Hawaii 2026 Regular Session

Hawaii Senate Bill SB2292

Introduced
1/21/26  

Caption

Relating To Workers' Compensation Medical Treatment.

Impact

The bill proposes amendments to Chapter 386 of the Hawaii Revised Statutes, wherein new sections will establish a medical treatment utilization schedule. This schedule is intended to serve as a mandatory guideline for attending physicians when determining appropriate treatment pathways for injured workers. The bill also prescribes a hierarchy of evidence sources that physicians must consult when making treatment decisions, ensuring that all prescribed treatments align with the latest recommendations from authoritative medical organizations, such as the American College of Occupational and Environmental Medicine.

Summary

Senate Bill 2292 aims to address the high costs associated with workers' compensation in Hawaii by introducing evidence-based medical treatment guidelines. The bill seeks to standardize treatment for injured employees, thereby preventing unnecessary medical procedures that contribute to elevated insurance premiums. Through these standardized protocols, the legislature anticipates a reduction in overall insurer costs, which should, in turn, lower premiums for employers across the state. The core objective is to ensure that injured employees receive high-quality, consistent care while also curbing excessive medical expenses attributed to redundant treatments.

Contention

While the bill is designed to promote efficiency and reduce costs, it could face contention regarding the rigidity of the proposed medical treatment utilization schedule. Opponents may argue that a standardized approach could limit a physician's autonomy in making individualized treatment decisions based on unique patient needs. Moreover, the bill places the burden on physicians to document variances from the set treatment guidelines if they feel an exception is warranted. This aspect could result in disputes between physicians and employers, particularly if non-compliance with the guidelines results in denied claims or delayed treatment for injured employees.

Companion Bills

No companion bills found.

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