H.C.R. NO. 142 Summary

• Requests the State Auditor to study the feasibility of converting Hawaii's employer-union health benefits trust fund from a fully insured model to a self-insured or partially self-insured model.

• Requires the Auditor to collect data on historical census, health benefit premiums, contributions, plan documents, and claims information for the analysis.

• Directs the Auditor to examine potential impacts including risks of uncontrolled utilization and catastrophic claims, administrative cost savings, fiduciary obligations, and changes to provider reimbursement levels.

• Authorizes the Auditor to contract with other entities to perform related services within budget constraints and to propose a funding model involving a rate stabilization reserve fund and transient accommodations tax revenues.

• Requires the Auditor to submit findings, recommendations, and any proposed legislation to the Legislature no later than twenty days before the 2022 Regular Session.