reglab/housing_qa huggingface dataset:
HI Rev Stat § 432:1-502 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-502 Summary orders and supervision.

  §432:1-502 Summary orders and supervision. (a) Whenever the commissioner determines that the financial condition of any mutual benefit society is such that its continued operation might be hazardous to its members, creditors, or the general public, or that it has violated any provision of this chapter, the commissioner, after notice and hearing, may order the society to take such action as may be reasonably necessary to rectify such condition or violation, including but not limited to one or more of the following:  (1) Reducing the total amount of present and potential liability for benefits by reinsurance or other method acceptable to the commissioner;  (2) Reducing the volume of new business being accepted;  (3) Reducing expenses by specified methods;  (4) Suspending or limiting the writing of new business for a period of time;  (5) Increasing the society's capital and surplus by contribution; or  (6) Taking such other steps as the commissioner may deem appropriate under the circumstances.  (b) For purposes of this section, the violation by a society of any law of this State to which such society is subject shall be deemed a violation of this chapter.  (c) The commissioner, by rule, may set uniform standards and criteria for early warning that the continued operation of any society might be hazardous to its members, creditors, or the general public and to set standards for evaluating the financial condition of any society, which standards shall be consistent with the purposes expressed in subsection (a).  (d) The remedies and measures available to the commissioner under this section shall be in addition to, and not in lieu of, the remedies and measures available to the commissioner under article 15 of chapter 431. [L 1987, c 347, pt of §2; am L 1993, c 350, §20; am L 1997, c 367, §2] Note  L 1997, c 367, §3 provides:  "SECTION 3. This Act [enacting § §432:1-406 to 409 and amending §432:1-502] shall not apply to:  (1) Societies that do not operate as a hospital, medical or indemnity society, or corporation; and  (2) Labor union mutual benefit societies under section 432:1-103(b)."
HI Rev Stat § 432:1-503 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-503 Closing of doors without notice.

  §432:1-503 Closing of doors without notice. If, upon the examination of any society, it is found to be insolvent, or if it is deemed necessary by the commissioner for the protection of the interests of its members or the public, the commissioner may at once close the doors of the society without any notice and take charge of the books, assets and affairs of the society until the appointment of a receiver as provided by law. [L 1987, c 347, pt of §2]
HI Rev Stat § 432:1-601 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-601 Contract limitations for handicapped children and children with intellectual disabilities.

  §432:1-601 Contract limitations for handicapped children and children with intellectual disabilities. All individual and group hospital or medical service plan contracts, delivered or issued for delivery in this State after May 8, 1968, that provide that coverage of a dependent child shall terminate upon attainment of the limiting age for dependent children specified in the contract shall also provide in substance that attainment of the limiting age shall not operate to terminate the coverage of the child while the child is and continues to be both:  (1) Incapable of self-sustaining employment by reason of intellectual disability or physical handicap; and  (2) Chiefly dependent upon the policyholder, subscriber, or employee, as the case may be, for support and maintenance; provided that proof of the child's incapacity and dependency is furnished to the hospital service or medical indemnity association by the policyholder, subscriber, or employee within thirty-one days of the child's attainment of the limiting age and subsequently as may be required by the association. [L 1987, c 347, pt of §2; am L 2011, c 220, § §7, 12; am L 2019, c 111, §25]
HI Rev Stat § 432:1-602 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-602 Newborn children coverage.

  §432:1-602 Newborn children coverage. (a) All individual and group hospital and medical service corporation contracts which provide coverage for a family member of the subscriber shall, as to such family member's coverage, also provide that the benefits applicable for children shall be payable or provided with respect to a newly born child of the subscriber from the moment of birth; provided that the coverage for newly born children shall be limited to the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities. If payment of a specific subscription fee or premium is required to provide coverage for the child, the contract may require that notification of birth of a newly born child and payment of the required fee or premium must be furnished to the service corporation within thirty-one days after the date of birth in order to have coverage continue beyond such thirty-one-day period. The requirements of this section shall apply to all subscriber contracts delivered or issued for delivery in this State more than one hundred twenty days after July 1, 1988.  (b) No provision in subsection (a) shall be construed to provide or include coverage for routine well-baby services. [L 1987, c 347, pt of §2] Revision Note  "July 1, 1988" substituted for "the effective date of this section" pursuant to §23G-15.
HI Rev Stat § 432:1-602.6 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-602.6 Newborn adoptee; coverage.

