Hawaii 2026 Regular Session

Hawaii House Bill HB1702

Introduced
1/21/26  

Caption

Relating To Insurance.

Impact

The bill amends existing Hawaii Revised Statutes to require health insurers, mutual benefit societies, and health maintenance organizations to provide coverage for cognitive assessments that occur both during routine and non-routine visits. Furthermore, the reimbursement for these assessments will apply under all health plans included in the Medicaid managed care program in Hawaii. This initiative aligns with similar preventive health services already covered, incentivizing early detection and intervention.

Summary

House Bill 1702 aims to enhance the early detection and management of cognitive impairments, specifically dementia and Alzheimer's disease, by mandating insurance coverage for brief cognitive assessments. The bill targets individuals aged fifty years and older and highlights the significance of early diagnosis in improving quality of life and reducing long-term healthcare costs. The legislature acknowledges that certain populations, such as those with Down syndrome and Native Hawaiians, have elevated risks for developing dementia and often receive diagnoses at later stages of the disease.

Conclusion

If enacted, House Bill 1702 would result in significant changes to health insurance policies in Hawaii, specifically enhancing access to cognitive health assessments for individuals over fifty. This action could lead to an increased awareness of cognitive health issues, enabling older adults to receive timely care and support, ultimately reducing the burden of cognitive decline on individuals and the healthcare system.

Contention

While proponents argue for the bill citing its potential health benefits and cost-effectiveness, there may be concerns regarding the administrative implications for insurers and the overall impact on premium costs. Some may question the necessity of mandated coverage in an evolving healthcare landscape, considering existing options available to policyholders. Therefore, the implementation will involve balancing coverage expansion with the fiscal responsibility of insurers and potential impacts on healthcare premiums.

Companion Bills

HI SB2428

Same As Relating To Insurance.

Previously Filed As

HI HB700

Relating To Cognitive Assessments.

HI SB1203

Relating To Cognitive Assessments.

HI SB482

Relating To Cognitive Assessments.

HI HB553

Relating To Insurance.

HI SB1252

Relating To Dementia.

HI HCR35

Requesting The Auditor To Assess The Social And Financial Effects Of Mandatory Health Insurance Coverage For Biomarker Testing.

HI HB139

Relating To Insurance.

HI HB820

Relating To Health Insurance.

HI SB46

Relating To Insurance.

HI SB838

Relating To Health Insurance.

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