HI HB2558

Allows out-of-state physicians licensed in good standing to establish physician-patient relationships and provide initial telehealth consultations to Hawaii patients under specific conditions

Requires referral from a Hawaii-licensed physician and applies only when the needed service is unavailable in Hawaii due to physician shortage or lack of reasonable access

Mandates out-of-state physicians report any disciplinary actions to the Hawaii Medical Board at least three days before initial patient consultation and subjects them to Hawaii Medical Board jurisdiction

Requires a Hawaii-licensed physician to approve prescriptions and procedure orders from out-of-state physicians who do not hold an Interstate Medical Licensure Compact license

Addresses Hawaii's shortage of 543 equivalent physicians and aims to help patients access specialty care, particularly cancer treatment and hematology services currently requiring costly travel to the mainland