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HOUSE OF REPRESENTATIVES |
H.B. NO. |
2157 |
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THIRTY-SECOND LEGISLATURE, 2024 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to employer health care requirements.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
"§431:10A- Coverage
for dental and vision treatment; notice.
(a) Any other law to the contrary notwithstanding,
each employer group health policy, contract, plan, or agreement issued or
renewed in this State after December 31, 2024, that provides coverage to
policyholders, shall provide, not as an employer option and not as a
deductible, coverage for dental and vision preventative care, diagnosis, and treatment. The coverage provided shall in no way
diminish or limit diagnostic benefits otherwise provided.
(b) Every insurer shall provide
notice to its policyholders regarding the coverage required by this section.
The notice shall be in writing and prominently positioned in any literature or
correspondence sent to policyholders and shall be transmitted to policyholders
within calendar year 2025 when annual information is made available to policyholders,
or in any other mailing to policyholders, but in no case later than December
31, 2025."
SECTION 2. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article 1 to be appropriately designated and to read as follows:
"§432:1-
Coverage
for dental and vision treatment; notice.
(a) Any other law to the
contrary notwithstanding, each individual and group hospital or medical service
plan, policy, contract, or agreement issued or renewed in this State after
December 31, 2024, that provides coverage, shall provide, not as an employer
option and not as a deductible, coverage
for dental and vision preventative care, diagnosis, and treatment.
(b) Every mutual benefit society shall provide notice to its members regarding the coverage required by this section. The notice shall be in writing and prominently positioned in any literature or correspondence sent to members and shall be transmitted to members within calendar year 2025 when annual information is made available to members, or in any other mailing to members, but in no case later than December 31, 2025."
SECTION 3. Section 432D:23, Hawaii Revised Statutes, is amended to read as follows:
"§432D-23
Required provisions and benefits. Notwithstanding any provision of law to the
contrary, each policy, contract, plan, or agreement issued in the State after
January 1, 1995, by health maintenance organizations pursuant to this chapter,
shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5,
431:10A-116, 431:10A‑116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119,
431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132,
431:10A-133, 431:10A-134, 431:10A-140, and [431:10A-134,] 431:10A- , and chapter 431M."
SECTION
4. The benefit to be provided by health
maintenance organizations corresponding to the benefit provided under sections
431:10A- , Hawaii Revised Statutes, as contained in the
amendment to section 432D-23, Hawaii Revised Statutes, in section 3 of this
Act, shall take effect for all policies, contracts, plans, or agreements issued
in the State after December 31, 2024.
SECTION
5. The coverage required under sections
1, 2, and 3 of this Act shall apply to all plans under medicaid managed care programs
in the State.
SECTION
6. Statutory material to be repealed is
bracketed and stricken. New statutory
material is underscored.
SECTION 7. This Act shall take effect on July 1, 2024; provided that sections 1, 2, and 3 shall apply to all policies, contracts, plans, or agreements issued or renewed in the State after December 31, 2024; provided further that section 5 shall take effect upon approval of the Hawaii medicaid state plan by the Centers for Medicare and Medicaid Services.
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INTRODUCED BY: |
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Report Title:
Health Insurance; Mandated Coverage
Description:
Requires all health insurers in the State, including medicaid managed care programs, to cover dental and vision treatment.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.