Hawaii House Bill 954

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 23 2025 - 25% progression
Action: 2025-01-23 - Referred to HLT, CPC, FIN, referral sheet 3
Pending: House Health Committee
Text: Latest bill text (Introduced) [HTML]

Establishes a comprehensive regulatory framework for prior authorization process in the State, including disclosure and notice requirements for utilization review entities regarding their prior authorization requirements and restrictions; qualifications and criteria for prior authorization review and appeals personnel; prior authorization process for non-urgent and urgent health care services, including the time frame by which utilization review entities must render a decision; adverse determination and appeal processes; prohibition of prior authorization for emergency health care services and medication for opioid use disorder; payments to health care providers; length and duration of prior authorizations; and exemptions for certain health care providers. Requires health insurers to utilize NCPDP SCRIPT Standard electronic prior authorization transactions by 1/1/2026. Requires utilization review entities to submit annual reports to the Insurance Commissioner each year. Requires the Insurance Commissioner to submit annual reports to the Legislature. Requires the Insurance Commissioner to adopt rules by 1/1/2026.

Relating To Prior Authorization.

Rep. Gregg Takayama [D]

Date	Chamber	Action
2025-01-23	House	Referred to HLT, CPC, FIN, referral sheet 3
2025-01-23	House	Introduced and Pass First Reading.
2025-01-21	House	Pending introduction.

SB1519 (Same As) 2025-01-27 - Referred to CPN/HHS, WAM/JDC.

Type	Source
Summary	https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=954&year=2025
Text	https://www.capitol.hawaii.gov/sessions/session2025/bills/HB954_.HTM