  §432:1-602.6 Newborn adoptee; coverage. (a) Notwithstanding any provision to the contrary, whenever a policy, contract, plan, or agreement provides coverage for the children of the insured, that coverage shall also extend to the date of birth of any newborn child to be adopted by the insured; provided that the insured gives written notice to the society of the insured's intent to adopt the child prior to the child's date of birth or within thirty days after the child's birth or within the time period required for enrollment of a natural born child under the policy, contract, plan, or agreement of the insured, whichever period is longer; provided, however, if the adoption proceedings are not successful, the insured shall reimburse the society for any expenses paid for the child.  Where notification has not been received by the society prior to the child's birth or within the specified period following the child's birth, insurance coverage shall be effective from the first day following the society's receipt of legal notification of the insured's ability to consent for treatment of the infant whom coverage is sought.  (b) When the insured is a member of a health maintenance organization (HMO), coverage of an adopted newborn is effective:  (1) From the date of birth of the adopted newborn when the newborn is treated from birth pursuant to a provider contract with the health maintenance organization, and written notice of enrollment in accord with the health maintenance organization's usual enrollment process is provided within thirty days of the date the insured notifies the health maintenance organization of the insured's intent to adopt the infant for whom coverage is sought; or  (2) From the first day following receipt by the health maintenance organization of written notice of the insured's ability to consent for treatment of the infant for whom coverage is sought and enrollment of the adopted newborn in accord with the health maintenance organization's usual enrollment process if the newborn has been treated from birth by a provider not contracting or affiliated with the health maintenance organization. [L 1991, c 268, § §2, 5; am L 1995, c 47, §1]
HI Rev Stat § 432:1-603 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-603 Reimbursement for psychological services.

  §432:1-603 Reimbursement for psychological services. Notwithstanding any provision of any individual or group hospital or medical service plan contract, whenever the contract provides reimbursement or payment for any service which is within the lawful scope of practice of a psychologist licensed in this State, the person entitled to benefits or performing the service shall be entitled to reimbursement or payment whether the service is performed by a licensed physician or licensed psychologist. [L 1987, c 347, pt of §2]
HI Rev Stat § 432:1-604 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-604 In vitro fertilization procedure coverage.

  §432:1-604 In vitro fertilization procedure coverage. (a) All individual and group hospital or medical service plan contracts which provide pregnancy-related benefits shall include in addition to any other benefits for treating infertility, a one-time only benefit for all outpatient expenses arising from in vitro fertilization procedures performed on the subscriber or member or the subscriber's or member's dependent spouse; provided that:  (1) Benefits under this section shall be provided to the same extent as the benefits provided for other pregnancy-related benefits;  (2) The patient is a subscriber or member or covered dependent of the subscriber or member;  (3) The patient's oocytes are fertilized with the patient's spouse's sperm;  (4) The:  (A) Patient and the patient's spouse have a history of infertility of at least five years' duration; or  (B) Infertility is associated with one or more of the following medical conditions:  (i) Endometriosis;  (ii) Exposure in utero to diethylstilbestrol, commonly known as DES;  (iii) Blockage of, or surgical removal of, one or both fallopian tubes (lateral or bilateral salpingectomy); or  (iv) Abnormal male factors contributing to the infertility;  (5) The patient has been unable to attain a successful pregnancy through other applicable infertility treatments for which coverage is available under the contract; and  (6) The in vitro fertilization procedures are performed at medical facilities that conform to the American College of Obstetricians and Gynecologists guidelines for in vitro fertilization clinics or to the American Society for Reproductive Medicine minimal standards for programs of in vitro fertilization.  (b) For the purposes of this section, the term "spouse" means a person who is lawfully married to the patient under the laws of the State.  (c) The requirements of this section shall apply to all hospital or medical service plan contracts delivered or issued for delivery in this State after June 26, 1987. [L 1987, c 332, §2 and L 1989, c 276, §4; am L 2003, c 212, §122; am L 2013, c 47, §2]
HI Rev Stat § 432:1-604.5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-604.5 Contraceptive services.

