be appropriately designated and to read as
follows:

"
Part .
�
SUGAR-SWEETENED BEVERAGE FEE PROGRAM

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�321-A
�

Definitions.
�
As
used in this part, unless the context otherwise requires:

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"Auditor" means the office
of the auditor.

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"Bottle" means any closed
or sealed container regardless of size or shape, including but not limited to
those made of glass, metal, paper, plastic, or any other material or
combination of materials.

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"Bottled sugar-sweetened
beverage" means any sugar-sweetened beverage contained in a bottle that is
ready for consumption without further processing, such as dilution or
carbonation.

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"Caloric sweetener" means
any substance that:

����
(1)
�
Is suitable for
human consumption and is perceived by humans as sweet; and

����
(2)
�
Adds five or more
calories per serving to the diet of the person who consumes the substance.

"Caloric sweetener" includes without
limitation sucrose, fructose, glucose, other sugars, or fruit juice
concentrates.
�
"Caloric
sweetener" does not include non-caloric sweeteners.

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"Consumer" means a person
who purchases a sugar-sweetened beverage for consumption and not for sale to
another.

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"Department" means the
department of health.

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"Dietary aids" means:

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(1)
�
Liquid products
manufactured for use as an oral nutritional therapy for persons who cannot
absorb or metabolize dietary nutrients from food or beverages;

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(2)
�
A source of
necessary nutrition used due to a medical condition; or

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(3)
�
An oral
electrolyte solution for infants and children formulated to prevent dehydration
due to illness.

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"Director" means the
director of health.

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"Distributor" means any
person, including a manufacturer or a wholesale dealer, who receives, stores,
manufactures, bottles, or distributes bottled sugar-sweetened beverages, syrup,
or powder for sale to a retailer doing business in the State whether or not
that person is also a retailer as defined in this section.

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"Infant formula" means a
food which purports to be or is represented for special dietary use solely as a
food for infants by reason of its simulation of human milk or its suitability
as a complete or partial substitute for human milk.

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"Milk substitute without
caloric sweetener" means a plant-based beverage in which the principal
ingredients by weight are water and grains, nuts, legumes, or seeds.
�
"Milk substitute without caloric sweetener"
includes but is not limited to soy milk, almond milk, rice milk, coconut milk,
oat milk, hazelnut milk, and flax milk.

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"Milk without added caloric
sweetener" means any beverage whose principal ingredient by weight is
natural liquid milk, which is secreted by an animal and consumed by humans,
including natural liquid milk regardless of animal source or butterfat content,
or natural milk concentrate and dehydrated natural milk, whether or not
reconstituted.

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"Non-alcoholic beverage"
means any beverage that contains less than one-half of one per cent alcohol per
volume.

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"Non-caloric sweetener"
means any substance that:

����
(1)
�
Contains fewer
than five calories per serving;

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(2)
�
Is suitable for
human consumption; and

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(3)
�
That humans
perceive as sweet.

"Non-caloric sweetener" includes without
limitation aspartame, saccharin, stevia, and sucralose.

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"One hundred per cent fruit
juice or vegetable juice" means any liquid consisting of one hundred per
cent fruit juice or vegetable juice with no added sugar, corn syrup, or caloric
sweetener.

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"Person" means any natural
person, partnership, cooperative association, limited liability company,
corporation, personal representative, receiver, trustee, assignee, or any other
legal entity.

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"Powder" means any solid
mixture of ingredients that contains caloric sweetener that is intended to be
used in making, mixing, or compounding a sugar-sweetened beverage by combining
the powder with one or more other ingredients.

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"Retailer" means any
person who sells or otherwise dispenses in the State a sugar-sweetened beverage
to a consumer, whether or not that person is also a distributor.

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"Sale" or "sell"
means the transfer of title or possession for valuable consideration regardless
of the manner in which the transfer is completed.

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"Sugar-sweetened beverage"
means any non-alcoholic beverage, carbonated or noncarbonated, that is intended
for human consumption and contains any added caloric sweetener.
"Sugar-sweetened beverage" does not include:

����
(1)
�
Beverages
consisting of one hundred per cent fruit juice or vegetable juice with no added
caloric sweetener;

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(2)
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Milk without added
caloric sweetener;

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(3)
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Milk substitute
without added caloric sweetener;

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(4)
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Dietary aids;

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(5)
�
Infant formula;

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(6)
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Sweetened
medication such as cough syrup, liquid pain relievers, fever reducers, and
similar products; or

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(7)
�
Any product
commonly used exclusively to mix with alcohol that may exceed five grams or
more per serving of caloric sweetener per twelve ounces of fluid that is not a
sugar-sweetened beverage, including without limitation margarita mix, bloody
mary mix, daiquiri mix, or similar products.

