Healthcare (Insurance)

signed · Hawaii · Senate Jul 7, 2026

SB 3045: RELATING TO HEALTH INSURANCE.

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)

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover CGMs for diabetics, expanding access to essential medical equipment under health insurance policies and Medicaid.95% confidence

Sub-Topics Insurance Medicaid Prescription Drugs

in committee · Hawaii · Senate Feb 6, 2026

SB 2282: RELATING TO INSURER PRIOR AUTHORIZATION.

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.

Topics ✓ HealthcareSupports HealthcareReduces prior authorization barriers for specific conditions and aligns insurer processes with Medicare, improving patient access to covered treatments without unnecessary delays.95% confidence

Sub-Topics Insurance Medicare

Track

in committee · Hawaii · House Feb 2, 2026

HB 2366: RELATING TO HEALTH.

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.

Topics ✓ HealthcareSupports HealthcareRemoves financial barriers for medically necessary breast exams, improving patient access to essential healthcare services without restricting coverage.95% confidence

Sub-Topics Insurance

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in committee · Hawaii · Senate Feb 17, 2026

SB 2746: RELATING TO TAXATION.

SB 2746 creates an income tax credit for individuals covering medical travel costs not paid by insurance, such as trips to specialists or treatments outside their local area. This directly affects people with significant out-of-pocket medical travel expenses who lack insurance coverage for those costs. The credit is set to expire on January 1, 2031, as it includes a sunset provision. The bill was introduced on January 23, 2026, and has advanced to committee referral.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates income tax credit for medical travel costs, providing tax relief to lower/middle-income individuals with out-of-pocket medical expenses.90% confidence ✓ HealthcareSupports HealthcareBill creates tax credit for uncovered medical travel costs, directly improving patient access to specialists/treatments outside local area and expanding coverage for out-of-pocket expenses.95% confidence

Sub-Topics Business Taxes Income Tax Tax Credits Insurance

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in committee · Hawaii · House Dec 8, 2025

HB 553: RELATING TO INSURANCE.

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)

Topics ✓ HealthcareSupports HealthcareMandates insurers and Medicaid plans to cover biomarker testing, expanding diagnostic access and strengthening coverage requirements under health insurance regulations.95% confidence

Sub-Topics Insurance Medicaid

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passed both · Hawaii · House Mar 25, 2026

HB 1965: RELATING TO PRIMARY CARE.

Establishes the Primary Care Providers Working Group within the State Health Planning and Development Agency to address issues relating to, and develop recommendations for the stabilization of, primary care services in Hawaii. Requires the Working Group to make a report to the Legislature. Sunsets the Working Group on 6/30/2027. Effective 1/1/2050. (SD1)

Topics ✓ HealthcareSupports HealthcareMandates 6-12% of medical spending for primary care, direct payments to providers, and rural access - expands coverage and improves access to primary care services.90% confidence

Sub-Topics Insurance Primary Care

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in committee · Hawaii · Senate Jan 28, 2026

SB 2608: RELATING TO INSURANCE.

Beginning 1/1/2027, requires all health insurers in the state, including Medicaid managed care programs, to cover annual mental health wellness examinations.

Topics ✓ HealthcareSupports HealthcareMandates insurers and Medicaid to cover annual mental health wellness exams, expanding access to mental health services and aligning with support indicators.95% confidence

Sub-Topics Insurance Medicaid Mental Health

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in committee · Hawaii · Senate Dec 8, 2025

SB 1282: RELATING TO HEALTH.

Establishes a schedule of late fees to be added to the original unpaid claim amount if a health insurer, mutual benefit society, or health maintenance organization fails to pay a provider within the required time.

Topics ✓ HealthcareSupports HealthcareEstablishes late fees for insurers delaying provider payments, ensuring timely reimbursement and supporting provider financial stability in healthcare delivery.85% confidence

Sub-Topics Insurance

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in committee · Hawaii · House Jan 26, 2026

HB 1702: RELATING TO INSURANCE.

Beginning 1/1/2027, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for brief cognitive assessments for individuals fifty years of age and older.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover cognitive assessments for 50+ starting 2027, expanding access to preventive healthcare services.90% confidence

Sub-Topics Insurance Medicaid

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in committee · Hawaii · Senate Jan 28, 2026

SB 2428: RELATING TO INSURANCE.

Beginning 1/1/2027, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for brief cognitive assessments for individuals fifty years of age and older.

Topics ✓ HealthcareSupports HealthcareMandates health insurers and Medicaid to cover cognitive assessments for 50+ individuals, expanding preventive care access and aligning with coverage expansion indicators.95% confidence

Sub-Topics Insurance Medicaid

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