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HI HCR182
Concurrent Resolution
Status
3/8/2024
Primary Sponsor
Della au Belatti
Click for details
AI Summary
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Requests the Legislative Reference Bureau to conduct a comprehensive study of state and federal statutes and regulations governing prior authorization requirements for health insurance plans in Hawaii
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Requires the study to summarize current prior authorization laws and compare Hawaii's regulations with at least five other states based on stakeholder input
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Directs analysis of whether regulations establish: 24-hour response times for urgent care and 48-hour times for non-urgent care, one-year medication authorization validity, chronic condition treatment authorizations, and licensed in-state specialist review of adverse determinations
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Evaluates procedures for private insurers to publicly release prior authorization data on approvals, denials, appeals, and wait times, and examines retroactive denial avoidance, plan transition periods of at least 90 days, and programs to reduce prior authorization volume
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Requires the Legislative Reference Bureau to submit findings, recommendations, and any proposed legislation to the Legislature no later than 20 days before the 2025 regular session convenes
Legislative Description
Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.
Legislative Reference Bureau
Last Action
Report adopted. referred to the committee(s) on FIN as amended in HD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Gates, Ichiyama, Kila, Lowen, Tam excused (5).
3/28/2024