// STATE LEGISLATION TRACKER

Hawaii HB 2164: RELATING TO WORKERS' COMPENSATION.

⚖️ NEUTRAL for peptide users 👤 LOW user impact 📜 Status: Failed

State: Hawaii
Bill: HB 2164
Session: 2026
Filed: 2026-01-26
Read the bill: OpenStates →
Last reviewed: 2026-10-02

Plain-English Summary

HB2164 would define "compounded prescription drug" in Hawaii workers' compensation law by tying it to federal 503A pharmacy-compounding standards. It has narrow relevance to peptides: it could affect reimbursement or acceptance of compounded peptides only when tied to a covered workers' compensation injury, but it does not appear to change general peptide access, telehealth prescribing, NP or naturopath scope, controlled substances, or prescription monitoring.

Key Points

Applies to workers' compensation, not general cash-pay peptide care
Uses federal 503A-style rules for patient-specific compounded prescriptions
Could make some compounded drug reimbursement rules clearer
Does not expand telehealth or prescriber scope
No clear impact on controlled substances or PDMP rules

What to Watch For

✓

Opportunity Clearer 503A alignment may help legitimate patient-specific compounding in workers' comp cases.

Concern If enforced tightly, nonstandard compounded products may face more reimbursement scrutiny.

Note The bill appears limited to workers' compensation benefits, not everyday peptide prescribing.

Where the Bill Stands

Although the source page listed it as pending introduction, later legislative tracking shows HB2164 was engrossed, re-referred in the Senate on March 17, 2026, and died in committee.

· Ed. Our analysis pulls public bill metadata from OpenStates and is enriched with research-model context. We don't quote bill text we haven't read directly. If this bill matters to your practice or treatment access, read the official source linked above before taking action. We're an educational research directory, not a legal or medical reference.

Bill page generated 2026-10-02 · enriched via codex gpt-5.5
Source: OpenStates v3 API · View official bill · ← back to all laws