Hawaii 2022 Regular Session

Hawaii Senate Bill SB283 Compare Versions

Version 1 (Old)

Version 2 (New)

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1		-	THE SENATE S.B. NO. 283 THIRTY-FIRST LEGISLATURE, 2021 ~~S.D. 1~~ STATE OF HAWAII A BILL FOR AN ACT RELATING TO HEALTH. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
	1	+	THE SENATE S.B. NO. 283 THIRTY-FIRST LEGISLATURE, 2021 STATE OF HAWAII A BILL FOR AN ACT RELATING TO HEALTH. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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3	3		THE SENATE S.B. NO. 283
4		-	THIRTY-FIRST LEGISLATURE, 2021 ~~S.D. 1~~
	4	+	THIRTY-FIRST LEGISLATURE, 2021
5	5		STATE OF HAWAII
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7	7		THE SENATE
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9	9		S.B. NO.
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11	11		283
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13	13		THIRTY-FIRST LEGISLATURE, 2021
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15		-	~~S.D. 1~~
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17	17		STATE OF HAWAII
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31	31		A BILL FOR AN ACT
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37	37		RELATING TO HEALTH.
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43	43		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
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47		-	SECTION 1. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows: "§346- Coverage of ambulance services. Beginning on January 1, 2022, the State's medicaid programs: (1) Shall provide coverage for ambulance services; and (2) May also provide coverage for statewide community paramedicine services rendered by emergency medical technicians or paramedics." SECTION 2. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part I of article 10A to be appropriately designated and to read as follows: "§431:10A-A Coverage of ambulance services. Each individual policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide ~~community paramedicine~~ services rendered by emergency medical technicians or paramedics." SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part II of article 10A to be appropriately designated and to read as follows: "§431:10A-B Coverage of ambulance services. Each group policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide ~~community paramedicine~~ services rendered by emergency medical technicians or paramedics." SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article I to be appropriately designated and to read as follows: "§432:1- Coverage of ambulance services. Each hospital or medical service plan contract issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide community paramedicine services rendered by emergency medical technicians or paramedics." SECTION 5. Chapter 432D-23, Hawaii Revised Statutes, is amended to read as follows: "§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A‑116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A‑126, 431:10A-132, 431:10A-133, 431:10A-134, 431:10A‑140, [and 431:10A-134,] and 431:10A-A, and chapter 431M." SECTION 6. (a) The auditor shall conduct a study that assesses both the social and financial effects of the proposed mandated coverage in this Act. The study shall comport with the requirements set forth in section 23-52, Hawaii Revised Statutes~~. (b) The auditor~~ shall ~~submit the study, including the auditor's findings and recommendations, and any proposed legislation,~~ to ~~the legislature no later than twenty days prior to the convening of the 2022-2023 legislative session~~. SECTION 7. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2022-2023 for amounts necessary to comply with collectively bargained for requirements and personnel costs arising from the coverage of ambulances services required or authorized under section 1 of this Act. The ~~sum~~ appropriated shall be expended by the department of human services for the purposes of this Act. SECTION 8. In codifying the new sections added by sections 2 and 3 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act. SECTION 9. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 10. This Act shall take effect ~~upon its approval; provided that section 7 shall take effect~~ on July 1, 2022.
	47	+	SECTION 1. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows: "§346- Coverage of ambulance services. Beginning on January 1, 2022, the State's medicaid programs: (1) Shall provide coverage for ambulance services; and (2) May also provide coverage for statewide community paramedicine services rendered by emergency medical technicians or paramedics." SECTION 2. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part I of article 10A to be appropriately designated and to read as follows: "§431:10A-A Coverage of ambulance services. Each individual policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide services rendered by emergency medical technicians or paramedics." SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part II of article 10A to be appropriately designated and to read as follows: "§431:10A-B Coverage of ambulance services. Each group policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide services rendered by emergency medical technicians or paramedics." SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article I to be appropriately designated and to read as follows: "§432:1- Coverage of ambulance services. Each hospital or medical service plan contract issued or renewed in this State on or after January 1, 2022, shall provide coverage for: (1) Ambulance services; and (2) Statewide community paramedicine services rendered by emergency medical technicians or paramedics." SECTION 5. Chapter 432D-23, Hawaii Revised Statutes, is amended to read as follows: "§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A‑116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A‑126, 431:10A-132, 431:10A-133, 431:10A-134, 431:10A‑140, [and 431:10A-134,] and 431:10A-A, and chapter 431M." SECTION 6. Chapter 23-51, Hawaii Revised Statutes, shall not apply to this Act. SECTION 7. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2021-2022 and the same sum or so much thereof as may be necessary for fiscal year 2022-2023 for amounts necessary to comply with collectively bargained for requirements and personnel costs arising from the coverage of ambulances services required or authorized under section 1 of this Act. The sums appropriated shall be expended by the department of human services for the purposes of this Act. SECTION 8. In codifying the new sections added by sections 2 and 3 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act. SECTION 9. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 10. This Act shall take effect on July 1, 2022. INTRODUCED BY: _____________________________
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49	49		SECTION 1. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows:
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51	51		"§346- Coverage of ambulance services. Beginning on January 1, 2022, the State's medicaid programs:
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53	53		(1) Shall provide coverage for ambulance services; and
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55	55		(2) May also provide coverage for statewide community paramedicine services rendered by emergency medical technicians or paramedics."
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57	57		SECTION 2. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part I of article 10A to be appropriately designated and to read as follows:
