Hawaii · Senate Bill 642 · 33rd Legislature

Insurance; Mandatory Optional Coverage; Standard Fertility Preservation Services; Medically Necessary Treatment

  1. Introduced Jan 17, 2025
  2. In committee Jan 23, 2025
  3. Passed the Senate Mar 4, 2025
  4. Died  
  5. To the governor  
  6. Became law  

What it does

The legislature's own summary of the bill, or its official long title.

Requires all health insurance policies, contracts, plans, and agreements issued or renewed after 12/31/2025, to provide optional coverage for standard fertility preservation services for persons undergoing medically necessary cancer-related treatments that may cause iatrogenic infertility. Effective 12/31/2050. (SD2)

Every action

19 steps, oldest first, as the legislature records them.

Show the 11 earlier steps
  1. SenateIntroduced.
  2. SenatePassed First Reading.
  3. CommitteeReferred to HHS, CPN/WAM. · Senate Health and Human Services
  4. CommitteeThe committee(s) on HHS has scheduled a public hearing on 01-29-25 1:00PM; Conference Room 225 & Videoconference. · Senate Health and Human Services
  5. CommitteeThe committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. · Senate Health and Human Services
  6. CommitteeReported from HHS (Stand. Com. Rep. No. 120) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN/WAM. · Senate Health and Human Services
  7. CommitteeReport adopted; Passed Second Reading, as amended (SD 1) and referred to CPN/WAM. · Senate Commerce and Consumer Protection
  8. CommitteeThe committee(s) on CPN/WAM will hold a public decision making on 02-26-25 10:00AM; Conference Room 211 & Videoconference. · Senate Commerce and Consumer Protection
  9. CommitteeThe committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. · Senate Commerce and Consumer Protection
  10. CommitteeThe committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 11 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Aquino, Fevella. · Senate Ways and Means
  11. CommitteeReported from CPN/WAM (Stand. Com. Rep. No. 893) with recommendation of passage on Third Reading, as amended (SD 2). · Senate Commerce and Consumer Protection
  1. Senate48 Hrs. Notice 03-04-25.
  2. SenateReport adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.25–0 vote
  3. HouseReceived from Senate (Sen. Com. No. 180) in amended form (SD 2).
  4. HousePass First Reading
  5. CommitteeReferred to HLT, CPC, FIN, referral sheet 19 · House Health
  6. CommitteeBill scheduled to be heard by HLT on Wednesday, 03-12-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. · House Health
  7. HouseThis measure has been deleted from the meeting scheduled on Wednesday 03-12-25 9:00AM in conference room 329 VIA VIDEOCONFERENCE.
  8. LegislatureCarried over to 2026 Regular Session.

Roll calls

4 recorded votes: 1 on the floor, 3 in committee. Each shows how every member voted.

Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. · Full Senate

Passed 25–0
Mar 4, 2025 · journal entry
Yes 25 No 0
Democrats: 22 yes, 0 no Republicans: 3 yes, 0 no
How each member voted

Yes · 25

Committee and other votes

DateWhereQuestionResult
Jan 29, 2025 Senate Health and Human Services The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS.
Members

Yes · 5

Passed 5–0
Feb 26, 2025 Senate Commerce and Consumer Protection The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS.
Members

Yes · 5

Passed 5–0
Feb 26, 2025 Senate Ways and Means The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS.
Members

Yes · 11

Excused · 2

Passed 11–0

Sponsors

The 5 members who introduced it.

From Hawaii's official records (capitol.hawaii.gov), checked Nov 1, 2026. Text links go to the official versions; LegiList does not copy bill text.