Hawaii SB832 regulates insurer prior authorization processes to reduce delays and administrative burdens.

Hawaii SB832 mandates insurers to align their prior authorization processes with Medicare policies, requiring urgent requests to be decided within 24 hours and non-urgent within three days. Failure to respond within these timeframes results in automatic approval. Insurers must base decisions on nationally recognized evidence-based medical guidelines and Medicare's standards of medical necessity. The bill also establishes penalties for non-compliance, including suspension or revocation of state licensure, public disclosure of violations, and implementation of corrective action plans.

Hawaii SB832 regulates insurer prior authorization processes to reduce delays and administrative burdens.

Hawaii SB832 mandates insurers to align their prior authorization processes with Medicare policies, requiring urgent requests to be decided within 24 hours and non-urgent within three days. Failure to respond within these timeframes results in automatic approval. Insurers must base decisions on nationally recognized evidence-based medical guidelines and Medicare's standards of medical necessity. The bill also establishes penalties for non-compliance, including suspension or revocation of state licensure, public disclosure of violations, and implementation of corrective action plans.