HI SB2395

Requires Hawaii's Medicaid managed care and fee-for-service programs to cover telehealth services at equivalent reimbursement rates to in-person care, with no geographic or originating site restrictions.

Mandates all health insurance plans (accident and health, mutual benefit societies, HMOs, and public employee health benefits) provide written disclosure of telehealth coverage details including copayments, deductibles, and coinsurance requirements.

Requires professional liability insurance policies to provide malpractement coverage for telehealth services equivalent to face-to-face care without requiring in-person contact as a prerequisite.

Defines telehealth to include four modalities: store and forward technologies, remote monitoring, live consultation, and mobile health; explicitly excludes standard phone calls, faxes, or email as telehealth services.

Establishes that physicians may establish physician-patient relationships via telehealth when patients are referred by another healthcare provider, and allows telehealth emergency department consultations without pre-existing relationships; requires in-person consultation only for opioid and medical marijuana prescriptions.