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Hawaii

Policy Count:

Last Updated: Jul 22, 2026

Hawaii Reproductive Health Policies:

HB 1864

Enacted bill

Fertility

Preservation coverage

Summary:

This bill requires insurance coverage for fertility preservation for insured people who undergo medically necessary cancer-related treatment that may indirectly or directly cause iatrogenic infertility.

Statutes:

HRS §§ 431:10A; 432:1; 432D-23
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Enacted:

July 9, 2026

Effective:

July 9, 2026

HB 1875

Enacted bill

Abortion

Shield laws

Summary:

This bill expands the state’s existing shield law protections to include gender-affirming care, clarifies protected health information (PHI) disclosures, and protects providers from insurer retaliation.

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Enacted:

May 29, 2026

Effective:

July 1, 2026

SB 1

Enacted bill

Abortion

Data privacy

Rights

Scope of practice

Shield laws

Summary:

This bill protects reproductive freedoms by clarifying that the state of Hawai’i, and local government, cannot interfere with or deny a pregnant person’s right to an abortion. It is also a shield law that protects providers from legal action from within or outside of the state, protects patients from out-of-state prosecution, and prohibits the disclosing of health information to other states, blocks subpoenas related to abortion care, and expands licensing for reproductive services. This bill also allowed physician assistants and advanced practice registered nurses (APRNs) to provide medication or aspiration abortion care during the first trimester if the nurse has prescriptive authority, practices within the nurse’s specialty, and holds a valid, unencumbered license.

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Enacted:

March 22, 2023

Effective:

March 22, 2023

EO 22-05

Executive order

Abortion

Data privacy

Shield laws

Summary:

This executive order is a shield law that prohibits state agencies and subdivisions from providing private information regarding or authorizing an arrest warrant based on accessing or providing reproductive health care services that are lawful in the state and requires the Department of Health to maintain a website with information about abortion access.

Statutes:

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Enacted:

October 11, 2022

Effective:

October 11, 2022

SB 513

Enacted bill

Contraception

Emergency contraception

Pharmacist prescriber

Summary:

This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives, including emergency contraception under a collaborative practice agreement only. Also requires patients to provide evidence of a women’s health visit within three years of initial pharmacy prescription or the pharmacist may not continue to prescribe contraceptives.

Statutes:

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Enacted:

July 6, 2017

Effective:

July 6, 2017