Healthcare (Insurance)

in committee · Hawaii · Senate Dec 8, 2025

SB 832: RELATING TO INSURER PRIOR AUTHORIZATION.

SB 832 would require health insurance companies to align their prior authorization processes with Medicare's established standards. This affects both insurers (who must adjust their internal procedures) and patients (who need pre-approval for medical treatments). The key provision mandates insurers to follow Medicare's existing rules for approving services, rather than using their own separate requirements. The policy change aims to reduce delays in patients receiving necessary care by standardizing approval processes.

Topics ✓ HealthcareSupports HealthcareMandates insurers to follow Medicare's prior auth standards, reducing patient care delays and improving access to services.90% confidence

Sub-Topics Insurance Medicare

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in committee · Hawaii · Senate Dec 8, 2025

SB 1172: RELATING TO EMPLOYER HEALTH CARE REQUIREMENTS.

SB 1172 requires all health insurers in the state, including Medicaid managed care programs, to include dental and vision treatment as part of standard coverage. This directly affects health insurers by expanding their mandated benefits to cover these services, which were previously not required. The bill would ensure that people enrolled in these health plans receive dental and vision care without needing separate coverage or additional out-of-pocket costs.

Topics ✓ HealthcareSupports HealthcareExpands mandated health coverage to include dental/vision care, eliminating separate plans and out-of-pocket costs for enrollees, directly advancing access to comprehensive health services.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands mandated health benefits to include dental/vision coverage, directly enhancing employee health benefits under employment standards without additional costs.85% confidence

Sub-Topics Insurance Medicaid

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in committee · Hawaii · Senate Dec 8, 2025

SB 1138: RELATING TO INSURER PRIOR AUTHORIZATION.

SB 1138 requires health insurance companies to adjust their approval process for medical treatments to match Medicare's established standards. This directly affects health plan insurers by mandating they adopt Medicare's prior authorization rules, such as standardized review timelines and criteria. The key mechanism is aligning insurer procedures with Medicare’s existing framework, reducing inconsistencies in treatment approvals. This policy change aims to simplify access to care for patients covered by these insurers, though it does not alter Medicare itself.

Topics ✓ HealthcareSupports HealthcareMandates insurers to adopt Medicare's prior authorization standards, reducing approval inconsistencies and improving patient access to care.95% confidence

Sub-Topics Insurance Medicare

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passed both · Hawaii · House May 1, 2026

HB 1970: RELATING TO THE UNIVERSITY OF HAWAII CANCER CENTER.

HB 1970 provides funding for the University of Hawaii Cancer Center's Hawaii Tumor Registry, which tracks cancer cases across the state. The bill directly supports the Cancer Center by enabling its data collection and analysis efforts. Key provisions include appropriating state funds to maintain and expand the registry's operations for cancer surveillance. This policy change focuses on strengthening statewide cancer data systems without altering patient care protocols or insurance coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates state funds for Hawaii Tumor Registry operations, directly funding a public health program per bill's summary and subjects.95% confidence ✓ HealthcareSupports HealthcareFunds Hawaii Tumor Registry for cancer surveillance, directly supporting public health data collection and cancer surveillance programs without altering care protocols.95% confidence

Sub-Topics Insurance

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in committee · Hawaii · Senate Jan 30, 2026

SB 3057: RELATING TO HEALTH.

Clarifies that the Department of Health is to presume both the recommendations by the American Academy of Pediatrics and the recommendations by the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services constitute the prevailing medical standard for child health supervision services for purposes of health insurance coverage.

Topics ✓ HealthcareSupports HealthcareEnsures health insurance coverage aligns with AAP and ACIP medical standards, preventing denials for recommended child health services.95% confidence

Sub-Topics Children's Health Insurance

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in committee · Hawaii · House Jan 26, 2026

HB 1536: RELATING TO HEALTH INSURANCE.

Requires insurers, mutual benefit societies, and health maintenance organizations to provide coverage for the cost of prosthetic devices, including activity-specific prostheses, and orthotic devices for policies, contracts, plans, and agreements issued or renewed on or after 1/1/2027. Establishes an unspecified minimum yearly benefit for prosthetic devices and orthotic devices.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover prosthetic/orthotic devices, expanding patient access to essential medical equipment under health insurance.95% confidence

Sub-Topics Insurance

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passed · Hawaii · Senate Dec 8, 2025

SB 838: RELATING TO HEALTH INSURANCE.

Beginning 1/1/2026, requires all health insurers in the State, excluding Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Effective 7/1/2050. (SD2)

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover CGMs for diabetes, expanding patient access to essential medical devices and strengthening coverage requirements.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Hawaii · House Dec 8, 2025

HB 641: RELATING TO HEALTH.

Beginning 1/1/2026, requires health insurers and mutual benefit societies to provide coverage for traditional native Hawaiian healing and cultural practices offered through a Federally Qualified Health Center or a Native Hawaiian Health Care System.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover traditional Native Hawaiian healing practices, expanding health insurance coverage and improving access to culturally specific care through designated health systems.95% confidence

Sub-Topics Insurance Primary Care

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passed · Hawaii · Senate Dec 8, 2025

SB 642: RELATING TO INSURANCE.

Requires all health insurance policies, contracts, plans, and agreements issued or renewed after 12/31/2025, to provide optional coverage for standard fertility preservation services for persons undergoing medically necessary cancer-related treatments that may cause iatrogenic infertility. Effective 12/31/2050. (SD2)

Topics ✓ HealthcareSupports HealthcareMandates optional fertility preservation coverage for cancer patients in insurance plans, expanding access to medically necessary reproductive health services under healthcare coverage.95% confidence

Sub-Topics Insurance

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in committee · Hawaii · House Feb 2, 2026

HB 2507: RELATING TO HEALTH INSURANCE.

Requires all health insurers in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Applies to insurance policies, contracts, plans, or agreements issued or renewed in the State after 12/31/2026.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage of diabetes monitoring equipment, expanding access to essential medical devices under Medicaid and private plans, directly advancing patient care access.92% confidence

Sub-Topics Insurance Medicaid Prescription Drugs

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