HI SB1174

Replaces employer-directed medical examinations with a mutual agreement process where the employer and injured employee jointly select a qualified physician to conduct independent medical examinations or permanent impairment rating examinations.

Requires the employer to provide written notice to the injured employee at least five working days before the examination and to promptly provide the employee with a copy of the examination report.

Allows physicians licensed in Hawaii or, with director approval, licensed specialists from outside Hawaii if unavailable in-state; permits out-of-state physicians for employees not residing in Hawaii if that state's licensing requirements are equivalent.

Limits examinations to one independent medical examination and one permanent impairment rating examination per case unless valid medical reasons exist, and prohibits combining both examinations into one unless the employee consents in writing.

Provides that if parties cannot mutually agree on a physician, the selection may be submitted to the insurance commissioner, arbitration, or circuit court; maintains the cost limitation to complex consultation charges and suspends compensation if an employee unreasonably refuses or interferes with the examination.