SB1519

Establishes a regulatory framework for prior authorization in Hawaii, ensuring transparency, efficiency, and patient care protection.

The Ensuring Transparency in Prior Authorization Act aims to create a comprehensive regulatory framework for the prior authorization process in Hawaii. It mandates that insurers accept and respond to prior authorization requests electronically using the NCPDP SCRIPT Standard by January 1, 2026. The act requires utilization review entities to make statistics on prior authorization approvals publicly available, including approval rates, denial reasons, and appeal outcomes.