Hawaii-2016-HB2220-Amended

HOUSE OF REPRESENTATIVES	H.B. NO.	2220
TWENTY-EIGHTH LEGISLATURE, 2016		H.D. 1
STATE OF HAWAII

A BILL FOR AN ACT

RELATING TO INSURANCE.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

SECTION 1. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A to be appropriately designated and to read as follows:

"§431:10A- Lifestyle and nutrition programs; coverage. (a) Each individual and group accident and health or sickness insurance policy, contract, plan, or agreement issued or renewed in this State after December 31, 2016, shall provide to the policyholder and individuals under twenty-six years of age covered under the policy, contract, plan, or agreement, coverage for lifestyle and nutrition programs intended to treat diabetes and pre-diabetes.

(b) Every insurer shall provide written notice to its policyholders regarding the coverage required by this section. The notice shall be in writing and prominently positioned in any literature or correspondence sent to policyholders and shall be transmitted to policyholders within calendar year 2017 when annual information is made available to policyholders or in any other mailing to policyholders, but in no case later than December 31, 2017.

(c) Coverage under this section may be subject to copayment, deductible, and coinsurance provisions of an accident and health or sickness insurance policy, contract, plan, or agreement that are no less favorable than the copayment, deductible, and coinsurance provisions for other medical services covered by the policy, contract, plan, or agreement.

(d) This section shall not be construed as limiting benefits that are otherwise available to an individual under an accident and health or sickness insurance policy, contract, plan, or agreement.

(e) This section shall not apply to limited benefit health insurance as provided pursuant to section 431:10A-102.5."

SECTION 2. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1 to be appropriately designated and to read as follows:

"§432:1- Lifestyle and nutrition programs; coverage. (a) Each individual and group hospital or medical service plan contract issued or renewed in this State after December 31, 2016, shall provide to the member and individuals under twenty-six years of age covered under the plan contract coverage for lifestyle and nutrition programs intended to treat diabetes and pre-diabetes.

(b) Every mutual benefit society shall provide written notice to its members regarding the coverage required by this section. The notice shall be in writing and prominently positioned in any literature or correspondence sent to members and shall be transmitted to members within calendar year 2017 when annual information is made available to members or in any other mailing to members, but in no case later than December 31, 2017.

(c) Coverage under this section may be subject to copayment, deductible, and coinsurance provisions of a plan contract to the extent that other medical services covered by the plan contract are subject to these provisions.

(d) This section shall not be construed as limiting benefits that are otherwise available to an individual under a plan contract.

(e) This section shall not apply to limited benefit health insurance as provided pursuant to section 431:10A-102.5." SECTION 3. Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:

"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132, 431:10A-133, [~~and~~] 431:10A-140, and 431:10A- , and chapter 431M."

SECTION 4. The coverage and benefits to be provided by a health maintenance organization under section 3 of this Act shall begin for all policies, contracts, plans, or agreements issued or renewed in this State by a health maintenance organization after December 31, 2016.

SECTION 5. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.

SECTION 6. This Act shall take effect on July 1, 2070.