STAND. COM. REP. NO.  1045


Honolulu, Hawaii

                , 2021


RE:   S.B. No. 827

      S.D. 2

      H.D. 1





Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-First State Legislature

Regular Session of 2021

State of Hawaii




     Your Committee on Health, Human Services, & Homelessness, to which was referred S.B. No. 827, S.D. 2, entitled:




begs leave to report as follows:


     The purpose of this measure is to improve breast cancer detection rates in the State by:


     (1)  Increasing the categories of women required to be covered for mammogram screenings;


     (2)  Requiring the existing health insurance mandate for coverage of low-dose mammography to include advancing technology in digital mammography and breast tomosynthesis; and


     (3)  Requiring health care providers to be reimbursed at rates accurately reflecting the resource costs specific to each service, including any increased resource cost after January 1, 2021.


     Your Committee received testimony in support of this measure from the Hawaii Primary Care Association, Hawaii Pacific Health, Hawaii Medical Association, Hawaii Society of Clinical Oncology, Hawaii Radiological Society, Hawaii Women Lawyers, and two individuals.  Your Committee received comments on this measure from the Department of Commerce and Consumer Affairs, Department of Health, Hawaii Association of Health Plans, Hawaii Medical Service Association, and Kaiser Permanente Hawaii.


     Your Committee finds that H.B. No. 309, H.D. 2 (Regular Session of 2021), a substantially similar measure, was previously passed by your Committee.


     Your Committee has amended this measure by:


     (1)  Deleting its contents and inserting the contents of H.B. No. 309, H.D. 2, a measure that:


          (A)  Expands coverage of breast cancer screening and imaging to include an annual mammogram for a woman of any age with an above average risk for breast cancer, risk factor screening for women ages thirty or older, and additional supplemental imaging for any woman regardless of age, as deemed medically necessary by an applicable American College of Radiology guideline; and


          (B)  Requires the Auditor to conduct an impact assessment report to assess the social and financial impacts of the proposed mandated coverage and report to the Legislature prior to the Regular Session of 2022;


     (2)  Changing the effective date to July 1, 2060, to encourage further discussion; and


     (3)  Making technical, nonsubstantive amendments for the purposes of clarity, consistency, and style.


     As affirmed by the record of votes of the members of your Committee on Health, Human Services, & Homelessness that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 827, S.D. 2, as amended herein, and recommends that it pass Second Reading in the form attached hereto as S.B. No. 827, S.D. 2, H.D. 1, and be referred to your Committee on Consumer Protection & Commerce.


Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,