Requires the Executive Office on Aging to develop the framework and scope of work for a proposed study that examines the feasibility, impacts, and costs of different public and private financing options for long-term care services and supports and submit a report to the Legislature. Authorizes the Executive Office on Aging to contract with the University of Hawaii. Appropriates funds. (CD1)
Expands the services eligible for Medicaid Prospective Payment System reimbursement to include certain services furnished by a federally qualified health center or rural health clinic and provided by mental health professionals under the clinical supervision of a licensed mental health professional. Requires the Department of Human Services to adopt rules for this purpose and seek federal approvals as necessary. Specifies that implementation is contingent upon and only to the extent approved by the Centers for Medicare and Medicaid Services. Effective 7/1/3000. (HD2)
Requires the Alcohol and Drug Abuse Division of the Department of Health to develop and implement a comprehensive messaging and informational campaign to prevent cannabis use among the State's youth. Requires the Division to establish and enter into contracts with community-based organizations to award grants to prevent substance misuse among youth through evidenced-based prevention programs. Requires a report to the Legislature. Appropriates funds.
Amends third party liability provisions for Medicaid program claims for payment as required under the federal Consolidated Appropriations Act, 2022. Effective 7/1/3000. (HD1)
Requires all accident and health or sickness insurers, mutual benefit societies, and health maintenance organizations operating in the State to adopt policies, procedures, and criteria for approving or denying requests for prior authorization that are the equivalent to the guidelines for prior authorization established by Medicare.
Prohibits the sale of nonprescription diet pills and dietary supplements for weight loss or muscle building to any person under eighteen years of age. Requires retail establishments and delivery sellers to follow certain protocols regarding certain products to prevent access by minors to the restricted products. Effective 1/30/2050. (SD1)
Beginning 1/1/2027, requires all health insurers, mutual benefit societies, and health maintenance organizations in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Allows the Department of Health and Department of Human Services to accept and expend funds from public and private sources to support the expansion of access to continuous glucose monitors. (CD1)
HB 1118 prohibits new non-medical immunization exemptions (such as religious or philosophical exemptions) for school-aged children in Hawaii. It directly affects parents seeking exemptions for their children and school districts enforcing vaccination requirements. The bill's key provision bans the creation of any new non-medical exemptions, though existing exemptions remain valid. It will take effect on July 1, 3000 (a placeholder date likely indicating future implementation). This policy change aims to strengthen school immunization standards by limiting exemption options.
Establishes the Prior Authorization Committee to specify medical conditions for which prior authorization by the insurer for treatment is not required for health insurance coverage. Requires health plan insurers to align their prior authorization processes for other conditions with Medicare policies.
HB 2366 prohibits health insurance plans from requiring patients to pay out-of-pocket costs (like copays or coinsurance) for specific diagnostic and supplemental breast examinations ordered by a doctor. This directly affects patients who need these exams for evaluation or follow-up, removing a financial barrier to accessing care. The bill targets cost-sharing requirements for exams deemed medically necessary, not routine screenings. It aims to ensure patients aren't financially hindered from receiving recommended diagnostic services.