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HI HB1464
Bill
Status
3/1/2019
Primary Sponsor
Romy Cachola
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AI Summary
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Requires the Insurance Commissioner to conduct a study analyzing capitated rate reimbursement models used by Hawaii's insurance providers and comparing them to reimbursement models in other states.
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Study must examine healthcare quality and accessibility for patients, primary care physician service availability, operating costs for healthcare providers, and whether reimbursement levels are sufficient for provider business viability.
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Directs the Insurance Commissioner to submit findings, recommendations, and any proposed legislation to the legislature no later than 20 days before the 2020 regular legislative session.
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Appropriates funds from general revenues for fiscal year 2019-2020 to be expended by the Department of Commerce and Consumer Affairs for the study.
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Addresses Hawaii's physician shortage (estimated at 700 physicians currently, potentially 1,500 within a decade) by examining inadequate capitated reimbursement rates that have remained at $24 per-member-per-month despite rising costs.
Legislative Description
Relating To Health.
Health Insurance
Last Action
Referred to CPH, WAM.
3/5/2019