Bill > SB2273

This bill requires employers to pay for all medical services related to a compensable injury and not deny claims without good reason or while an investigation is ongoing, creating a presumption that claims are valid for employees not covered by the Hawaii prepaid health care act, which provides health insurance. Employers must inform medical providers of any billing disputes within thirty days, and if they fail to do so, they will be responsible for the services until they notify the provider of a dispute. For undisputed charges, employers must pay within thirty days, or providers can add a one percent monthly interest charge to the outstanding balance. If there's a disagreement over charges, employers must pay undisputed amounts, notify the provider of denied charges with reasons, and provide a copy to the employee. Medical providers can dispute denials by filing a "bill dispute request" with the director within thirty days, otherwise, the denial is considered accepted. If a dispute isn't resolved, either party can request the director's intervention, leading to a negotiation period, and if unsuccessful, a review by the director who will make a decision without a hearing, potentially fining parties who didn't negotiate in good faith. Additionally, employers must approve or deny a treatment plan within three days of receiving it, or the plan is automatically considered accepted.

Labor and Employment

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=2273&year=2026