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AI Summary
HB2537 establishes patient rights regarding timely access to healthcare, requires safeguards for health information, sets timelines for prior authorization, and details provider protections.
Business Impact
If you use AI for healthcare decisions, you must ensure timely access for patients or face penalties.
What do these statuses mean? ▼
Introduced
— Filed in the legislature; not yet heard in committee
In Committee
— Assigned to and being reviewed by a legislative committee
Passed
— Approved by one or both chambers; awaiting further action
Signed / Enacted
— Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed
— Vetoed, failed to pass, or session expired without action
Unknown
— Status data not yet available or awaiting classification
Affected Industries
Topics How we classify →
What This Means
HB2537 aims to modernize Hawaii's Patients' Bill of Rights by ensuring timely access to healthcare services, requiring health information safeguards, setting timelines for authorizations, and detailing provider protections.
Key Provisions
- Patients have the right to timely access and referrals to specialist care, with prior authorization determinations within 72 hours for urgent requests and 15 days for non-urgent requests.
- Health carriers must meet requirements for the use of automated decision support tools for claims determinations and utilization review.
- Health carriers are required to establish safeguards for protected health information.
- Reporting requirements are established for network adequacy.
- Specific provider protections are established, including protection against retaliation for advocating on behalf of patients.
- The Insurance Commissioner's enforcement authority is expanded to include conducting investigations and reviewing compliance with network adequacy standards.
Latest Legislative Action
Referred to HLT, CPC, referral sheet 6
Bill Sponsors (showing 5 of 30)
| Name | Role |
|---|---|
| AMATO | Primary |
| BELATTI | Primary |
| CHUN | Primary |
| CULLEN | Primary |
| GANADEN | Primary |
Compliance Checklist
Implement timely access and referral processes for specialist care
Who: Health carriers
Deadline: Upon enactment
Penalty: To be determined by the Insurance Commissioner
Who: Health carriers
Deadline: Upon enactment
Penalty: To be determined by the Insurance Commissioner
Establish timelines for prior authorization determinations
Who: Health carriers
Deadline: Upon enactment
Penalty: To be determined by the Insurance Commissioner
Who: Health carriers
Deadline: Upon enactment
Penalty: To be determined by the Insurance Commissioner
Disclose use of automated decision support tools in policies
Who: Health carriers
Deadline: By June 30, 2027
Penalty: To be determined by the Insurance Commissioner
Who: Health carriers
Deadline: By June 30, 2027
Penalty: To be determined by the Insurance Commissioner
Related & Companion Bills
Full Legal Analysis
HB2537 introduces several key provisions aimed at enhancing patient rights and modernizing healthcare regulations in Hawaii. It requires health carriers to ensure timely access to specialist care, with prior authorization determinations to be made within 72 hours for urgent requests and 15 days for non-urgent requests. The bill establishes requirements for the use of automated decision support tools for claims determinations and utilization review. It also requires health carriers to establish safeguards for protected health information. The bill establishes specific reporting requirements for network adequacy. Additionally, it introduces specific provider protections, including protection against retaliation for advocating on behalf of patients. The bill expands the Insurance Commissioner's enforcement authority to include conducting investigations and reviewing compliance with network adequacy standards.
Official Source
Official Bill Text
View HB2537 on official legislature website →
Related Topics
Affected Industries
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