SR 6 Hawaii Senate · 2025 Regular Session

URGING THE ADMINISTRATOR OF THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY TO ESTABLISH A WORKING GROUP ON HEALTH INSURANCE REFORM TO PROVIDE RECOMMENDATIONS FOR REDUCING THE IMPACT OF PRIOR AUTHORIZATION REQUIREMENTS ON THE TIMELY DELIVERY OF HEALTH CARE IN THE STATE.

This Senate Resolution (SR 6) urges Hawaii's State Health Planning and Development Agency to create a working group focused on reducing delays caused by insurance prior authorization requirements. The group would include 15 members representing insurers, healthcare providers, consumers, and employers, plus agency officials, to study specific practices like 24-hour response times for urgent care and longer validity periods for medications. It requires the group to examine how prior authorization impacts timely care and propose solutions, including potential policy changes. The working group must submit its recommendations to the Legislature by early 2026. This resolution does not change laws but seeks to inform future legislative action on insurance approval processes.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Governor
Introduced Jan 31, 2025 Last action Apr 3, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

SR6_SD1 SR6_SD2 · 4 edits
MODERATE
The bill was amended to change the lead agency from the Director of Health to the Administrator of the State Health Planning and Development Agency, while adding the Insurance Commissioner and Med-QUEST Administrator as ex-officio members. The working group composition was streamlined from seven categories to three, and the reporting deadline was extended to twenty days before the 2026 Regular Session.
Scope change
The scope of the working group was narrowed from seven distinct membership categories to three, and the lead agency was changed from the Department of Health to the State Health Planning and Development Agency.
REQUIREMENT

Changed the lead agency from the Director of Health to the Administrator of the State Health Planning and Development Agency.

Added the Insurance Commissioner and Administrator of the Med-QUEST Division as ex-officio members of the working group.

Reduced working group membership categories from seven to three, removing specific designee requirements for legislative committee chairs.

TIMELINE

Extended the report submission deadline to twenty days prior to the convening of the 2026 Regular Session.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
11
Key actions
6
Committee
8
Apr 3, 2025
Upper · Passed
Report and Resolution Adopted, as amended (SD 2).
upper
Apr 2, 2025
Upper · Passed
Reported from CPN (Stand. Com. Rep. No. 1593) with recommendation of adoption, as amended (SD 2).
upper
Apr 1, 2025
Upper · Passed
The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 5 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Mar 25, 2025
Upper · Passed
The committee(s) on CPN will hold a public decision making on 04-01-25 10:07AM; Conference Room 229 & Videoconference.
upper
Mar 20, 2025
Committee
Report adopted, as amended (SD 1) and referred to CPN.
upper
Mar 20, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 1198), as amended (SD 1), with recommendation of referral to CPN.
upper
Feb 26, 2025
Upper · Passed
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
upper
Feb 21, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 02-26-25 1:00PM; Conference Room 225 & Videoconference.
upper
Feb 5, 2025
Committee
Referred to HHS, CPN.
upper
Jan 31, 2025
Introduced
Offered.
upper
6 primary · 1 co-sponsor

Sponsors