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59	59		"§431:10A-A Coverage of ambulance services. Each individual policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for:
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61	61		(1) Ambulance services; and
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63		-	(2) Statewide ~~community paramedicine~~ services rendered by emergency medical technicians or paramedics."
	63	+	(2) Statewide services rendered by emergency medical technicians or paramedics."
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65	65		SECTION 3. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part II of article 10A to be appropriately designated and to read as follows:
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67	67		"§431:10A-B Coverage of ambulance services. Each group policy of accident and health or sickness insurance issued or renewed in this State on or after January 1, 2022, shall provide coverage for:
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69	69		(1) Ambulance services; and
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71		-	(2) Statewide ~~community paramedicine~~ services rendered by emergency medical technicians or paramedics."
	71	+	(2) Statewide services rendered by emergency medical technicians or paramedics."
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73	73		SECTION 4. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article I to be appropriately designated and to read as follows:
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75	75		"§432:1- Coverage of ambulance services. Each hospital or medical service plan contract issued or renewed in this State on or after January 1, 2022, shall provide coverage for:
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77	77		(1) Ambulance services; and
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79	79		(2) Statewide community paramedicine services rendered by emergency medical technicians or paramedics."
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81	81		SECTION 5. Chapter 432D-23, Hawaii Revised Statutes, is amended to read as follows:
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83	83		"§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A‑116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A‑126, 431:10A-132, 431:10A-133, 431:10A-134, 431:10A‑140, [and 431:10A-134,] and 431:10A-A, and chapter 431M."
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85		-	SECTION 6. (a) The auditor shall conduct a study that assesses both the social and financial effects of the proposed mandated coverage in this Act. The study shall comport with the requirements set forth in section 23-52, Hawaii Revised Statutes.
	85	+	SECTION 6. Chapter 23-51, Hawaii Revised Statutes, shall not apply to this Act.
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87		-	~~(b) The auditor shall submit the study, including the auditor's findings and recommendations, and any proposed legislation, to the legislature no later than twenty days prior to the convening~~ of the 2022-2023 ~~legislative session~~.
	87	+	SECTION 7. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2021-2022 and the same sum or so much thereof as may be necessary for fiscal year 2022-2023 for amounts necessary to comply with collectively bargained for requirements and personnel costs arising from the coverage of ambulances services required or authorized under section 1 of this Act.
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89		-	SECTION 7. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2022-2023 for amounts necessary to comply with collectively bargained for requirements and personnel costs arising from the coverage of ambulances services required or authorized under section 1 of this Act.
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91		-	The sum appropriated shall be expended by the department of human services for the purposes of this Act.
	89	+	The sums appropriated shall be expended by the department of human services for the purposes of this Act.
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93	91		SECTION 8. In codifying the new sections added by sections 2 and 3 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.
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95	93		SECTION 9. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
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97		-	SECTION 10. This Act shall take effect ~~upon its approval; provided that section 7 shall take effect~~ on July 1, 2022.
	95	+	SECTION 10. This Act shall take effect on July 1, 2022.
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99		-	Report Title: Health; Insurance; Medicaid; Ambulance Services; Auditor Report; Appropriation Description: Requires medicaid and insurance coverage of ambulance services. Authorizes medicaid programs, and requires private insurers, to pay for community paramedicine services provided by emergency medical technicians or paramedics. Appropriates moneys for costs resulting from medicaid coverage of ambulance service and community paramedicine services provided by emergency medical technicians or paramedics. Requires the Auditor to submit a report to the Legislature. Section 7 effective 7/1/2022. (SD1) The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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	99	+	INTRODUCED BY: _____________________________
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	101	+	INTRODUCED BY:
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	103	+	_____________________________
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	141	+	Report Title: Health; Insurance; Medicaid; Ambulance Services; Appropriation Description: Requires medicaid and insurance coverage of ambulance services. Authorizes medicaid programs, and requires private insurers, to pay for community paramedicine services provided by emergency medical technicians or paramedics. Appropriates moneys for costs resulting from medicaid coverage of ambulance service and community paramedicine services provided by emergency medical technicians or paramedics. Effective 7/1/2022. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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105	147		Report Title:
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107		-	Health; Insurance; Medicaid; Ambulance Services; ~~Auditor Report;~~ Appropriation
	149	+	Health; Insurance; Medicaid; Ambulance Services; Appropriation
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111	153		Description:
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113		-	Requires medicaid and insurance coverage of ambulance services. Authorizes medicaid programs, and requires private insurers, to pay for community paramedicine services provided by emergency medical technicians or paramedics. Appropriates moneys for costs resulting from medicaid coverage of ambulance service and community paramedicine services provided by emergency medical technicians or paramedics. ~~Requires the Auditor to submit a report to the Legislature. Section 7~~ effective 7/1/2022. ~~(SD1)~~
	155	+	Requires medicaid and insurance coverage of ambulance services. Authorizes medicaid programs, and requires private insurers, to pay for community paramedicine services provided by emergency medical technicians or paramedics. Appropriates moneys for costs resulting from medicaid coverage of ambulance service and community paramedicine services provided by emergency medical technicians or paramedics. Effective 7/1/2022.
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121	163		The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.