In one paragraph
Hawaii's HB 2537 (2026), the Patients' Bill of Rights, would have amended HRS chapter 432E for managed care plans. It would set prior authorization deadlines (one business day urgent, three non-urgent), require notice and independent board-certified clinician review before an adverse action to which an automated decision support tool materially contributed, and require governance and bias-testing records by June 30, 2027. It was referred to HLT and CPC February 2, 2026 and died.
Plain-English summary, written with AI assistance. The official text controls.
What it means for business
None: the bill did not pass. It would have required health plans using AI tools in claim decisions to disclose, review and test them.
Key provisions
- Prior authorization decisions within one business day for urgent and three business days for non-urgent services; carriers would report monthly to the commissioner, including the number of determinations made using an automated decision support tool
- Carriers using an automated decision support tool in utilization review would have to disclose its use in each plan and give written notice if it materially contributed to an adverse action
- No adverse action could issue until a board-certified clinician independently reviewed the claim using independent medical judgment
- By June 30, 2027, carriers would have to make their governance policies, validation and bias-testing processes and monitoring records available for annual commissioner review
- Other provisions: telehealth parity, HIPAA-level data safeguards and offshoring attestations by June 30, 2027, 72-hour breach notice, network adequacy reports, no retroactive denial of emergency care
- Would have taken effect July 1, 2026; died after referral to HLT and CPC
Latest legislative action
Feb 2, 2026. Referred to HLT, CPC, referral sheet 6
Sponsors (showing 5 of 30)
| Name | Role |
|---|---|
| AMATO | Primary |
| BELATTI | Primary |
| CHUN | Primary |
| CULLEN | Primary |
| GANADEN | Primary |
Topics and industries
Related topics
Affected industries
This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error