Hawaii SB2690 strengthens primary care by ensuring adequate reimbursement, prohibiting downcoding, and enhancing access.

Hawaii SB2690, the Primary Care Protection Act, aims to strengthen primary care in Hawaii by ensuring adequate reimbursement, prohibiting downcoding, and enhancing access. The bill mandates that health carriers allocate at least six percent of total medical expenditures to primary care, increasing to twelve percent by 2029. It prohibits downcoding of primary care claims unless justified by clinical evidence. Primary care access visits are recognized as covered services, regardless of setting, and must be reimbursed at parity with standard primary care services.

Hawaii SB2690 strengthens primary care by ensuring adequate reimbursement, prohibiting downcoding, and enhancing access.

Hawaii SB2690, the Primary Care Protection Act, aims to strengthen primary care in Hawaii by ensuring adequate reimbursement, prohibiting downcoding, and enhancing access. The bill mandates that health carriers allocate at least six percent of total medical expenditures to primary care, increasing to twelve percent by 2029. It prohibits downcoding of primary care claims unless justified by clinical evidence. Primary care access visits are recognized as covered services, regardless of setting, and must be reimbursed at parity with standard primary care services.