Bill Text: HI SB738 | 2018 | Regular Session | Amended
Bill Title: Relating To Health Care Practitioners.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Engrossed - Dead) 2018-03-23 - Report adopted; referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) C. Lee, Lowen, McDermott, Souki, Tokioka excused (5). [SB738 Detail]
Download: Hawaii-2018-SB738-Amended.html
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THE SENATE |
S.B. NO. |
738 |
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TWENTY-NINTH LEGISLATURE, 2017 |
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 CARE PRACTITIONERS.
BE IT
ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that an estimated one
in five hundred children in the State are born with orofacial anomalies, such
as cleft lip or cleft palate. The
legislature further finds that orthodontic services, such as reconstructive
surgery, can assist individuals with orofacial anomalies by addressing functional
deficiencies in chewing, swallowing, respiration, and speech, as well as
unstable or malpositioned oral structures, premature tooth loss, and other
health problems. In response to
individuals and families who lacked access to orthodontic treatment of
orofacial anomalies, Act 213, Session Laws of Hawaii 2015 (Act 213), was
enacted to require health insurance coverage of medically necessary orthodontic
services for the treatment of certain orofacial anomalies. Under the definition of "orthodontic
services" in Act 213, the services are required to be provided by a
licensed dentist with a certification in orthodontics by the American Board of
Orthodontics (ABO).
However, the legislature notes that of the approximately forty orthodontists in the State, only eleven are certified by the ABO. Furthermore, of the eleven orthodontists with an ABO certification, only a few have performed the medically necessary orthodontic services for treatment of orofacial anomalies described in sections 431:10A-132 and 432:1-613, Hawaii Revised Statutes, and only in limited circumstances. The legislature also notes that a certification by the ABO is voluntary and not required to practice orthodontics in the State.
The purpose of this Act is to expand the pool of orthodontists who are eligible to perform orthodontic services for treatment of orofacial anomalies, covered by health insurance, to any licensed dentist who has completed an orthodontic residency program.
SECTION 2. Section 431:10A-132, Hawaii Revised Statutes, is amended by amending subsection (h) to read as follows:
"(h) As used in this section, unless the context
clearly requires otherwise:
"Orofacial anomalies" means cleft lip or cleft palate and other birth defects of the mouth and face affecting functions such as eating, chewing, speech, and respiration.
"Orthodontic
services" mean direct or consultative services provided by a licensed
dentist [with a certification in orthodontics by the American Board of
Orthodontics.] who has completed an orthodontic residency program
accredited by the Commission on Dental Accreditation.
"Treatment of orofacial anomalies" includes the care prescribed, provided, or ordered for an individual diagnosed with an orofacial anomaly by a craniofacial team that includes a licensed dentist, orthodontist, oral surgeon, and physician, and is coordinated between specialists and providers."
SECTION 3. Section 432:1-613, Hawaii Revised Statutes, is amended by amending subsection (g) to read as follows:
"(g) As used in this section, unless the context
clearly requires otherwise:
"Orofacial anomalies"
means cleft lip or cleft palate and other birth defects of the mouth and face
affecting functions such as eating, chewing, speech, and respiration.
"Orthodontic
services" means direct or consultative services provided by a licensed dentist
[with a certification in orthodontics by the American Board of Orthodontics.] who has completed an
orthodontic residency program accredited by the Commission on
Dental Accreditation.
"Treatment of orofacial
anomalies" includes the care prescribed, provided, or ordered for an
individual diagnosed with an orofacial anomaly by a craniofacial team that
includes a licensed dentist, orthodontist, oral surgeon, and physician, and is
coordinated between specialists and providers."
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 3000.
Report Title:
Health Care Practitioners; Orthodontic Services; Orofacial Anomalies; Health Insurance; Covered Services
Description:
Expands the pool of orthodontists who are eligible to perform medically necessary orthodontic services for treatment of certain orofacial anomalies covered by health insurance. (SB738 HD1)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
