HB914 Summary

• Establishes new article in Hawaii Revised Statutes Chapter 431 requiring health carriers offering network plans to maintain networks with sufficient participating providers and facilities accessible to covered persons without unreasonable travel or delay.

• Requires health carriers to file access plans with the insurance commissioner describing network composition, referral procedures, continuity of care processes, and methods for assessing covered person needs and satisfaction.

• Mandates all provider contracts include hold-harmless provisions protecting covered persons from balance billing, and requires 60 days' written notice before provider removal from network with continuity of care procedures for patients in active treatment.

• Establishes provider directory requirements including electronic posting updated monthly with searchable information on practitioners, hospitals, and facilities (name, specialty, location, board certification, languages spoken, and patient acceptance status).

• Allows covered persons to access non-participating providers at in-network cost-sharing levels when network lacks appropriate specialty care or geographic access, with costs counting toward out-of-pocket maximums.