HB2387 • 2026

RELATING TO WORKERS' COMPENSATION MEDICAL BENEFITS.

Healthcare Labor

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: MIYAKE, AMATO, CHUN, COCHRAN, GARCIA, GARRETT, GRANDINETTI, ICHIYAMA, ILAGAN, KAHALOA, KAPELA, KEOHOKAPU-LEE LOY, KILA, KITAGAWA, KUSCH, LOWEN, MARTEN, MATSUMOTO, MORIKAWA, OLDS, PERRUSO, POEPOE, REYES ODA, SOUZA, TAKAYAMA, TAKENOUCHI, TARNAS
Last action: 2026-03-30
Official status: Report adopted; Passed Second Reading and referred to WAM.
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 WORKERS' COMPENSATION MEDICAL BENEFITS.

What This Bill Does

RELATING TO WORKERS' COMPENSATION MEDICAL BENEFITS.
Firefighters; Workers' Compensation Medical Benefits; Cancer; Disease Expands workers' compensation medical benefits for firefighters to include coverage for adenocarcinoma or mesothelioma of the respiratory system; cancer of the buccal cavity, cervix, colon, esophagus, ovary, pharynx, skin, female reproductive organs, including the uterus, endometrium, and fallopian tubes, and thyroid; and malignant melanoma.
Specifies that an employer may deny medical benefits under workers' compensation law only if they prove that the cancer or disease was not associated with firefighting duties.
Effective 7/1/3000.

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.

HD1

Hawaii published version HD1

Plain English: HB2387 HD1 HOUSE OF REPRESENTATIVES H.B.

HB2387 HD1 HOUSE OF REPRESENTATIVES H.B.
NO.
2387 THIRTY-THIRD LEGISLATURE, 2026 H.D.
1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO WORKERS' COMPENSATION MEDICAL BENEFITS .

Bill History

2026-03-30 S
Report adopted; Passed Second Reading and referred to WAM.
2026-03-30 S
Reported from LBT (Stand. Com. Rep. No. 3215) with recommendation of passage on Second Reading and referral to WAM.
2026-03-18 S
The committee(s) on LBT recommend(s) that the measure be PASSED, UNAMENDED. The votes in LBT were as follows: 5 Aye(s): Senator(s) Elefante, Lamosao, Ihara, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-03-12 S
The committee(s) on LBT has scheduled a public hearing on 03-18-26 3:00PM; Conference Room 225 & Videoconference.
2026-03-10 S
Referred to LBT, WAM.
2026-03-06 S
Passed First Reading.
2026-03-06 S
Received from House (Hse. Com. No. 104).
2026-03-05 H
Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Perruso excused (1). Transmitted to Senate.
2026-03-05 H
Reported from FIN (Stand. Com. Rep. No. 792-26), recommending passage on Third Reading.
2026-02-26 H
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
2026-02-24 H
Bill scheduled to be heard by FIN on Thursday, 02-26-26 10:00AM in House conference room 308 VIA VIDEOCONFERENCE.
2026-02-20 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1).
2026-02-20 H
Reported from LAB (Stand. Com. Rep. No. 640-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
2026-02-19 H
The committee on LAB recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 5 Ayes: Representative(s) Sayama, Lee, M., Garrett, Kapela, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Kong.
2026-02-17 H
Bill scheduled to be heard by LAB on Thursday, 02-19-26 9:30AM in House conference room 309 VIA VIDEOCONFERENCE.
2026-02-02 H
Referred to LAB, FIN, referral sheet 6
2026-01-28 H
Introduced and Pass First Reading.
2026-01-27 H
Pending introduction.

Official Summary Text

RELATING TO WORKERS' COMPENSATION MEDICAL BENEFITS.
Firefighters; Workers' Compensation Medical Benefits; Cancer; Disease
Expands workers' compensation medical benefits for firefighters to include coverage for adenocarcinoma or mesothelioma of the respiratory system; cancer of the buccal cavity, cervix, colon, esophagus, ovary, pharynx, skin, female reproductive organs, including the uterus, endometrium, and fallopian tubes, and thyroid; and malignant melanoma. Specifies that an employer may deny medical benefits under workers' compensation law only if they prove that the cancer or disease was not associated with firefighting duties. Effective 7/1/3000. (HD1)

Current Bill Text

Read the full stored bill text

HB2387

HOUSE OF REPRESENTATIVES

H.B. NO.

2387

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to workers' compensation medical benefits
.

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

����
SECTION
1
.
�
Section 386-21.9, Hawaii Revised Statutes, is
amended to read as follows:

����
"
�386-21.9
�
Medical
care, services, and supplies for firefighters suffering from cancer[
.
]
or
diseases.
�
(a)
�
If a claim for [
leukemia, multiple
myeloma, non-Hodgkin lymphoma, or cancer of the lung, brain, stomach,
esophagus, intestines, rectum, kidney, bladder, prostate, breast, female
reproductive organs, or testes
]
any form of the covered cancers or
diseases under subsection (b)
filed by an employee with five or more years
of service as a firefighter is accepted or determined to be compensable,
section 386-21 shall remain applicable[
;
]
, unless the employer proves
that the cancer or disease was not associated with the firefighting duties;

provided that the employer shall be liable for medical care, services, and
supplies for a minimum of one hundred ten per cent, and not to exceed one
hundred fifty per cent of fees prescribed in the Medicare Resource Based
Relative Value Scale applicable to Hawaii as prepared by the United States
Department of Health and Human Services.

����
(b)
�
The following cancers or diseases shall be
covered under this section:

����
(1)
�
Adenocarcinoma or mesothelioma of the
respiratory system;

����
(2)
�
Cancer of the bladder; brain; breast;
buccal cavity; cervix; colon; esophagus; intestines; kidney; lung; ovary;
pharynx; prostate; rectum; skin; female reproductive organs, including the
uterus, endometrium, and fallopian tubes; stomach; testes; or thyroid;

����
(3)
�
Leukemia;

����
(4)
�
Malignant melanoma;

����
(5)
�
Multiple myeloma; or

����
(6)
�
Non-Hodgkin lymphoma.
"

����
SECTION
2.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION 3.
�
This Act shall take effect upon its approval.

INTRODUCED BY:

_____________________________

Report Title:

Firefighters;
Workers' Compensation Medical Benefits; Cancer

Description:

Expands
workers' compensation medical benefits for firefighters to include coverage for
adenocarcinoma or mesothelioma of the respiratory system; cancer of the buccal
cavity, cervix, colon, esophagus, ovary, pharynx, skin, female reproductive
organs, including the uterus, endometrium, and fallopian tubes, and thyroid;
and malignant melanoma.
�
Specifies that
an employer may prove that the cancer or disease was not associated with the
firefighting duties to deny medical benefits under workers' compensation law.

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