Establishes guidelines for evaluation and diagnosis of Medicaid recipients who have been diagnosed with diabetes or hypertension or have a family history of kidney disease and are at risk for chronic kidney disease.

A BILL FOR AN ACT

SECTION 1. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to Part II to be appropriately designated and to read as follows:

"§346-   Chronic kidney disease; evaluation; classification; criteria; health care coverage. (a) Any Medicaid enrollee who is eligible for health care services, and has a diagnosis of diabetes or hypertension or has a family history of kidney disease, shall be evaluated for kidney disease through routine clinical laboratory assessments of kidney function.

(b) Any Medicaid enrollee who is eligible for health care services and has been diagnosed with diabetes or hypertension or has a family history of kidney disease, and has received a diagnosis of kidney disease, shall be classified as a chronic kidney patient.

(c) The diagnostic criteria which define chronic kidney disease shall be generally recognized clinical practice guidelines, which identify chronic kidney disease or its complications based on the presence of kidney damage and level of kidney function.

(d) In keeping with the department of health and the Medicaid disease management program, patients receiving Medicaid benefits who are at risk for chronic kidney disease shall be tracked according to appropriate diagnostic testing. Medicaid providers will be educated and disease management strategies implemented in order to increase the rate of evaluation and treatment for chronic kidney disease according to accepted practice guidelines including:

SECTION 2. New statutory material is underscored.

SECTION 3. This Act shall take effect upon its approval.