  §432:1-604.5 Contraceptive services. (a) Notwithstanding any provision of law to the contrary, each employer group health policy, contract, plan, or agreement issued or renewed in this State on or after January 1, 2000, shall cease to exclude contraceptive services or supplies, and contraceptive prescription drug coverage for the subscriber or any dependent of the subscriber who is covered by the policy, subject to the exclusion under section 431:10A-116.7.  (b) Except as provided in subsection (c), all policies, contracts, plans, or agreements under subsection (a), that provide contraceptive services or supplies or prescription drug coverage shall not exclude any prescription contraceptive supplies or impose any unusual copayment, charge, or waiting requirement for such drug or device.  (c) Coverage for contraceptives shall include at least one brand from the monophasic, multiphasic, and the progestin-only categories. A member shall receive coverage for any other oral contraceptive only if:  (1) Use of brands covered has resulted in an adverse drug reaction; or  (2) The member has not used the brands covered and, based on the member's past medical history, the prescribing health care provider believes that use of the brands covered would result in an adverse reaction.  (d) Coverage required by this section shall include reimbursement to a prescribing health care provider or dispensing entity for prescription contraceptive supplies intended to last for up to a twelve-month period for a member.  (e) For purposes of this section:  "Contraceptive services" means physician-delivered, physician-supervised, physician assistant-delivered, advanced practice registered nurse-delivered, nurse-delivered, or pharmacist-delivered medical services intended to promote the effective use of contraceptive supplies or devices to prevent unwanted pregnancy.  "Contraceptive supplies" means all Food and Drug Administration-approved contraceptive drugs or devices used to prevent unwanted pregnancy.  (f) Nothing in this section shall be construed to extend the practice or privileges of any health care provider beyond that provided in the laws governing the provider's practice and privileges. [L 1993, c 365, §2; am L 1999, c 267, §3; am L 2016, c 141, §18 and c 205, §3; am L 2017, c 67, §4; am L 2019, c 70, §28]
HI Rev Stat § 432:1-605 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-605 Mammogram screening.

 §432:1-605 Mammogram screening. (a) Notwithstanding any provision to the contrary, each policy, contract, plan, or agreement issued on or after February 1, 1991, except for policies that only provide coverage for specified diseases or other limited benefit coverage, but including policies issued by companies subject to chapter 431, article 10A, part II and chapter 432, article 1 shall provide coverage for screening by low-dose mammography for occult breast cancer as follows:  (1) For women forty years of age and older, an annual mammogram; and  (2) For a woman of any age with a history of breast cancer or whose mother or sister has had a history of breast cancer, a mammogram upon the recommendation of the woman's physician.  (b) The services provided in subsection (a) are subject to any coinsurance provisions that may be in force in these policies, contracts, plans, or agreements.  (c) For purposes of this section, "low-dose mammography" means the x-ray examination of the breast using equipment dedicated specifically for mammography, including but not limited to the x-ray tube, filter, compression device, screens, films, and cassettes, with an average radiation exposure delivery of less than one rad mid-breast, with two views for each breast.  (d) An insurer may provide the services required by this section through contracts with providers; provided that the contract is determined to be a cost-effective means of delivering the services without sacrifice of quality and meets the approval of the director of health. [L 1990, c 112, §3; am L 1994, c 279, §3; am L 1999, c 13, §3] Note  Director of health to monitor the mammogram screening services to assure that the demand for screening does not exceed the ability of the medical community to safely provide the services. L 1990, c 112, §5. Cross References  Sunset evaluations modified, see § §26H-4, 26H-5.
HI Rev Stat § 432:1-605.5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-605.5 Mammograms; referral not required.

  §432:1-605.5 Mammograms; referral not required. (a) For purposes of the annual screening mammogram coverage required under section 432:1-605, no mutual benefit society shall require a covered person forty years of age and older to obtain a referral from a primary care provider or other physician for an annual screening mammogram.  (b) If the screening mammogram indicates that follow up services are advisable, a referral shall be made to the patient's primary care physician or other physician, as designated by the patient. [L 2012, c 92, §2]
HI Rev Stat § 432:1-606 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-606 Qualified medical child support order.

  §432:1-606 Qualified medical child support order. (a) An employer, who provides health coverage to dependent children of an employee, shall recognize a child identified in a qualified medical child support order as an eligible dependent without regard to any enrollment season restrictions.  (b) A qualified medical child support order shall:  (1) Specify the name and last known mailing address, if any, of the plan member and the name and mailing address of each recipient child covered by the order;   (2) Include a reasonable description of the type of coverage to be provided to the recipient child, or the manner in which the type of coverage is to be determined;  (3) State the period during which it applies;  (4) Specify the plan to which it applies; and  (5) Not require a plan to provide any type or form of benefit or option that the plan does not otherwise provide. [L 1994, c 145, §3]
HI Rev Stat § 432:1-607 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-607 Genetic information nondiscrimination in health insurance coverage.

