What's Being Discussed

This is a one-hour working group meeting hosted by the State Health Planning and Development Agency (SHPDA), part of the Hawaii Department of Health. The main topics include:

• A recap and review of what was covered in the previous meeting
• Presentation of a finalized Prior Authorization Reporting Structure, led by administrators J. Lewin and D. Ye
• Open discussion on the reporting structure
• Announcements

Prior authorization is a process used by health insurance plans that requires patients or their doctors to get approval before certain medical services, treatments, or prescriptions are covered. This working group is focused on how that process is tracked and reported in Hawaii.

Decisions Expected

• No formal votes are listed on the agenda. However, the group is expected to review and discuss a finalized reporting structure, which may guide future policy or regulatory decisions related to prior authorization in the state.

Who Should Pay Attention

• Healthcare providers such as doctors, hospitals, and clinics who deal with insurance prior authorization requests
• Health insurance companies and plans operating in Hawaii
• Patients who have experienced delays or denials due to prior authorization requirements
• Healthcare advocates and policy professionals interested in health insurance reform

Members of the public may submit written testimony at least 48 hours before the meeting by emailing shpda@doh.hawaii.gov or by fax or mail. The meeting is open to the public both in person and via Zoom.