Expands the general excise tax exemption established by Act 47, Session Laws of Hawaii 2024, to include amounts received by optometrists, audiologists, and chiropractors, for healthcare-related goods or services purchased under the Medicare, Medicaid, and TRICARE programs.
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. Effective 7/1/3000. (HD1)
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)
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)
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)
Beginning 1/1/2026, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for biomarker testing. Effective 7/1/3000. (HD1)
Beginning 1/1/2027, requires all health insurers in the state, including Medicaid managed care programs, to cover annual mental health wellness examinations.
Beginning 1/1/2026, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for biomarker testing.
SB 451 would require the Department of Human Services to establish a Medicaid buy-in program, enabling working people with disabilities to maintain health coverage without losing Medicaid benefits when they earn income. This program would allow individuals to pay a portion of the cost to stay enrolled in Medicaid while working, rather than losing coverage as earnings increase. The bill is scheduled to take effect on December 31, 2050, but remains under review by the Health and Human Services committee. It directly affects working adults with disabilities who currently face coverage gaps when earning above Medicaid income limits.
Sub-Topics
Medicaid
Tags
People with Disabilities
Appropriates moneys to the Department of Human Services to increase funding for applied behavioral analysis services for Medicaid enrollees who have been diagnosed with autism. Requires the Department to obtain the maximum federal matching funds available for the expenditure.
