SB3045 Mandates CGM Coverage from January 2027
Summary
Hawaii SB3045 passed both chambers, mandating that all health insurers, mutual benefit societies, HMOs, and Medicaid managed care programs cover continuous glucose monitors and related supplies beginning January 1, 2027. The bill allows the Departments of Health and Human Services to accept public and private funds to expand CGM access.
What changed
Hawaii Senate Bill 3045 has passed both chambers, creating a new mandate for health insurers, mutual benefit societies, health maintenance organizations, and Medicaid managed care programs to provide coverage for continuous glucose monitors and related supplies under certain conditions, effective January 1, 2027. The Departments of Health and Human Services are authorized to accept and expend public and private funds to support CGM access expansion.
Health insurers and related entities in Hawaii must update their coverage policies, formulary listings, and utilization management procedures to include CGM devices and supplies by the January 2027 effective date. Failure to comply with this state mandate may result in regulatory enforcement by the Hawaii Insurance Division. Patients with diabetes who rely on CGMs will gain improved access to this monitoring technology through their existing health coverage.
What to do next
- Update health insurance policies to include CGM coverage
- Review and revise medical necessity criteria for CGM devices and supplies
- Prepare for January 1, 2027 compliance deadline
Archived snapshot
Apr 8, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
ChangeBridge / Hawaii / SB3045 Passed SB3045 Senate Bill Passed 2026-03-10
Relating To Health Insurance.
Beginning 1/1/2027, requires all health insurers, mutual benefit societies, and health maintenance organizations in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Allows the Departments of Health and Human Services to accept and expend funds from public and private sources to support the expansion of access to continuous glucose monitors. Effective 7/1/3000. (HD2)
Bill Details
State Hawaii
Session 2026 Regular Session
Chamber Senate
Official Source www.capitol.hawaii.gov/session/measure_ind...
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Sponsors
Dru Kanuha (Sen - D)
Action History
2026-04-07 H The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. 2026-04-02 H Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. 2026-03-30 H Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4). 2026-03-30 H Reported from CPC (Stand. Com. Rep. No. 1538-26) as amended in HD 2, recommending referral to FIN. 2026-03-24 H The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 11 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam, Pierick; Ayes with reservations: none; Noes: none; and Excused: none. 2026-03-20 H Bill scheduled to be heard by CPC on Tuesday, 03-24-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. 2026-03-20 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) Quinlan excused (1). 2026-03-20 H Reported from HLT/HSH (Stand. Com. Rep. No. 1277-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. 2026-03-18 H The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Marten, Olds, Amato, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield. 2026-03-18 H The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Hartsfield. 2026-03-12 H Bill scheduled to be heard by HLT/HSH on Wednesday, 03-18-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. 2026-03-12 H Referred to HLT/HSH, CPC, FIN, referral sheet 17 2026-03-12 H Pass First Reading 2026-03-10 H Received from Senate (Sen. Com. No. 349) in amended form (SD 1). 2026-03-10 S Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. 2026-03-06 S One Day Notice 03-10-26. 2026-03-06 S Reported from CPN (Stand. Com. Rep. No. 2894) with recommendation of passage on Third Reading. 2026-02-26 S The committee(s) on CPN recommend(s) that the measure be PASSED, UNAMENDED. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lamosao. 2026-02-20 S The committee(s) on CPN will hold a public decision making on 02-26-26 9:45AM; Conference Room 229 & Videoconference. 2026-02-19 S Report adopted; Passed Second Reading, as amended (SD 1) and referred to CPN. 2026-02-19 S Reported from HHS (Stand. Com. Rep. No. 2433) with recommendation of passage on Second Reading, as amended (SD 1) and referral to CPN. 2026-02-13 S The 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, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. 2026-02-09 S The committee(s) on HHS has rescheduled its public hearing to 02-13-26 1:00PM; Conference Room 225 & Videoconference. 2026-02-08 S The committee(s) on HHS deleted the measure from the public hearing scheduled on 02-09-26 1:05PM; CR 225 & Videoconference. 2026-02-05 S The committee(s) on HHS has scheduled a public hearing on 02-09-26 1:05PM; Conference Room 225 & Videoconference. 2026-01-30 S Referred to HHS, CPN. 2026-01-28 S Passed First Reading. 2026-01-28 S Introduced.
Votes
2026-02-13 Senate Health and Human Services: Passed, With Amendments Yea: 5 Nay: 0 2026-02-26 Senate Commerce and Consumer Protection: Passed, Unamended Yea: 4 Nay: 0
Committee Referrals
2026-01-30 S Health and Human Services 2026-02-19 S Commerce and Consumer Protection 2026-03-12 H Health 2026-03-20 H Consumer Protection & Commerce 2026-03-30 H Finance
Bill Text Versions
2026-01-26 Introduced 2026-02-18 Amended 2026-03-19 Amended 2026-03-27 Amended
Subjects
Health Insurance Medicaid Mandated Coverage Diabetes Equipment and Supplies Continuous Glucose Monitors DHS DOH Legislative data powered by LegiScan (CC BY 4.0)
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