Establishes a comprehensive regulatory framework for the prior authorization process in Hawaii.

The bill, known as the Ensuring Transparency in Prior Authorization Act, aims to reform the prior authorization process in Hawaii. It mandates that insurers accept and respond to prior authorization requests through secure electronic transmissions using the NCPDP SCRIPT Standard by January 1, 2026. The bill prohibits prior authorization for medications for opioid use disorder and emergency health care services. It also requires utilization review entities to honor prior authorizations granted by other entities for at least the initial approved period.

Establishes a comprehensive regulatory framework for the prior authorization process in Hawaii.

The bill, known as the Ensuring Transparency in Prior Authorization Act, aims to reform the prior authorization process in Hawaii. It mandates that insurers accept and respond to prior authorization requests through secure electronic transmissions using the NCPDP SCRIPT Standard by January 1, 2026. The bill prohibits prior authorization for medications for opioid use disorder and emergency health care services. It also requires utilization review entities to honor prior authorizations granted by other entities for at least the initial approved period.