Bill > SB1172

This bill requires all health insurers in Hawaii, including Medicaid managed care programs, to provide comprehensive dental and vision coverage for all enrollees starting January 1, 2026. The legislation mandates that employer group health policies, individual and group hospital or medical service plans, and health maintenance organizations must include dental and vision preventative care, diagnosis, and treatment as a standard benefit, without making it an optional add-on or subject to additional deductibles. Insurers are required to notify their policyholders in writing about this new coverage requirement during the 2026 calendar year, with the notice to be prominently displayed in their communications. The bill's motivation 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. By ensuring access to preventive dental and vision services, the legislation aims to detect early signs of systemic health issues, reduce healthcare disparities, improve quality of life, and potentially lower long-term healthcare costs. The bill will take effect on July 1, 2025, with the new coverage requirements applying to policies issued or renewed after December 31, 2025, and will require approval from the Centers for Medicare and Medicaid Services for Medicaid managed care programs.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=1172&year=2026