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"Sugar-sweetened
beverage fee" means the fee imposed pursuant to section 321-C.

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"Syrup" means a liquid
mixture of ingredients that contains caloric sweetener and that is intended to
be used in making, mixing, or compounding a sugar-sweetened beverage by
combining the syrup with any one or more other ingredients.

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�321-B
�
Distributor registration
required; restrictions on sale.
�
(
a)

�
Beginning July 1, 2027, every
distributor shall register with the department on forms to be prescribed,
prepared, and furnished by the department.

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(b)
�

No retailer may sell at retail, or hold out or display for sale at
retail, any sugar-sweetened beverage acquired by the retailer on or after June
30, 2027, from a distributor that is not registered with the department
pursuant to subsection (a).

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�321-C
�

Sugar-sweetened beverage fee.

�
(a)
�
Beginning
July 1, 2027, every distributor selling sugar-sweetened beverages in the State
shall pay the department a sugar-sweetened beverage fee that is imposed at the
following rates:

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(1)
�
Two cents per
fluid ounce of bottled sugar-sweetened beverages sold to a retailer for sale in
the State to a consumer; and

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(2)
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Two cents per
fluid ounce of sugar-sweetened beverage that can be produced from syrup or
powder, calculated according to the manufacturer's specifications for the use
of the syrup or powder, sold to a retailer for sale in the State to a consumer.

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(b)
�

A distributor shall add the amount of the sugar-sweetened beverage fee
to the price of sugar-sweetened beverages, syrups, and powders sold to a
retailer, and the retailer shall pass the amount of the fee on to a consumer as
a component of the final retail purchase price.
�

The amount of the sugar-sweetened beverage fee shall be stated
separately on all invoices, signs, sales or delivery slips, bills, and
statements that advertise or indicate the price of such beverages, syrups, and
powders.

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�321-D
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Exemptions.
�
The following shall be exempt from the sugar-sweetened
beverage fee:

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(1)
�
Bottled
sugar-sweetened beverages, syrups, and powders sold by a distributor or
retailer expressly for resale or consumption outside the State; and

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(2)
�
Bottled
sugar-sweetened beverages, syrups, and powders sold by a distributor to another
distributor that is registered pursuant to section 321-B, if the sales invoice
clearly indicates that the sale is exempt; provided that if the sale is to a
person who is both a distributor and a retailer, the sale shall also be exempt
from the fee and the fee shall be paid when such person resells the product to
either a retailer or a consumer; provided further that the exemption under this
paragraph shall not apply to any other separate sale to a retailer.

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�321-E
�

Form; payment.
�
Beginning
July 1, 2027, every distributor or retailer liable for the sugar-sweetened
beverage fee shall file a form identifying all sales of sugar-sweetened
beverages made during a period of time specified by the department and submit
payment of the sugar-sweetened beverage fee to the department.
�
The form shall be prescribed by the
department and shall contain any information that the department deems
necessary for the proper administration of the sugar-sweetened beverage fee
program.

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(b)
�

The department shall transfer all revenues generated from the
sugar-sweetened beverage fee to the director of finance to be deposited into
the general fund on a quarterly basis.

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�321-F
�

Records to be kept.
�
Beginning
July 1, 2027, every distributor and retailer shall prepare, maintain, or
make available documents involving sugar-sweetened beverages, syrups, and
powders, as required by the department and as requested pursuant to section
321-G.

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�321-G
�

Audit authority.
�
The
records of the distributor and retailer shall be made available, upon request,
for inspection by the department, a duly authorized agent of the department, or
the auditor.
�
Any proprietary information
obtained by these parties pursuant to this section shall be kept confidential
and shall not be disclosed to any other person, except:

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(1)
�
As may be
reasonably required in an administrative or judicial proceeding to enforce any
provision of this chapter or any rule adopted pursuant to this chapter; or

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(2)
�
Under an order
issued by a court or administrative agency hearings officer.

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�321-H
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Contract for administrative services.
�
The department may contract the services
of a third party to administer the sugar-sweetened beverage fee program under
this part.

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�321-I
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Management and financial audit.

�
The auditor shall conduct a management and
financial audit of the sugar-sweetened beverage fee program for fiscal years
2027-2028 and 2028-2029 and every odd-numbered fiscal year thereafter.
�
The auditor shall submit the audit report to
the legislature and the department no later than twenty days prior to the
convening of the next regular session.
�

The auditor may contract the audit services of a third party to conduct
the audit.

