Hawaii 2026 Regular Session

Hawaii House Bill HB1787

Introduced
1/22/26  

Caption

Relating To Health Care.

Impact

If enacted, HB1787 will amend existing sections within the Hawaii Revised Statutes pertaining to health care. Specifically, it mandates that before any health carrier can take an adverse action, such as denying a request for prior authorization, a licensed health care provider must conduct an independent review of the claim. This provision is designed to safeguard patient rights and ensure that their medical histories and recommendations from their healthcare providers are thoroughly considered before any denial occurs.

Summary

House Bill 1787 aims to regulate the increasing use of artificial intelligence (AI) by health insurance providers in decision-making processes for coverage and claims. The legislation addresses growing concerns around the transparency and accountability of AI systems, particularly relating to wrongful denials of health insurance claims. It seeks to ensure that decisions made by AI, algorithms, or other software tools used in utilization reviews are based on individual patient data rather than general datasets, thus promoting more equitable health care access.

Contention

The bill has sparked discussions regarding the role of AI in health decision-making. Supporters argue that the bill will enhance patient protections and ensure that decision-making processes remain under human oversight, mitigating risks of automated bias. Conversely, opponents may view the bill as an impediment to the efficiency that AI could bring to health insurance processes, potentially slowing down decision-making times and increasing the administrative burden on health carriers. The balance between embracing technological advancements in health care while maintaining ethical standards remains a critical point of contention.

Companion Bills

HI SB2768

Same As Relating To Health Care.

Previously Filed As

HI HB716

Relating To Health.

HI SB959

Relating To Health.

HI SB1323

Relating To Health Care.

HI SB1449

Relating To Prior Authorization Of Health Care Services.

HI SR26

Strongly Supporting And Recommending The Implementation Of The Revised 2025 Hawaii Patient Bill Of Rights.

HI HB250

Relating To Health.

HI HB62

Relating To Healthcare Facility Nurse Staffing.

HI HB1490

Relating To Health Care.

HI SB59

Relating To Algorithmic Discrimination.

HI SB1179

Relating To Health Care.

Similar Bills

HI SB2212

Relating To Artificial Intelligence Literacy Education.

HI HB1887

Relating To Artificial Intelligence Literacy Education.

CA SB813

California AI Standards and Safety Commission: independent verification organizations.

HI SB2923

Relating To Artificial Intelligence.

NJ A4352

Requires school districts to provide instruction on artificial intelligence; requires Secretary of Higher Education to develop artificial intelligence model curricula.

NJ S2860

Establishes Artificial Intelligence Apprenticeship Program and artificial intelligence apprenticeship tax credit program.

NJ S1802

Requires artificial intelligence companies to conduct safety tests and report results to Office of Information Technology.

CA AB1137

Reporting mechanism: child sexual abuse material.