Hawaii HB1965 aims to strengthen primary care by ensuring adequate reimbursement, prohibiting downcoding, and expanding access through community.

Hawaii HB1965 establishes standards for primary care delivery, ensuring community access primary care sites meet criteria like same-day services and continuity of care. It prohibits reduced reimbursement rates and differential documentation standards for these sites. Health carriers must allocate a minimum of six percent of total medical expenditures to primary care, increasing to twelve percent by 2029. The bill mandates prompt payment for claims and prohibits retaliatory actions against providers who challenge downcoding or request audits.

Hawaii HB1965 aims to strengthen primary care by ensuring adequate reimbursement, prohibiting downcoding, and expanding access through community.

Hawaii HB1965 establishes standards for primary care delivery, ensuring community access primary care sites meet criteria like same-day services and continuity of care. It prohibits reduced reimbursement rates and differential documentation standards for these sites. Health carriers must allocate a minimum of six percent of total medical expenditures to primary care, increasing to twelve percent by 2029. The bill mandates prompt payment for claims and prohibits retaliatory actions against providers who challenge downcoding or request audits.