HAWAII

Overview

In recent legislative terms, Hawaii introduced several legislation that seek to promote healthcare reform, price transparency, and contain prescription drug prices in 2019. HB 1286 seeks to establish a single health-care payer system. HB 1086 tackles healthcare transparency and surprise billing issues by requiring providers to disclose to patients whether they are in-network or out-of-network with respect to the patients’ health benefits plans. The state also made efforts to contain prescription drugs costs with legislation that require manufacturers to disclose proposed increase in wholesale prices (HB 267/SB 1328) and prevent pharmacy benefit managers from prohibiting disclosure of more affordable alternatives under insured individual’s health plan (SB 1401/HB 1361).

Hawaii was relatively active in the 2018 legislative term as well. While most bills failed to pass, the legislature passed SB 2340 , which ensures that certain benefits under the Affordable Care Act are preserved under Hawaii law, including prohibiting health insurance entities from imposing a preexisting condition exclusion and prohibiting health insurance entities from using an individual’s gender to determine premiums or contributions.

In 2017, the state legislature passed HB 552, which established the Affordable Health Insurance Working Group to plan for and mitigate adverse effects of the potential repeal of the federal Affordable Care Act by Congress. Regardless of what happens on the federal level, the bill calls for the preservation of the primary provisions of the individual mandate. The Legislature also passed a bill that establishes a Hawaii Health Savings Account, which allows local employees to open a tax-exempt account funded by employer contributions. The bill was referred to the Governor and has not yet been signed.

Hawaii also continues to use the Hawaii Health Information Exchange, the state’s private sector non-profit designee for the receipt of federal funds to create a statewide health information exchange that will ultimately feed into the nationwide eHealth Exchange technology network.

State Action




2020 Legislative Session: 1/15/2020 - 5/1/2020 (2019-2020 term). *Current session bill updates are ongoing. Check back weekly for updates.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
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Additional Resources

2019-2021 BUDGET

The State budgets on a biennium basis with the Executive biennium budget submitted to the Legislature for action on odd numbered years and the Executive supplemental budget submitted on even numbered years. The State’s fiscal year runs from July 1st to June 30th. Hawaii enacted its 2019-2021 Budget during the regular legislative session. To view Hawaii’s Department of Health 2019-2021 Budget, click here.

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