Bill > SB3306

This bill aims to reform Hawaii's Medicaid program by prohibiting financial risk-bearing entities, such as managed care organizations, from administering services, and instead mandates that the Department of Human Services contract with administrative services organizations (ASOs) for non-risk administrative functions like claims processing and prior authorization review. The bill also establishes a Medicaid Care Coordination Program to contract with community-based programs for care coordination services, and requires direct payment from the state's Medicaid agency to healthcare providers on a fee-for-service basis, with care coordination funded separately. To enhance oversight and community engagement, the bill mandates the creation of regional health hubs in each county and a Medicaid Stakeholder Advisory Group, and requires the Department to report annually to the Legislature on program performance and finances, while also appropriating funds for the transition and implementation of these changes.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=3306&year=2026