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HI HB1787
Bill
Status
Introduced
1/22/2026
Primary Sponsor
Trish La Chica
Click for details
AI Summary
- Prohibits health insurers and utilization review organizations from using artificial intelligence, algorithms, or software tools to deny, delay, or modify health care coverage decisions
- Requires any AI or algorithm used in utilization review to base determinations on the individual enrollee's medical history and clinical circumstances, not solely on group datasets
- Mandates that a licensed health care provider (physician, osteopathic physician, advanced practice nurse, or psychologist) conduct an independent review of all adverse actions before a health carrier can deny a claim or prior authorization
- Requires health carriers to disclose in writing how AI, algorithms, or software tools are used in utilization review within each policy or plan issued in Hawaii
- AI and algorithm systems must be reviewed and revised at least quarterly for accuracy, applied consistently across all enrollees, and open to inspection by the insurance commissioner
Legislative Description
Relating To Health Care.
Health Insurance
Last Action
Referred to HLT, ECD, CPC, referral sheet 1
1/26/2026
Committee Referrals
Health1/26/2026
Full Bill Text
No bill text available