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�321-J
�
Rules.
�

The department shall adopt rules pursuant to chapter 91 to
effectuate the purposes of this part.

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�321-K
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Civil penalties.
�
(a)
�
Any person subject to this part who:

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(1)
�
Fails to pay the
entire sugar-sweetened beverage fee by the date that payment is due;

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(2)
�
Fails to register
as a distributor as required by section 321-B;

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(3)
�
Fails to file a
form that identifies all sales of sugar-sweetened beverages during the time
specified by the department as required by section 321-E;

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(4)
�
Fails to make
payment to the department at the time specified by the department as required
by section 321-E;

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(5)
�
Fails to prepare
or maintain records required by this part; or

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(6)
�
Violates any other
provision of this part,

shall be liable for the fee that is due, a penalty
equal to fifty per cent of the fee due, and additional administrative fees, costs,
and penalties assessed by the department.

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(b)
�

The director, or the director's duly authorized representative, may
determine the amount of the sugar-sweetened beverage fee and the penalty due
under subsection (a) in the event of any nonpayment or underpayment and demand
payment of all sugar-sweetened beverage fees and penalties.
�
Interest shall accrue on nonpayment or
underpayment of the sugar-sweetened beverage fee at a rate of eight per cent
per year from the date the fee was due, until paid.
�
The director may revoke the distributor
registration as a penalty under subsection (a).

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(c)
�

Any criminal penalties for any violation of this part shall not be
deemed to preclude the State from recovering civil penalties.

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�321-L
�

Enforcement.
�
(a)
�
If the director determines that any amount of
sugar-sweetened beverage fees, penalties, or interest owed are due, the
director shall serve written notice by certified mail upon the person
specifying the amount due.

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(b)
�

An amount due under subsection (a) shall be payable thirty-one days
after the notice is served, unless the person named therein requests in writing
a hearing before the director.
�
Whenever
a hearing is requested on any sugar-sweetened beverage fee, penalty, or
interest imposed pursuant to this part, the amount owed shall become due and
payable only upon completion of all review proceedings and the issuance of a
final order confirming the fee, penalty, or interest in whole or in part.
�
Upon request for a hearing, the director
shall require the requestor to appear before the director for a hearing at the
time and place specified in a notice.

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(c)
�

Any hearing conducted under this section shall be conducted as a
contested case under chapter 91.
�
If,
after a hearing held pursuant to this section, the director finds that all or a
portion of the sugar-sweetened beverage fee, penalty, or interest is due, the
director shall take action to collect the amount due as provided by subsection
(d).
�
If, after a hearing held on a fee, penalty,
or interest contained in a notice, the director finds that no amount is due,
the director shall rescind the fee, penalty, or interest.

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(d)
�

If the amount of any sugar-sweetened beverage fee, penalty, or interest is
not paid to the department within thirty days after it becomes due and payable
pursuant to this section, the director may institute a civil action in the name
of the State to collect the fee, penalty, or interest.
�
In any proceeding to collect the fee, penalty,
or interest imposed, the director need only show that:

����
(1)
�
Notice was given;

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(2)
�
A hearing was
held, or the time granted for requesting a hearing expired without a request
for a hearing;

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(3)
�
The fee, penalty,
or interest was imposed; and

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(4)
�
The fee, penalty,
or interest remains unpaid.

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(e)
�

In connection with any hearing held pursuant to this section, the
director shall have the power to subpoena the attendance of witnesses and the
production of evidence on behalf of all parties.

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�321-M
�

Distribution of revenues.
�
Beginning
July 1, 2027, all revenues collected from the sugar-sweetened beverage fee, penalty
payments, and interest payments imposed pursuant to this part shall be paid to
the general fund.

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�321-N
�

Evaluation.
�
The
department shall develop criteria and components for an independent evaluation
to assess the impact of the sugar-sweetened beverage fee on consumption of
products subject to the fee.
�
The
evaluation shall seek to determine the impact of the sugar-sweetened beverage fee
on sugar-sweetened beverage prices, consumer purchasing behavior, and health
outcomes.
�
The reasonable costs of
evaluation shall be paid from the healthy ohana special fund and be considered
an implementation cost of this part.

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�321-O
�

Annual reports.
�
The
department shall provide annual reports on the sugar-sweetened beverage fee
program to the legislature and the governor no later than twenty days prior to
the convening of the regular session of 2028 and each regular session
thereafter.
�
The reports shall contain:

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(1)
�
Measures of
effectiveness;

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(2)
�
An accounting of
revenues generated by the sugar-sweetened beverage fee, interest payments, and
penalty payments imposed pursuant to this part in the prior fiscal year; and

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(3)
�
Descriptions and
status of program activities.

