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HB556 • 2026

RELATING TO COLORECTAL CANCER.

RELATING TO COLORECTAL CANCER.

Budget Healthcare
Active

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

Sponsor
CHUN, AMATO, EVSLIN, GRANDINETTI, IWAMOTO, KAHALOA, LAMOSAO, LEE, M., MIYAKE, MORIKAWA, PERRUSO, POEPOE, TAKAYAMA, TAKENOUCHI, TAM, TARNAS, TODD
Last action
2025-12-08
Official status
Carried over to 2026 Regular Session.
Effective date
Not listed

Plain English Breakdown

The bill summary and text do not provide specific details on funding amounts or timelines.

Colorectal Cancer Screenings Program

This bill requires the state to fund colorectal cancer screenings for certain uninsured or underinsured residents and sets rules for health insurers in Hawaii.

What This Bill Does

  • Requires the Department of Human Services (DHS) to create a program that pays for colorectal cancer screenings for uninsured residents or those with limited healthcare coverage.
  • Specifies that state-funded screenings must meet certain standards set by federal guidelines.
  • Amends existing laws to ensure all health insurance providers in Hawaii cover colorectal cancer screenings as recommended by the U.S. Preventive Services Task Force and follow federal Affordable Care Act rules.

Who It Names or Affects

  • Uninsured residents of Hawaii
  • Residents with limited healthcare coverage that doesn't fully cover colorectal cancer screenings
  • Health insurance providers in Hawaii

Terms To Know

Affordable Care Act (ACA)
A federal law that sets standards for health insurance and provides subsidies to help people afford coverage.
Colorectal cancer screenings
Medical tests used to detect colorectal cancer early, such as colonoscopies or stool tests.

Limits and Unknowns

  • The bill does not specify how much money will be allocated for the program.
  • It is unclear when exactly this program will start since it has been carried over to the next legislative session.

Amendments

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

HD1

1

Hawaii published version HD1

Plain English: This amendment requires the state to fund colorectal cancer screenings for uninsured residents, those with inadequate insurance coverage, certain resident aliens ineligible for Medicaid, and nonresident aliens ineligible for Medicaid.

  • Adds a new section in Chapter 346 of Hawaii Revised Statutes to provide state-funded financial assistance for colorectal cancer screenings under specific conditions.
  • Amends Section 431:10A-122 and Section 432:1-617 to ensure all health insurance providers cover colorectal cancer screenings as recommended by the United States Preventive Services Task Force.
  • Requires the Department of Human Services to develop rules for implementing the state-funded screening program, ensuring no cost-sharing requirements are imposed.
  • The effective date is set for July 1, 3000, which seems incorrect and likely a placeholder or error.
  • The exact amount of funds appropriated for fiscal years 2025-2026 and 2026-2027 is not specified.

Bill History

  1. 2025-12-08 D

    Carried over to 2026 Regular Session.

  2. 2025-02-04 H

    Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Kong, Ward excused (3).

  3. 2025-02-04 H

    Reported from HLT/HSH (Stand. Com. Rep. No. 71) as amended in HD 1, recommending passage on Second Reading and referral to CPC.

  4. 2025-01-31 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, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

  5. 2025-01-31 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, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

  6. 2025-01-28 H

    Bill scheduled to be heard by HLT/HSH on Friday, 01-31-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  7. 2025-01-21 H

    Referred to HLT/HSH, CPC, FIN, referral sheet 2

  8. 2025-01-21 H

    Introduced and Pass First Reading.

  9. 2025-01-17 H

    Pending introduction.

Official Summary Text

RELATING TO COLORECTAL CANCER.
DHS; Colorectal Cancer Screenings; State-Funded Public Assistance; Appropriation ($)
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. Effective 7/1/3000. (HD1)

Current Bill Text

Read the full stored bill text
HB556

HOUSE OF REPRESENTATIVES

H.B. NO.

556

THIRTY-THIRD LEGISLATURE, 2025

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 financial assistance, as appropriated by
the legislature, to pay for colorectal cancer screenings for residents of the
State who:

����
(1)
�
Are uninsured;

����
(2)
�
Have healthcare
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 medicare; or

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

����
(b)
�
The state-funded 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 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;
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 2025-2026 and the same sum 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 sums

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, 2025.

INTRODUCED BY:

_____________________________

Report Title:

DHS; Colorectal
Cancer Screenings; State-Funded; Appropriation

Description:

Requires
and appropriates moneys 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
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.