Honolulu, Hawaii

, 2019


RE: H.B. No. 481

H.D. 2





Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii




Your Committee on Consumer Protection & Commerce, to which was referred H.B. No. 481, H.D. 1, entitled:




begs leave to report as follows:


The purpose of this measure is to:


(1) Clarify that coverage for digital mammography and breast tomosynthesis is included in the existing health insurance mandate for coverage of low-dose mammography; and


(2) Require the State Auditor to determine:


(A) If the mandated benefits trigger the federal Patient Protection and Affordable Care Act's requirement to defray the cost of any new mandate (PPACA Report); and


(B) If an impact assessment report is required under section 23-51, Hawaii Revised Statutes.


Hawaii Medical Association, Hawaii Radiological Society, Planned Parenthood Votes Northwest and Hawaii, Oahu County Committee on Legislative Priorities of the Democratic Party of Hawaii, Maui Medical Group, and several individuals testified in support of this measure. The Department of Commerce and Consumer Affairs and Hawaii Association of Health Plans provided comments.


Your Committee has amended this measure by:


(1) Changing the reports required of the State Auditor by:


(A) Deleting the PPACA Report; and


(B) Requiring the State Auditor to perform the impact assessment under section 23-51, Hawaii Revised Statutes, instead of determining whether it is necessary to do it; and


(2) Changing the effective date for the mandated coverage to January 1, 2021, to provide adequate time for the Auditor to submit the required report and for the Legislature to consider the report's findings.


As affirmed by the record of votes of the members of your Committee on Consumer Protection & Commerce that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 481, H.D. 1, as amended herein, and recommends that it be referred to your Committee on Finance in the form attached hereto as H.B. No. 481, H.D. 2.



Respectfully submitted on behalf of the members of the Committee on Consumer Protection & Commerce,