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HI HR129
Resolution
Status
Introduced
3/16/2026
Primary Sponsor
Terez Amato
Click for details
AI Summary
- Requests that Health Maintenance Organizations (HMOs) in Hawaii comply with and be held accountable under the state's Clean Claims Statute (section 431:13-108, Hawaii Revised Statutes)
- Hawaii's Clean Claims Statute requires HMOs to reimburse uncontested health care claims within 30 days of receipt, or within 15 days for electronically submitted claims
- Notes that enforcement by the Insurance Division of the Department of Commerce and Consumer Affairs occurs infrequently and is typically complaint-driven rather than proactive
- Highlights that delayed reimbursements cause financial distress for health care providers, may contribute to medical practice closures, and disproportionately affect rural and underserved communities
- Directs certified copies of the resolution be transmitted to the Governor, Directors of Health, Human Services, and Commerce and Consumer Affairs, the State Health Planning and Development Agency Administrator, and the Insurance Commissioner
Legislative Description
Requesting Health Maintenance Organizations In The State To Adhere To And Be Held Accountable For Issuing Timely Reimbursements Of Health Care Claims Pursuant To The State's Clean Claims Statute.
Clean Claims
Last Action
Offered
3/16/2026
Full Bill Text
No bill text available