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Neighbor‑island pharmacies warn SB 2283 mail‑order expansion could harm local access

Senate Committee on Health and Human Services · February 14, 2026
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Summary

Testimony for and against SB 2283 split stakeholders: insurers and HMSA said mail‑order fills maintenance medications reliably and can lower costs; independent and neighbor‑island pharmacies warned that limited post office hours, heat exposure of mailed insulin, and lost local touch points could force closures and layoffs.

Sen. San Buenaventura convened testimony on SB 2283, a bill aimed at expanding mail‑order access to prescription medications. Proponents, including the Hawaii Medical Service Association, said broader mail‑order options can improve adherence for long‑term therapies and reduce avoidable hospitalizations.

Walden, speaking for HMSA, said mail order is “a proven strategy to lower cost and improve health outcomes” and that automatic refill processes for maintenance medications…

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