REPORT TITLE:
Health Insurance


DESCRIPTION:
Requires health insurance coverages to equitably reimburse for
emergency aeromedical services.  Requires the Legislative Auditor
to conduct a study assessing the social and financial effects of
mandating health coverage for emergency services rendered by
helicopter aeromedical services. (HB894 HD1)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                                        894
HOUSE OF REPRESENTATIVES                H.B. NO.           H.D. 1
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            
                                                             
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                   A  BILL  FOR  AN  ACT

RELATING TO HEALTH INSURANCE REIMBURSEMENTS. 


BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 1      SECTION 1.  Chapter 431:10A, Hawaii Revised Statutes, is
 
 2 amended by adding a new section to part I to be appropriately
 
 3 designated and to read as follows:
 
 4      "431:10A-    Coverage and reimbursement for emergency
 
 5 aeromedical services.  Each policy of accident and sickness
 
 6 insurance insurance issued or renewed in this State, each
 
 7 employer group health policy, contract, plan, or agreement issued
 
 8 or renewed in this State, all health insurance policies issued or
 
 9 renewed in this State, all policies providing family coverages as
 
10 defined in section 431:10A-103, and all policies providing
 
11 reciprocal beneficiary family coverage as defined in section
 
12 431:10A-601, shall contain a provision for coverage and equitable
 
13 reimbursement for emergency services rendered by helicopter
 
14 aeromedical services."
 
15      SECTION 2.  Chapter 432D, Hawaii Revised Statutes, is
 
16 amended by adding a new section to part VI to be appropriately
 
17 designated and to read as follows:
 
18      "432D-    Coverage and reimbursement for emergency
 
19 aeromedical services.  All individual and group hospital and
 

 
Page 2                                                     894
                                     H.B. NO.           H.D. 1
                                                        
                                                        

 
 1 medical service plan contracts and medical service corporation
 
 2 contracts under this chapter shall provide coverage and equitable
 
 3 reimbursement for emergency services rendered by helicopter
 
 4 aeromedical services."
 
 5      SECTION 3.  Section 432D-23, Hawaii Revised Statutes, is
 
 6 amended to read as follows:
 
 7      "[[]432D-23[]]  Required provisions and benefits.
 
 8 Notwithstanding any provision of law to the contrary, each
 
 9 policy, contract, plan, or agreement issued in the State after
 
10 January 1, 1995, by health maintenance organizations pursuant to
 
11 this chapter, shall include benefits provided in sections
 
12 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116,
 
13 431:10A-116.5, [and] 431:10A-116.6, and 431:10A-   , and chapter
 
14 431M."
 
15      SECTION 4.  (a)  The legislative auditor shall conduct a
 
16 study assessing the social and financial impact of mandating
 
17 hospital and individual health plan contracts to provide coverage
 
18 and equitable reimbursement for emergency services rendered by
 
19 helicopter aeromedical services.
 
20      (b)  The legislative auditor shall report the findings and
 
21 recommendations to the legislature no later than twenty days
 
22 prior to the convening of the regular session of 2000.
 

 
 
 
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                                     H.B. NO.           H.D. 1
                                                        
                                                        

 
 1      SECTION 5.  Statutory material to be repealed is bracketed.
 
 2 New statutory material is underscored.
 
 3      SECTION 6.  This Act shall take effect upon its approval.