Bill > SB1172

This bill mandates comprehensive dental and vision coverage for all health insurers in Hawaii, including Medicaid managed care programs, starting January 1, 2026. The legislation aims to address health disparities by requiring employer group health policies, hospital and medical service plans, and health maintenance organizations to provide dental and vision preventative care, diagnosis, and treatment without additional deductibles or as an optional employer benefit. The bill's rationale stems from recognizing that oral and visual health are essential components of overall well-being, and that lack of coverage disproportionately affects low-income populations and communities of color. Insurers will be required to notify policyholders about the new coverage in writing by December 31, 2026, with the goal of improving early detection of systemic health issues, reducing out-of-pocket expenses, and potentially lowering long-term healthcare costs by emphasizing preventive care. The bill will take effect on July 1, 2025, with full implementation of coverage requirements beginning January 1, 2026, and is contingent upon approval of the Hawaii Medicaid state plan by the Centers for Medicare and Medicaid Services.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=1172&year=2025