  §432:1-607 Genetic information nondiscrimination in health insurance coverage. (a) No mutual benefit society may:  (1) Use an individual's or a family member's genetic information, or request for genetic services, to deny or limit any coverage or establish eligibility, continuation, enrollment, or premium payments;  (2) Request or require collection or disclosure of an individual's or a family member's genetic information; or  (3) Disclose an individual's or a family member's genetic information without the written consent of the person affected, the person's legal guardian, or a person with power of attorney for health care for the person affected. This consent shall be required for each disclosure and shall include the name of each person or organization to whom the disclosure will be made.  (b) As used in this section:  "Family member" means, with respect to the individual, another individual related by blood to that individual.  "Genetic information" means information about genes, gene products, hereditary susceptibility to disease, or inherited characteristics that may derive from the individual or family member.  "Genetic services" means health services to obtain, assess, or interpret genetic information for diagnosis, therapy, or genetic counseling. [L 1997, c 91, §2] Law Journals and Reviews  Privacy and Genetics: Protecting Genetic Test Results in Hawai`i. 25 UH L. Rev. 449 (2003).
HI Rev Stat § 432:1-608 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-608 Hospice care coverage.

  §432:1-608 Hospice care coverage. (a) Any other law to the contrary notwithstanding, commencing on January 1, 2000, all mutual benefit societies issuing or renewing an individual and group hospital or medical service plan, policy, contract, or agreement in this State that provides for payment of or reimbursement for hospice care shall reimburse hospice care services for each insured member covered for hospice care according to the following:  (1) A minimum daily rate as set by the Centers for Medicare and Medicaid Services for hospice care;  (2) Reimbursement for residential hospice room and board expenses directly related to the hospice care being provided; and  (3) Reimbursement for each hospice referral visit during which a patient is advised of hospice care options, regardless of whether the referred patient is eventually admitted to hospice care.  (b) Every insurer shall provide notice to its members regarding the coverage required by this section. Notice shall be in writing and in literature or correspondence sent to members, beginning with calendar year 2000, along with any other mailing to members, but in no case later than July 1, 2000. [L 1999, c 77, §5; am L 2011, c 43, §17]
HI Rev Stat § 432:1-609 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-609 Medical foods and low-protein modified food products; treatment of inborn error of metabolism; notice.

  §432:1-609 Medical foods and low-protein modified food products; treatment of inborn error of metabolism; notice. (a) All individual and group hospital and medical service plan contracts and medical service corporation contracts under this chapter shall provide coverage for medical foods and low-protein modified food products for the treatment of an inborn error of metabolism for its members or dependents of the member in this State; provided that the medical food or low-protein modified food product is:  (1) Prescribed as medically necessary for the therapeutic treatment of an inborn error of metabolism; and  (2) Consumed or administered enterally under the supervision of a physician or osteopathic physician licensed under chapter 453. Coverage shall be for at least eighty per cent of the cost of the medical food or low-protein modified food product prescribed and administered pursuant to this subsection.  (b) Every mutual benefit society shall provide notice to its members regarding the coverage required by this section. The notice shall be in writing and prominently placed in any literature or correspondence sent to members and shall be transmitted to members during calendar year 2000 when annual information is made available to members, or in any other mailing to members, but in no case later than December 31, 2000.  (c) For the purposes of this section:  "Inborn error of metabolism" means a disease caused by an inherited abnormality of the body chemistry of a person that is characterized by deficient metabolism, originating from congenital defects or defects arising shortly after birth, of amino acid, organic acid, carbohydrate, or fat.  "Low-protein modified food product" means a food product that:  (1) Is specially formulated to have less than one gram of protein per serving;  (2) Is prescribed or ordered by a physician or osteopathic physician as medically necessary for the dietary treatment of an inherited metabolic disease; and  (3) Does not include a food that is naturally low in protein.  "Medical food" means a food that is formulated to be consumed or administered enterally under the supervision of a physician or osteopathic physician and is intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation. [L 1999, c 86, §3; am L 2009, c 11, §53]
HI Rev Stat § 432:1-610 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-610 Federally funded programs; exemption.

  §432:1-610 Federally funded programs; exemption. Requirements relating to mandated coverages shall not be applicable to any mutual benefit society offering health insurance under a federally funded program under the Social Security Act, as amended; provided that this exemption shall apply only to that part of the mutual benefit society's business under the federally funded program. [L 1999, c 159, §2]
HI Rev Stat § 432:1-611 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-611 REPEALED.

  §432:1-611 REPEALED. L 2019, c 70, §32.
HI Rev Stat § 432:1-612 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-612 Diabetes coverage.

  §432:1-612 Diabetes coverage. All group health care contracts under this chapter shall provide, to the extent provided under section 431:10A-121, coverage for outpatient diabetes self-management training, education, equipment, and supplies. [L 2000, c 243, §3]