Bill Text: HI SB2439 | 2020 | Regular Session | Amended
Bill Title: Relating To Health Insurance.
Spectrum: Partisan Bill (Democrat 7-0)
Status: (Engrossed - Dead) 2020-03-16 - This measure has been deleted from the meeting scheduled on Monday 03-16-20 2:00PM in conference room 329. [SB2439 Detail]
Download: Hawaii-2020-SB2439-Amended.html
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THE SENATE |
S.B. NO. |
2439 |
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THIRTIETH LEGISLATURE, 2020 |
S.D. 1 |
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STATE OF HAWAII |
H.D. 1 |
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A BILL FOR AN ACT
RELATING TO HEALTH 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 part I of article 10A to be appropriately designated and to read as follows:
"§431:10A-A Coverage for auto-injectable epinephrine;
minors. (a)
Each individual policy of accident and health or sickness insurance issued
or renewed in this State after December 31, 2020, shall provide coverage for
the cost of medically necessary auto-injectable epinephrine, based on
appropriate weight-based dosage, for individuals covered under the policy who
are eighteen years of age or younger.
(b)
Coverage required under this section may be subject to deductible,
copayment, coinsurance, or annual or maximum benefit provisions of the policy
that are consistent with deductible, copayment, coinsurance, or annual or
maximum benefit provisions applicable to other similar coverage under the
policy.
(c)
Every insurer shall provide 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 2020 when annual information is made available to policyholders, or in any
other mailing to policyholders, but in no case later than December 31, 2020.
(d)
This section shall not apply to limited benefit health insurance as
provided in section 431:10A-607."
SECTION 2. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part II of article 10A to be appropriately designated and to read as follows:
"§431:10A-B Coverage for auto-injectable epinephrine;
minors. (a)
Each group policy of accident and health or sickness insurance issued or
renewed in this State after December 31, 2020, shall provide coverage for the
cost of medically necessary auto-injectable epinephrine, based on appropriate
weight-based dosage, for individuals covered under the policy who are eighteen
years of age or younger.
(b)
Coverage required under this section may be subject to deductible,
copayment, coinsurance, or annual or maximum benefit provisions of the policy
that are consistent with deductible, copayment, coinsurance, or annual or
maximum benefit provisions applicable to other similar coverage under the
policy.
(c)
Every insurer shall provide 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 2020 when annual information is made available to
policyholders, or in any other mailing to policyholders, but in no case later
than December 31, 2020.
(d)
This section shall not apply to limited benefit health insurance as
provided in section 431:10A-607."
SECTION 3. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article I to be appropriately designated and to read as follows:
"§432:1- Coverage for auto-injectable epinephrine;
minors. (a)
Each individual or group hospital or medical service plan contract
issued or renewed in this State after December 31, 2020, shall provide coverage
for the cost of medically necessary auto-injectable epinephrine, based on
appropriate weight-based dosage, for individuals covered under the plan
contract who are eighteen years of age or younger.
(b)
Coverage required under this section may be subject to deductible,
copayment, coinsurance, or annual or maximum benefit provisions of the plan
contract that are consistent with deductible, copayment, coinsurance, or annual
or maximum benefit provisions applicable to other similar coverage under the
plan contract.
(c)
Every mutual benefit society shall provide 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 2020 when annual
information is made available to members, or in any other mailing to members,
but in no case later than December 31, 2020."
SECTION 4. 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, 431:10A-134, 431:10A-140, [and 431:10A-134,] 431:10A-A,
and 431:10A-B, and chapter 431M."
SECTION 5. The benefit to be provided by health maintenance organizations corresponding to the benefit provided under sections 431:10A-A and 431:10A-B, Hawaii Revised Statutes, as contained in the amendment to section 432D-23, Hawaii Revised Statutes, in section 4 of this Act, shall take effect for all policies, contracts, plans, or agreements issued in the State after December 31, 2020.
SECTION 6. (a) The auditor shall conduct an impact assessment report pursuant to sections 23-51 and 23-52, Hawaii Revised Statutes, to assess the social and financial impacts of the mandate specified in sections 1, 2, 3, 4, and 5 of this Act.
(b) The auditor shall submit a report of its findings and recommendations, including any proposed legislation, to the legislature no later than twenty days prior to the convening of the regular session of 2021.
SECTION 7. In codifying the new sections added by sections 1 and 2 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
SECTION 8. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 9. This Act shall take effect on July 1, 2050.
Report Title:
Health Insurance; Mandated Coverage; Auto-injectable Epinephrine; Minors
Description:
Requires health insurers, mutual benefit societies, and health maintenance organizations to provide coverage for the cost of auto-injectable epinephrine based on appropriate weight-based dosage for insured persons eighteen years of age or younger, beginning 1/1/2021. Requires an impact assessment report. Effective 7/1/2050. (HD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
