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HI SB2167: Relating To The Hawaii Patients' Bill Of Rights And Responsibilities Act.

Dead/Failed Hawaii · 2026 session

Last verified Oct 10, 2026 · official bill text

SB2167 · where it stands

This bill did not become law (dead/failed) · last action Jan 26, 2026.

What do these statuses mean?
Introduced
Filed in the legislature; may be waiting for a committee hearing.
Passed a chamber
Approved by one or both chambers; awaiting further action.
Enacted
Signed into law, or became law without a signature or over a veto.
Effective date
The date the law says it takes effect. Once it has passed, the page shows "Effective" and the date. A court order can still block a law; if we know of one, the summary says so.
Dead / vetoed
Vetoed, failed, or the session ended without action.

In one paragraph

Hawaii's SB 2167 (2026) would have amended HRS chapter 432E, the Patients' Bill of Rights, to set prior authorization deadlines (one business day urgent, three non-urgent) and require that a denial initiated by an automated decision system be reviewed and co-signed by a board-certified specialist, with written notice to enrollees and providers whenever such a system is used. It was referred to HHS and CPN January 26, 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 to add specialist review and notice for AI-driven denials.

Key provisions

  1. Urgent prior authorization decisions within one business day and non-urgent within three business days
  2. A claim denial initiated by an automated decision system would have to be reviewed and co-signed by a board-certified specialist in the relevant field before finalization; enrollees and providers would get written notice whenever such a system is used at any stage
  3. Carriers would submit monthly data including the percentage of automated-system denials overturned on appeal; the commissioner's annual report would cover automated decision system usage rates
  4. Data protection: HIPAA-level safeguards, offshoring attestations and 72-hour breach notice (data protection section effective January 1, 2027)
  5. Other changes: telehealth parity, 72-hour expedited appeals, anti-retaliation protection for providers and an advisory group in the Department of Health
  6. Would have taken effect upon approval; died after referral to HHS and CPN

Latest legislative action

Jan 26, 2026. Referred to HHS, CPN.

Sponsors (showing 5 of 16)

NameRole
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Topics and industries

Related topics

AI HealthcareAI in InsuranceAutomated Decision-Making

Affected industries

HealthcareFinance

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

Related AI laws in Hawaii

All Hawaii bills →
SB2953 Relating To Insurance. SB3027 Relating To The Patients' Bill Of Rights. HB1787 Relating To Health Care. HB2537 Relating To The Patients' Bill Of Rights. SB2768 Relating To Health Care. SB2281 Relating To The Use Of Artificial Intelligence In Health Care.

Same topic in other states

Nebraska LB77 Adopt the Ensuring Transparency in Prior Authorization Act and provide for insur Maryland HB820 Health Insurance - Utilization Review - Use of Artificial Intelligence Illinois SB3114 TRANSPARENCY IN DOWNCODING ACT Washington SB5395 Making improvements to transparency and accountability in the prior authorizatio Minnesota HF4188 Commerce policy bill (Laws 2026, chapter 124), including article 3, section 6 ba Alabama SB 63 Health care plans; to regulate the use of artificial intelligence in determinati