HOUSE OF REPRESENTATIVES	H.B. NO.	285
THIRTY-FIRST LEGISLATURE, 2021		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.  (a)  The auditor shall conduct an impact assessment report, pursuant to sections 23-51 and 23-52, Hawaii Revised Statutes, on the social and financial impacts of prohibiting health insurance companies from denying coverage for certain types of health care treatments on the basis of gender identity; provided that the policy, contract, plan, or agreement covers those treatments for purposes other than gender transition.

     (b)  The auditor's report shall assess the social and financial impacts of requiring the following health care services related to gender transition treatments to be considered medically necessary and not cosmetic:

     (1)  Hormone therapies;

     (2)  Hysterectomies;

     (3)  Mastectomies;

     (4)  Vocal training;

     (5)  Feminizing vaginoplasties;

     (6)  Masculinizing phalloplasties;

     (7)  Metaoidioplasties;

     (8)  Breast Augmentations;

     (9)  Masculinizing chest surgeries;

    (10)  Facial feminization surgeries;

    (11)  Reduction thyroid chondroplasties;

    (12)  Voice surgeries;

    (13)  Laser hair removal; and

    (14)  Smoking cessation therapies.

     (c)  When assessing the medical necessity of any treatment on the basis of actual gender identity or perceived gender identity, the auditor shall consider medical necessity in accordance with the most recent edition of the Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, issued by the World Professional Association for Transgender Health.

     (d)  The auditor shall submit the 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 2022.

     SECTION 2.  This Act shall take effect on July 1, 2060.

 

Report Title:

Insurance; Auditor; Impact Assessment Report; Gender Identity; Nondiscrimination

 

Description:

Requires the auditor to conduct an impact assessment report on the social and financial impacts of prohibiting health insurance companies from denying coverage for certain types of health care on the basis of gender identity if the policy, contract, plan, or agreement covers those treatments for purposes other than gender transition.  Effective 7/1/2060.  (HD1)

 

 

 

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