In the 2019 legislative term, Hawaii introduced several legislation that seek to promote healthcare reform, price transparency, and contain prescription drug prices. 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.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.

LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates. 

LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.

Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.


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© 2018-2019 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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Download User Guide

© 2018-2019 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.
Filter by Key Issue

Additional Resources


Hawaii’s latest legislative session ran from 1/16/2019 – 5/2/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.

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.