HawaiiSB 26902025–2026 Regular Session (Year 2)Senate

RELATING TO PRIMARY CARE.

Sponsored By: Lorraine R. Inouye (Democratic)

In Committee

Summary

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

DHSHealth CarriersPrimary Care ProvidersPrimary Care Access VisitsCommunity Access Primary Care SitesDowncodingMED-QUESTProhibitionsReportsSpecial FundHHS/CPN, WAM

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Lorraine R. Inouye

    Democratic • Senate

Cosponsors

  • Stanley Chang

    Democratic • Senate

  • Carol Fukunaga

    Democratic • Senate

  • Mike Gabbard

    Democratic • Senate

  • Troy N. Hashimoto

    Democratic • Senate

  • Rachele Lamosao

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. The committee on HHS deferred the measure.

    2/18/2026Senate
  2. The committee on CPN deferred the measure.

    2/18/2026Senate
  3. The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference.

    2/17/2026Senate
  4. The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.

    2/13/2026Senate
  5. Referred to HHS/CPN, WAM.

    1/28/2026Senate
  6. Passed First Reading.

    1/26/2026Senate
  7. Introduced.

    1/23/2026Senate

Bill Text

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