Hawaii HB1643 - Pharmacy Audit Framework
Hawaii Legislative Events
Summary
Hawaii HB1643 establishes a comprehensive framework for conducting audits of pharmacy records and amends the definition of 'pharmacy benefit manager' under HRS chapter 431S to exclude certain health maintenance organizations. The bill passed the Hawaii House on March 10, 2026, and was transmitted to the Senate where it advanced through committee with amendments.
What changed
The legislation establishes standardized procedures and requirements for conducting audits of registered pharmacist and pharmacy records, creating transparency and procedural safeguards in the audit process. It also modifies the statutory definition of pharmacy benefit manager under Hawaii law to explicitly exclude certain health maintenance organizations from PBM regulatory requirements.
Affected parties including pharmacies, pharmacists, and pharmacy benefit managers operating in Hawaii will need to familiarize themselves with the new audit framework requirements once effective. The revised PBM definition may reduce regulatory oversight for certain HMO-operated pharmacy benefit arrangements while maintaining accountability for traditional PBMs.
What to do next
- Pharmacies should review internal audit procedures to ensure compliance with the new framework requirements
- Pharmacy benefit managers should assess whether the revised HMO exclusion affects their operational status
- Healthcare organizations should monitor for implementing regulations and compliance guidance
Source document (simplified)
ChangeBridge / Hawaii / HB1643 Passed HB1643 House Bill Passed 2026-03-10
Relating To Pharmacy.
Specifies a framework for the administration of audits of records of registered pharmacists and pharmacies. Amends the definition of "pharmacy benefit manager" under chapter 431S, HRS, to exclude certain health maintenance organizations. Effective 7/1/3000. (SD1)
Bill Details
State Hawaii
Session 2026 Regular Session
Chamber House
Official Source www.capitol.hawaii.gov/session/measure_ind...
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Sponsors
Scot Matayoshi (Rep - D) Cory Chun (Rep - D) Tina Grandinetti (Rep - D) Greggor Ilagan (Rep - D) Darius Kila (Rep - D) Lisa Marten (Rep - D) Ikaika Olds (Rep - D) Gregg Takayama (Rep - D) David Tarnas (Rep - D)
Action History
2026-04-07 S The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, Lamosao; Aye(s) with reservations: Senator(s) McKelvey ; 0 No(es): none; and 1 Excused: Senator(s) Awa. 2026-04-02 S The committee(s) on CPN will hold a public decision making on 04-07-26 9:25AM; Conference Room 229 & Videoconference. 2026-03-25 S Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. 2026-03-25 S Reported from HHS (Stand. Com. Rep. No. 3189) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. 2026-03-20 S The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) McKelvey. 2026-03-17 S The committee(s) on HHS has scheduled a public hearing on 03-20-26 1:00PM; Conference Room 225 & Videoconference. 2026-03-12 S Referred to HHS, CPN. 2026-03-12 S Passed First Reading. 2026-03-12 S Received from House (Hse. Com. No. 253). 2026-03-10 H Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate. 2026-03-06 H Forty-eight (48) hours notice Tuesday, 03-10-26. 2026-03-06 H Reported from CPC (Stand. Com. Rep. No. 1066-26) as amended in HD 2, recommending passage on Third Reading. 2026-03-03 H The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick. 2026-02-27 H Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. 2026-02-18 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 none excused (0). 2026-02-18 H Reported from HLT (Stand. Com. Rep. No. 347-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. 2026-02-13 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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. 2026-02-10 H Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. 2026-01-26 H Referred to HLT, CPC, referral sheet 1 2026-01-21 H Introduced and Pass First Reading. 2026-01-20 H Prefiled.
Votes
2026-03-20 Senate Health and Human Services: Passed, With Amendments Yea: 4 Nay: 0 2026-04-07 Senate Commerce and Consumer Protection: Passed, With Amendments Yea: 4 Nay: 0
Committee Referrals
2026-01-26 H Health 2026-02-18 H Consumer Protection & Commerce 2026-03-12 S Health and Human Services 2026-03-25 S Commerce and Consumer Protection
Bill Text Versions
2026-01-20 Introduced 2026-02-17 Amended 2026-03-06 Amended 2026-03-24 Amended
Subjects
Pharmacy Audits Pharmacy Benefit Managers Registered Pharmacists Exclusion Health maintenance organization Integrated Delivery System Legislative data powered by LegiScan (CC BY 4.0)
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