S.C.R. No. 199 Summary

• Requests the State Auditor to conduct an impact assessment report on mandating health insurance coverage for ambulance services and community paramedicine services rendered by emergency medical technicians or paramedics statewide.

• Requires the assessment to comply with Hawaii Revised Statutes sections 23-51 and 23-52, evaluating both social and financial effects of the proposed insurance mandate.

• Directs the Auditor to assess the impact of federal Patient Protection and Affordable Care Act section 1311(d)(3) on the proposed coverage, including costs beyond essential health benefits.

• Requires the Auditor to determine the number of qualified health plans available in Hawaii, their enrollment numbers, and the actuarial cost of state defrayment for these services.

• Mandates the Auditor submit findings and recommendations to the Legislature no later than twenty days before the convening of the Regular Session of 2024.