HI HB2537

Establishes the "Hawaii Patients' Bill of Rights of 2025" to modernize healthcare regulations addressing emerging technologies and data protection requirements

Requires prior authorization decisions within 1 business day for urgent care and 3 business days for non-urgent care, with mandatory written explanations for denials including appeal instructions

Mandates that any adverse healthcare decision materially influenced by artificial intelligence or automated decision support tools must be independently reviewed and approved by a board-certified clinician before being issued

Requires health carriers to notify the insurance commissioner and all enrollees within 72 hours of a known or suspected data breach, and to submit attestations for any offshore contracts handling protected health information

Obligates health carriers to submit monthly prior authorization reports and quarterly network adequacy reports to the insurance commissioner, with annual legislative reporting beginning in 2028