STAND. CON. REP. NO.
Honolulu, Hawaii
MAR25 , 2025
RE: H.C.R. No. 36
Honorable Nadine K. Nakamura
Speaker, House of Representatives
Thirty—Third State Legislature
Regular Session of 2025
State of Hawaii
Madame:
Your Committee on Health, to which was referred H.C.R. No. 36
entitled:
“HOUSE CONCURRENT RESOLUTION REQUESTING THE AUDITOR TO ASSESS
THE SOCIAL AND FINANCIAL EFFECTS OF PROPOSED MANDATORY HEALTH
INSURANCE COVERAGE FOR COLORECTAL CANCER SCREENINGS,”
begs leave to report as follows:
The purpose of this measure is to request the Auditor to
assess the social and financial effects of proposed mandatory
health insurance coverage for colorectal cancer screenings.
Your Committee received testimony in support of this measure
from the State Health Planning and Development Agency; American
Cancer Society Cancer Action Network; Mãlama I He Ola Health
Center; Fight Colorectal Cancer; and seven individuals. Your
Committee received comments on this measure from the Department of
Health and Office of the Auditor.
Your Committee finds that although colorectal cancer is the
third leading cause of cancer in Hawaii and the third leading
cause of cancer deaths nationwide, not all residents of Hawaii
have access to health insurance that provides no-cost colorectal
cancer screening. Your Committee further finds that House Bill
No. 556, H.D. 1, Regular Session of 2025 (HB556), proposes
expanding existing health insurance mandates to cover colorectal
2025-2904 HCR36 HSCR HMSO
 STAND. CON. REP. NO.
Page 2
cancer screenings, which would be considered a new mandated health
insurance benefit.
Your Committee further finds that, pursuant to sections 23-51
and 23—52, Hawaii Revised Statutes, the social and financial
impact of a proposed mandated health insurance benefit must be
assessed by the Auditor before it can be enacted into law. This
measure therefore requests the Auditor to conduct a statutorily
required impact assessment report on the social and financial
effects of the new mandated health insurance benefit proposed by
HB556.
As affirmed by the record of votes of the members of your
Committee on Health that is attached to this report, your
Committee concurs with the intent and purpose of H.C.R. No. 36 and
recommends that it be referred to your Committee on Finance.
Respectfully submitted on
behalf of the members of the
Committee on Health,
GRE A AYAMA, Chair
2025-2904 HCR36 HSCR HMSO
 State of Hawaii
House of Representatives
The Thirty-third Legislature ,9t~C.Je, /~2~
Record of Votes of the Committee on Health
Bill/Resolution 0.: Committee Referral: Date: 4,
Rc~3~ 3~-’~-~
0 The committee is reconsidering its previous decision on the measure.
The recommendation is to: ~ Pass, unamended (as is) 0 Pass, with amendments (HD) 0 Hold
0 Pass short form bill with HD to recommit for future public hearing (recommit)
HLT Members Ayes Ayes (WR) Nays Excused
1. TAKAYAMA, Gregg (C)
2. KEOHOKAPU-LEE LOY, Sue L. (VC)
3. AMATO, Terez
4. CHUN, Cory M.
5. MARTEN, Lisa
6. OLDS, Ikaika
7. TAKENOUCHI, Jenna
8. ALCOS III, David
9. GARCIA, Diamond
TOTAL (9)
The recommendation is: LI Not Adopted
If joint referral, ______________________ did not support recommendation.
committee acronym(s)
Vice Chair’s or designee’s signature:
Distribution: Original (White) Committee Duplicate (Yellow) — Chief Clerk’s Office Duplicate (Pink) — HMSO