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HB561 • 2026

RELATING TO PHARMACISTS.

RELATING TO PHARMACISTS.

Healthcare Technology
Active

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

Sponsor
CHUN, EVSLIN, GRANDINETTI, KITAGAWA, LOWEN, MARTEN, MIYAKE, PERRUSO, POEPOE, TAKAYAMA, TAKENOUCHI, TODD
Last action
2025-12-08
Official status
Carried over to 2026 Regular Session.
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on enforcement or regulation by the board, leaving this aspect unclear.

Telepharmacy Services for Underserved Patients

This bill allows pharmacists to use telehealth technology to supervise the filling or receipt of prescriptions in certain circumstances, specifically when patients are located at facilities operated by covered entities under the federal 340B Drug Pricing Program.

What This Bill Does

  • Authorizes a registered pharmacist who is under contract with a covered entity for the federal 340B Drug Pricing Program to supervise via telehealth the filling or receipt of prescriptions in certain circumstances.

Who It Names or Affects

  • Registered pharmacists under contract with covered entities for the federal 340B Drug Pricing Program.
  • Patients located at facilities operated by covered entities who receive prescriptions through telepharmacy services.

Terms To Know

Telehealth
Using technology to provide healthcare services remotely, including video calls and secure web-based communication.
Interactive Telecommunications System
A system that allows real-time audio and video communication between two or more locations.

Limits and Unknowns

  • The bill does not specify which exact circumstances qualify as 'certain situations'.
  • It is unclear how this will be enforced or regulated by the board.
  • This legislation only applies to pharmacists under contract with covered entities for the federal 740B Drug Pricing Program.

Bill History

  1. 2025-12-08 D

    Carried over to 2026 Regular Session.

  2. 2025-01-21 H

    Referred to HLT, CPC, referral sheet 2

  3. 2025-01-21 H

    Introduced and Pass First Reading.

  4. 2025-01-17 H

    Pending introduction.

Official Summary Text

RELATING TO PHARMACISTS.
Telepharmacy; Pharmacists; Medically Underserved Patients
Authorizes a registered pharmacist under contract with a covered entity for purposes of the federal 340B Drug Pricing Program to supervise via telehealth the filling or receipt of a prescription in certain circumstances.

Current Bill Text

Read the full stored bill text
HB561

HOUSE OF REPRESENTATIVES

H.B. NO.

561

THIRTY-THIRD LEGISLATURE, 2025

STATE OF HAWAII

A BILL FOR AN ACT

relating
to pharmacISTS
.

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

����
SECTION 1.
�
Chapter 461, Hawaii Revised Statutes, is
amended by adding a new section to be appropriately designated and to read as
follows:

����
"
�461-
��
��
Telepharmacy; limited authorization for
medically underserved patients.
�
(a)
�
A
registered pharmacist who is under contract with a covered entity may oversee
the filling or receipt of a prescription for sale or distribution via
telehealth by way of an interactive telecommunication system if:

����
(1)
�
The patient for
whom the medication is prescribed is located at a facility operated by the
covered entity;

����
(2)
�
The covered
entity obtained a pharmacy license for, or applied for the relocation of a
pharmacy license to, that facility; and

����
(3)
�
The contracted
pharmacist is not located at that facility.

����
(b)
�
For purposes of this section:

����
"Covered entity" has
the same meaning as defined in section 340B(a)(4) of the Public Health Service
Act (42 United States Code section 256b, et seq.).

����
"Interactive
telecommunications system" has the same meaning as defined in title 42
Code of Federal Regulations section 410.78(a).

����
"Telehealth" means the
use of telecommunications services, as defined in section 269-1, including
real-time audio and video conferencing-based communication, secure interactive
and non‑interactive web-based communication, and secure asynchronous
information exchange, to transmit patient medical information for the purpose
of delivering enhanced health care services and information while a patient is
at an originating site and the health care provider is at a distant site.
"

����
SECTION
2
.
�
Section 461-9, Hawaii Revised Statutes, is
amended by amending subsection (a) to read as follows:

����
"(a)
�
A registered pharmacist shall be in personal
and immediate charge of the pharmacy and personnel employed in the
pharmacy.
�
Temporary absences of the
registered pharmacist shall be unlawful except for periods of time and under
circumstances as authorized under the rules of the board.
�
[
During
]
Except as provided in
section 461- , during
any absence of the registered
pharmacist, prescriptions may not be filled, compounded, or received by
telephone and no drugs shall be sold; provided that this shall not preclude the
sale at those times of things that might be sold were the pharmacy a store not
subject to this chapter.
�
No person other
than a registered pharmacist or a pharmacy intern under the registered
pharmacist's immediate supervision shall fill or compound prescriptions except
as provided by subsection (c)[
.
]
and section 461- .
"

����
SECTION
3.
�
This Act does not affect rights and
duties that matured, penalties that were incurred, and proceedings that were
begun before its effective date.

����
SECTION
4.
�
Statutory material to be repealed is
bracketed and stricken.
�
New statutory
material is underscored.

����
SECTION 5.
�
This Act shall take effect upon its approval.

INTRODUCED BY:

_____________________________

Report Title:

Telepharmacy;
Pharmacists; Medically Underserved Patients

Description:

Authorizes
a registered pharmacist under contract with a covered entity for purposes of
the federal 340B Drug Pricing Program to supervise via telehealth the filling
or receipt of a prescription in certain circumstances.

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