Act 218, on 07/09/2026 (Gov. Msg. No. 1320).
Summary
Starting after Dec. 31, 2026, any new or renewed health insurance, hospital plan, or HMO contract in Hawaii must pay for standard fertility preservation services when a medically necessary cancer treatment could cause infertility. Coverage must follow the 2018 American Society of Clinical Oncology guidelines and cannot be limited by prior diagnoses or discrimination. Experimental procedures, third‑party reproduction, and storage fees are excluded.
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