HI SB619

Establishes a single statewide universal prescription coverage request form to be used by all health care insurance providers in Hawaii, superseding all existing prior authorization forms and processes.

Directs the insurance commissioner to develop the standardized form in consultation with health care insurance providers, prescribers, and pharmacy associations, utilizing national standards including Medicare guidelines when applicable.

Prohibits health care insurance providers, prescribers, and dispensers from modifying or adding to the universal prescription coverage request form or related administrative rules.

Requires health care insurance providers to review and process all prior authorization requests within 72 hours of receipt, or within 24 hours for urgent situations.

Mandates that health care insurance providers authorize a minimum 72-hour emergency supply of prescription drugs for behavioral health or life-threatening conditions requiring prior authorization.