This bill establishes a Hawaii Health Plan Working Group to design and recommend a basic, affordable health plan for all state residents. The working group will include representatives from the Legislature, Governor's office, Insurance Commissioner, state health agency, Hawaii Medical Service Association, and Kaiser Permanente. The group is tasked with developing a plan that addresses potential increases in uninsured residents due to federal changes to health insurance subsidies and Medicaid requirements, with recommendations to be submitted to the Legislature by early 2027.
This Senate Resolution establishes a Hawaii Health Plan Working Group to design and recommend a basic, affordable health plan available to every resident of the state. The working group will include representatives from the Senate health committee, the Governor's office, the Insurance Commissioner, the State Health Planning and Development Agency, the Hawaii Medical Service Association, and Kaiser Permanente. The group is tasked with developing a report with recommendations and proposed legislation by October 2026, with the goal of submitting final findings to the Legislature by early 2027. The resolution references existing federal changes that may increase the number of uninsured residents and draws on Hawaii's previous State Health Insurance Program Act as a model for a similar state-level solution. The working group is authorized to cease operations on June 30, 2027, after completing its review and recommendations.
This bill requests the state auditor to evaluate the social and financial impacts of mandating health insurance coverage for prosthetic and orthotic devices, as proposed in House Bill 1536. The assessment will focus on how requiring insurance to cover these devices would affect Hawaii residents with limb loss, limb differences, or mobility impairments, particularly regarding access to activity-specific prostheses. The auditor must analyze costs, benefits, and potential changes to health outcomes, including secondary conditions like diabetes and cardiovascular disease, and consider federal Affordable Care Act requirements. The final report will be submitted to the legislature before the 2027 session to inform future policy decisions.
This Senate Concurrent Resolution directs Hawaii's Auditor to evaluate the social and financial impacts of a proposed law that would expand health insurance coverage for autism diagnosis, treatment, and applied behavioral analysis services. The bill specifically addresses a current system that restricts coverage to individuals under 14 years old and caps annual benefits at $25,000, which the resolution seeks to remove. By requesting this assessment, the legislature aims to gather data on how eliminating these age and cost limitations would affect healthcare access and public finances before finalizing any changes. The Auditor must submit findings and recommendations to the Legislature within 20 days before the 2027 session begins. This procedural step ensures informed decision-making regarding the expansion of mandated health insurance benefits for autism-related services.
This Senate Concurrent Resolution establishes the Hawaii Health Plan Working Group to design and recommend a basic, affordable health plan available to every resident of the state. The working group will include representatives from the legislature, governor's office, insurance commissioner, state health planning agency, Hawaii Medical Service Association, and Kaiser Permanente. The group is tasked with developing a plan to address potential increases in uninsured residents due to changes in federal health insurance subsidies and Medicaid work requirements, with a report due to the Legislature by late 2026. The working group will cease to exist on June 30, 2027, after submitting its final recommendations and any proposed legislation.
Requires dental insurers to file all proposed plan rates and rate changes for a dental insurance plan with the Insurance Commissioner. Authorizes the Insurance Commissioner to disapprove the proposed plan rate if the dental loss ratio for the plan is less than seventy-five per cent. Establishes the method to calculate a dental insurer's dental loss ratio. Requires dental insurers to include dental loss ratio information in their annual reports to the Insurance Commissioner. Requires the Insurance Commissioner to publish certain report information.
SB 46 requires all health insurers in the state, including Medicaid managed care programs, to cover annual mental health wellness examinations. It directly affects health insurance providers by mandating this specific coverage in standard plans. The key provision is the requirement for insurers to include these annual examinations as a covered benefit without additional patient cost. This policy change ensures preventive mental health care becomes a standard part of insurance coverage.
Beginning, 1/1/2027, requires health insurers, mutual benefit societies, and health maintenance organizations to provide coverage for medically necessary proton beam therapy for cancer treatment and prohibits imposing stricter clinical evidence standards on proton beam therapy than on other radiation treatments.
Establishes consumer protections and insurer governance requirements for the use of artificial intelligence systems in certain insurance practices, including health insurance benefit determinations and residential property underwriting decisions. Establishes review, monitoring, recordkeeping, disclosure, rebuttal, and cure requirements for the use of artificial intelligence systems in certain insurance practices. Requires the Insurance Commissioner to adopt rules.
Establishes a three-year Health Coverage Continuity Pilot Program to be administered by the Department of Human Services, in consultation with the Department of Commerce and Consumer Affairs, to subsidize the cost of certain health insurance deductibles for eligible individuals. Authorizes the Department to contract with a nonprofit health insurer or community-based organization to operate the Pilot Program; provided that the Department shall allow the operator to access state-backed reinsurance or risk stabilization support for the operation of the Pilot Program. Requires reports to the Legislature. Appropriates funds. Repeals 6/30/2029. Effective 7/1/2050. (SD2)
