THE SENATE

S.B. NO.

2529

TWENTY-FIFTH LEGISLATURE, 2010

S.D. 2

STATE OF HAWAII

H.D. 2

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO HEALTHCARE CLAIMS.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  (a)  There is established a health care claims uniform reporting and evaluation task force within the department of commerce and consumer affairs for administrative purposes, to consist of eleven members as follows:

     (1)  Four representatives from insurers, mutual benefit societies, fraternal benefit societies, and health maintenance organizations with the largest market shares for health insurance in Hawaii, to be appointed by the insurance commissioner;

     (2)  The insurance commissioner or the commissioner's designee;

     (3)  The director of commerce and consumer affairs or the director's designee;

     (4)  One representative from Hawaii Medical Association;

     (5)  One representative from Healthcare Association of Hawaii;

     (6)  Two physicians licensed and practicing in the state; and

     (7)  A representative from the John A. Burns school of medicine of the University of Hawaii.

     (b)  The members of the health care claims uniform reporting and evaluation task force shall elect a chairperson from among its membership.

     (c)  The health care claims uniform reporting and evaluation task force shall undertake a study to:

(1)    Develop policies and procedures necessary to establish a health care claims uniform reporting and evaluation system and to ensure that the system is consistent with national claims reporting and evaluation standards; and

(2)    Standardize third-party processing and payment of prescription drug claims by pharmacy benefit managers.

     (d)  Members of the health care claims uniform reporting and evaluation task force shall serve without compensation and shall not be reimbursed for expenses.

     (e)  The health care claims uniform reporting and evaluation task force shall submit a report of its findings and recommendations, including any proposed legislation, to the legislature no later than twenty days prior to the convening of the regular session of 2011.

     (f)  The health care claims uniform reporting and evaluation task force shall cease to exist on June 30, 2011.

     SECTION 2.  This Act shall take effect on July 1, 2050.



Report Title:

Hawaii Health Care Claims Uniform Reporting and Evaluation System; Task Force

 

Description:

Establishes a health care claims uniform reporting and evaluation task force to develop necessary policies and procedures to establish a health care claims uniform reporting and evaluation system, and to standardize third-party processing and payment of prescription drug claims.  Effective July 1, 2050.  (SB2529 HD2)

 

 

 

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