THE SENATE

S.B. NO.

2323

TWENTY-EIGHTH LEGISLATURE, 2016

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO INSURANCE COVERAGE OF HEALTH SCREENINGS.

 

 

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

 


     SECTION 1.  The legislature finds that some women have difficulty receiving proper screenings for sexually transmitted diseases, including human immunodeficiency virus and acquired immunodeficiency syndrome, at annual health screenings.  The legislature further finds that more than 1,200,000 people in the United States are living with human immunodeficiency virus and almost one in eight affected persons are unaware of the infection.  It is estimated that, each year, more than fifty thousand cases of acquired immunodeficiency syndrome are reported with one in four of the new infections striking those aged between thirteen and twenty-four.

     The legislature further finds that early detection is paramount to proper healthcare and prevention of further transmission.  The legislature further finds that certain healthcare providers do not screen specifically for some sexually transmitted diseases, including human immunodeficiency virus and acquired immunodeficiency syndrome, at annual screenings, even though the Patient Protection and Affordable Care Act requires health insurance to cover those screenings without a co-pay.

     The purpose of this Act is to ensure insurance coverage for sexually transmitted disease screenings, including screenings for human immunodeficiency virus and acquired immunodeficiency syndrome, during a woman's annual pelvic exam.

     SECTION 2.  Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part I of article 10A to be appropriately designated and to read as follows:

     "§431:10A-    Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.  (a)  Each policy of accident and health or sickness insurance providing coverage for healthcare, except for policies that only provide coverage for specified diseases or other limited benefit coverage, shall provide insurance coverage for sexually transmitted disease screenings, including screenings for human immunodeficiency virus and acquired immunodeficiency syndrome, during a female insured's annual gynecological exam.

     (b)  Each accident and health or sickness insurer shall reimburse all costs associated with the coverage under subsection (a) to any physician or healthcare provider complying with this section."

     SECTION 3.  Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article 1 to be appropriately designated and to read as follows:

     "§432:1-    Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.  (a)  Each hospital or medical service plan contract providing coverage for healthcare, except for plan contracts that only provide coverage for specified diseases or other limited benefit coverage, shall provide coverage for sexually transmitted disease screenings, including screenings for human immunodeficiency virus and acquired immunodeficiency syndrome, during a female insured's annual gynecological exam.

     (b)  Each mutual benefit society shall reimburse all costs associated with the coverage under subsection (a) to any physician or healthcare provider complying with this section."

     SECTION 4.  Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:

     "§432D-23  Required provisions and benefits.  Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132, 431:10A-133, [and] 431:10A-140, and 431:10A-   , and chapter 431M."

     SECTION 5.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 6.  This Act shall take effect upon its approval and shall apply to policies, contracts, and plans of health insurance issued or renewed after January 1, 2017.

 

INTRODUCED BY:

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Report Title:

Women's Caucus; Health Insurance Coverage; Sexually Transmitted Diseases; Human Immunodeficiency Virus; Acquired Immunodeficiency Syndrome

 

Description:

Ensures insurance coverage for sexually transmitted disease screenings, including screenings for human immunodeficiency virus and acquired immunodeficiency syndrome, during a female insured's annual pelvic exam.

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.