HI SCR123

Requests the State Auditor to conduct an impact assessment report on mandatory health insurance coverage for early access breast cancer screening as proposed by Senate Bill No. 827, S.D. 2 from the 2021 Regular Session.

Directs the assessment to evaluate the proposed coverage expansions including baseline mammograms for women ages 35-39, annual mammograms for women ages 30-50 with above-average breast cancer risk, and supplemental imaging as medically necessary.

Requires the Auditor's assessment to include the impact of federal Patient Protection and Affordable Care Act section 1311(d)(3) on proposed benefits and the additional costs beyond essential health benefits under Hawaii's qualified health plans.

Directs the Auditor to determine the number of qualified health plans available in Hawaii, enrollment numbers in these plans, and the actuarial cost to the State for early breast cancer screening coverage.

Requires the Auditor to submit findings, recommendations, and any proposed legislation to the Legislature no later than twenty days before the 2023 Regular Session convening, with copies transmitted to the Insurance Commissioner for distribution to all health insurers in the State.