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AI Summary
This bill establishes patient rights regarding timely access to care, mandates disclosure of automated decision tools, sets requirements for prior authorization determinations, and expands enforcement authority.
Business Impact
If you operate in healthcare, you must disclose automated decision tools by January 1, 2025, 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
SB3027 aims to modernize Hawaii's Patients' Bill of Rights by ensuring timely access to specialist care, mandating disclosure of automated decision tools, and addressing health information safeguards and network adequacy.
Key Provisions
- Establishes patient rights to timely access to specialist care.
- Mandates health carriers to disclose the use of automated decision support tools.
- Requires health carriers to establish safeguards for protected health information.
- Establishes reporting requirements for network adequacy.
- Establishes certain provider protections.
- Expands the Insurance Commissioner's enforcement authority.
- Sets requirements for prior authorization determinations.
- Establishes requirements for the use of automated decision support tools for claims determinations and utilization review.
Latest Legislative Action
Referred to HHS, CPN/WAM.
Bill Sponsors (showing 5 of 17)
| Name | Role |
|---|---|
| Baker | Primary |
| C. | Primary |
| FEVELLA | Primary |
| Gabbard | Primary |
| Galuteria | Primary |
Compliance Checklist
Implement timely prior authorization processes for urgent and non-urgent services.
Who: Health carriers
Deadline: By the effective date of the bill
Penalty: Potential penalties from the Insurance Commissioner for non-compliance.
Who: Health carriers
Deadline: By the effective date of the bill
Penalty: Potential penalties from the Insurance Commissioner for non-compliance.
Develop and disclose governance policies for automated decision support tools.
Who: Health carriers
Deadline: By June 30, 2027
Penalty: Non-compliance may lead to enforcement actions by the Insurance Commissioner.
Who: Health carriers
Deadline: By June 30, 2027
Penalty: Non-compliance may lead to enforcement actions by the Insurance Commissioner.
Related & Companion Bills
Full Legal Analysis
SB3027 introduces significant updates to the Patients' Bill of Rights in Hawaii, focusing on timely access to health care services, establishing requirements for prior authorization determinations, and mandating disclosure of automated decision-making tools. The bill requires health carriers to adhere to specific requirements for prior authorization determinations and establishes requirements for the use of automated decision support tools for claims determinations and utilization review. It mandates health carriers to establish safeguards for protected health information and includes reporting requirements for network adequacy. Additionally, it establishes certain provider protections and expands the Insurance Commissioner's enforcement authority to ensure compliance with these new provisions.
Official Source
Official Bill Text
View SB3027 on official legislature website →
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