If administration of the program is contracted to a
third party pursuant to section 321-H, a copy of the contract shall be appended
to the next applicable report, and the contractor shall abide by these
reporting requirements as well.

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�321-P
�

Healthy ohana advisory committee.
�

(a)
�
There is established a
healthy ohana advisory committee under the department for administrative
purposes.

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(b)
�
Members of the
committee shall be appointed by the director and serve at the director's
pleasure.

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(c)
�

The healthy ohana advisory committee shall identify and recommend
programs that advance public health that may be funded by revenue collected
from the sugar-sweetened beverage fee, including programs related to:

����
(1)
�
Chronic disease
prevention;

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(2)
�
Food security and
hunger mitigation;

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(3)
�
Agriculture and
local food production;

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(4)
�
Public education;

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(5)
�
Childhood
nutrition;

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(6)
�
Kupuna assistance;
and

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(7)
�
Access to health
care and oral hygiene services.

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(d)
�

A simple majority of the advisory committee members shall constitute a quorum.

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(e)
�

The committee, in consultation with the governor and department, shall
issue a report of its recommendations, including a list of all projects and
programs that may be funded by revenue collected by the fee, to the legislature
no later than twenty days prior to the convening of each regular session."

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SECTION 4.
�
No later than June 30, 2027, the department
of health shall adopt interim rules without regard to chapters 91 and 201M,
Hawaii Revised Statutes, to implement the sugar-sweetened beverage fee
program.
�
The interim rules shall remain
in effect until January 1, 2028, or until rules are adopted pursuant to section
321-J, Hawaii Revised Statutes, whichever occurs first.

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SECTION 5.
�
There is appropriated out of the general
revenues of the State of Hawaii the sum of $250,000 or so much thereof as may
be necessary for fiscal year 2026-2027 to establish and administer the
sugar-sweetened beverage fee program, including the establishment and hiring of
full-time equivalent ( FTE)
positions and hiring of contractors.

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

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SECTION 6.
�
No later than January 1, 2027, the director
of health, or the director's designee, shall brief the legislature on the
progress of implementing the sugar-sweetened beverage fee program, including
the status of any rulemaking by the department of health.

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SECTION 7.
�
For the purposes of effectuating this Act,
the personnel hired and the contracts entered into by the department of health
pursuant to this Act shall be exempt from chapter 76, Hawaii Revised Statutes,
for a period beginning on July 1, 2026, and ending on June 30, 2027; provided
that:

����
(1)
�
All personnel
actions taken pursuant to this Act by the department of health after June 30,
2027, shall be subject to chapter 76, Hawaii Revised Statutes, as appropriate; and

����
(2)
�
Any employee hired
by the department of health to effectuate this Act who occupies a position
exempt from civil service on July 1, 2027, shall:

���������
(A)
�
Be appointed to a
civil service position; and

���������
(B)
�
Not suffer any
loss of prior service credit, previously earned vacation or sick leave credits,
or other employee benefits or privileges;

���������
provided that the employee
possesses the minimum qualifications and public employment requirements for the
class or position to which the employee has been appointed; provided further
that subsequent changes in status shall be made pursuant to all applicable
civil service and compensation laws.

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SECTION 8.
�
If any provision of this Act, or the
application thereof to any person or circumstance, is held invalid, the
invalidity does not affect other provisions or applications of the Act that can
be given effect without the invalid provision or application, and to this end
the provisions of this Act are severable.

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SECTION 9.
�
In codifying the new sections added by
section 3 of this Act, the revisor of statutes shall substitute appropriate
section numbers for the letters used in designating the new sections in this
Act.

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SECTION 10.
�
This Act shall take effect on July 1, 2026.

INTRODUCED BY:

_____________________________

Report Title:

Sugar-Sweetened
Beverage Fee Program; Fee; Registration; Distributors; Retailers; Advisory
Committee; Department of Health; Appropriation

Description:

Establishes
the sugar-sweetened beverage fee program.
�

Beginning 7/1/2027, imposes a 2 cent per fluid ounce fee on all
sugar-sweetened beverages sold in the State and requires all distributors of
sugar-sweetened beverages to register with the Department of Health.
�
On or after 6/30/27, prohibits retailers from
selling or displaying for sale any sugar-sweetened beverage acquired from a distributor
that is not registered with the Department of Health.
�
Requires management and performance audits.
Requires annual reports to the Legislature.
�

Establishes the Healthy Ohana Advisory Committee.
�
Appropriates funds.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.