Bill > HB2133

This bill mandates that the State Auditor conduct comprehensive audits of both Medicaid healthcare insurance contractors and the Department of Human Services, including its Med-QUEST division, at least every two years, with the initial audits to be completed by January 1, 2027, and their reports submitted to the legislature twenty days before the 2027 legislative session. These audits are designed to ensure the proper use of public funds and the quality of healthcare services provided through the Medicaid program, which is a government-funded health insurance program for low-income individuals and families. The bill defines key terms such as "Medicaid health care insurance contractor" (any entity contracted to provide Medicaid managed care services) and "encounter data" (information about services provided to Medicaid members). The audits will examine various aspects, including financial management, data accuracy, provider networks, and program integrity, with the goal of increasing transparency, accountability, and program integrity within the state's Medicaid system. The bill also appropriates funds to support these audit activities.

Housing and Urban Affairs

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2133&year=2026