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Hawaii · 2026 Regular Session · Bill

SB 1519: RELATING TO PRIOR AUTHORIZATION.

In committee Official data

  1. Introduced
  2. In committee
  3. Passed one chamber
  4. Passed both chambers
  5. Enacted

Last official action: ·Record last updated:

Plain-language summary

SB 1519 is a bill introduced in the Hawaii Senate on January 22, 2025. According to its official title, it concerns: RELATING TO PRIOR AUTHORIZATION. Primary sponsor: Carol Fukunaga (Democratic), Brandon Elefante (Democratic). Most recent recorded action (December 8, 2025): Carried over to 2026 Regular Session.

Generated automatically from the official title, sponsor list, and status record only. It does not characterize the bill’s purpose or effects. How summaries are written

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Establishes a comprehensive regulatory framework for prior authorization process in the State, including disclosure and notice requirements for utilization review entities regarding their prior authorization requirements and restrictions; qualifications and criteria for prior authorization review and appeals personnel; prior authorization process for non-urgent and urgent health care services, including the time frame by which utilization review entities must render a decision; adverse determination and appeal processes; prohibition of prior authorization for emergency health care services and medication for opioid use disorder; payments to health care providers; length and duration of prior authorizations; and exemptions for certain health care providers. Requires health insurers to utilize NCPDP SCRIPT Standard electronic prior authorization transactions by 1/1/2026. Requires utilization review entities to submit annual reports to the Insurance Commissioner each year. Requires the Insurance Commissioner to submit annual reports to the Legislature. Requires the Insurance Commissioner to adopt rules by 1/1/2026.

Sponsors

Sponsors by party (alphabetical): Democratic 2

NameRolePartyChamberDistrict
Carol FukunagaPrimary sponsorDemocraticSenate11
Brandon ElefantePrimary sponsorDemocraticSenate16

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

  1. Carried over to 2026 Regular Session.
  2. Referred to CPN/HHS, WAM/JDC.
  3. Introduced and passed First Reading.
  4. Pending Introduction.

Sources

  1. Open States / Plural (data from the official legislature website)
  2. Official legislature source