Hawaii 2026 Regular Session

Hawaii Senate Bill SB2933

Introduced
1/23/26  

Caption

Relating To Health Care Costs.

Impact

The bill proposes immediate financial relief to patients via statutory limits on out-of-pocket costs for select medications, specifically insulin, asthma inhalers, and epinephrine auto-injectors, with maximum copayments established. By prohibiting copayment adjustment programs, the legislation ensures that third-party assistance is counted towards a patient's deductibles. This aims to lessen the financial burden on patients while preserving access to necessary medications. Furthermore, health maintenance organizations and insurers will be mandated to comply with the new regulations, aligning all stakeholders within the healthcare system.

Summary

Senate Bill 2933 establishes the Prescription Drug Affordability Board within the Department of Health in Hawaii, aimed at enhancing the affordability and accessibility of high-cost prescription drugs. The legislation responds to the rising prescription drug costs that significantly burden many residents, particularly those suffering from chronic conditions such as diabetes and asthma. With provisions that enable the board to evaluate and set upper payment limits based on established benchmarks, the bill seeks to mitigate medication nonadherence and its corresponding public health impacts, including avoidable hospitalizations.

Contention

However, SB2933 may encounter opposition from various sectors. Critics argue that establishing an affordability board could disrupt market dynamics, reduce the innovation of new drugs, and limit access to specialty medications. The bill acknowledges these concerns, proposing adaptive measures such as access protections and waiver processes to allow necessary adjustments for rare or complex conditions. The effectiveness of these measures will likely be scrutinized as stakeholders navigate the balance between affordability, innovation, and patient access in the complex landscape of healthcare.

Companion Bills

No companion bills found.

Previously Filed As

HI SB1179

Relating To Health Care.

HI SB480

Relating To Health.

HI HB1490

Relating To Health Care.

HI SCR69

Requesting The Administrator Of The State Health Planning And Development Agency To Convene A Pharmacy Benefit Manager Working Group To Determine The Best Policies To Lower Drug Costs For Patient Consumers And Increase Access To Health Care.

HI HB712

Relating To Health.

HI SB1449

Relating To Prior Authorization Of Health Care Services.

HI SB1246

Relating To Health Care.

HI SR53

Requesting The Administrator Of The State Health Planning And Development Agency To Convene A Pharmacy Benefit Manager Working Group To Determine The Best Policies To Reform Pharmacy Benefit Manager Practices In The State To Ensure Transparency And Fairness For Consumers And In The Pharmaceutical Sector, Lower Drug Costs For Patient Consumers, And Increase Access To Health Care.

HI SB972

Relating To Health.

HI SB1424

Relating To Credentialing Of Health Care Providers.

Similar Bills

HI SB2751

Relating To Workers' Compensation.

FL H5015

State Group Insurance

HI HB2225

Relating To Health.

MS SB2715

Pharmaceuticals; authorize the Division of Medicaid to establish a wholesale prescription drug importation program.

AZ SB1008

Eyeglasses; prescriptions

TX SB2857

Relating to a prescription drug purchasing pool for certain health benefit plan issuers and employers.

HI SB956

Relating To Prescription Drugs.

HI HB951

Relating To Prescription Drugs.