reglab/housing_qa huggingface dataset:
HI Rev Stat § 431L-3 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431L. Medicaid-Related Mandates|431L-3 Coverage of children.

 §431L-3 Coverage of children. (a) No insurer shall deny enrollment of a child under the health plan of the child's parent for the following grounds:  (1) The child was born out of wedlock;  (2) The child is not claimed as a dependent on the parent's federal tax return; or  (3) The child does not reside with the parent or in the insurer's service area.  (b) Where a child has health coverage through an insurer of a noncustodial parent the insurer shall:  (1) Provide such information to the custodial parent as may be necessary for the child to obtain benefits through that coverage;  (2) Permit the custodial parent (or the provider, with the custodial parent's approval) to submit claims for covered services without the approval of the noncustodial parent; and  (3) Make payments on claims submitted in accordance with paragraph (2) directly to the custodial parent, the provider, or the state medicaid agency.  (c) Where a parent is required by a court or administrative order to provide health coverage for a child, and the parent is eligible for family coverage, as defined in section 431:10A-103, and reciprocal beneficiary family coverage, as defined in section 431:10A-601, the insurer shall be required:  (1) To permit the parent to enroll, under the family coverage or reciprocal beneficiary family coverage, a child who is otherwise eligible for the coverage without regard to any enrollment season restrictions;  (2) If the parent is enrolled but fails to make application to obtain coverage for the child, to enroll the child under family coverage or reciprocal beneficiary family coverage upon application of the child's other parent, the state agency administering the medicaid program, or the state agency administering the child support enforcement program; and  (3) Not to disenroll (or eliminate coverage of) the child unless the insurer is provided satisfactory written evidence that:  (A) The court or administrative order is no longer in effect; or  (B) The child is or will be enrolled in comparable health coverage through another insurer that will take effect not later than the effective date of disenrollment.  (d) An insurer may not impose requirements on a state agency, which has been assigned the rights of an individual eligible for medical assistance under medicaid and covered for health benefits from the insurer, that are different from requirements applicable to an agent or assignee of any other individual so covered. [L 1995, c 83, pt of §2; am L 1997, c 383, §8; am L 2004, c 122, §81]
HI Rev Stat § 431L-4 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431L. Medicaid-Related Mandates|431L-4 Employer obligations.

 §431L-4 Employer obligations. Where a parent is required by a court or administrative order to provide health coverage, which is available through an employer doing business in this State, the employer is required:  (1) To permit the parent to enroll under family coverage, as defined in section 431:10A-103 or reciprocal beneficiary family coverage, as defined in section 431:10A-601, any child who is otherwise eligible for coverage without regard to any enrollment season restrictions;  (2) If the parent is enrolled but fails to make application to obtain coverage of the child, to enroll the child under family coverage or reciprocal beneficiary family coverage upon application by the child's other parent, by the state agency administering the medicaid program, or by the state agency administering the child support enforcement program;  (3) Not to disenroll (or eliminate coverage of) any such child unless the employer is provided satisfactory written evidence that:  (A) The court or administrative order is no longer in effect;  (B) The child is or will be enrolled in comparable coverage which will take effect no later than the effective date of disenrollment; or  (C) The employer has eliminated family health coverage or reciprocal beneficiary family coverage for all of its employees; and  (4) To withhold from the employee's compensation the employee's share (if any) of premiums for health coverage and to pay this amount to the insurer. [L 1995, c 83, pt of §2; am L 1997, c 383, §9]
HI Rev Stat § 431L-5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431L. Medicaid-Related Mandates|431L-5 Recoupment of amounts spent on child medical care.

  §431L-5 Recoupment of amounts spent on child medical care. The department of the attorney general may garnish the wages, salary, or other employment income of, and withhold amounts from state tax refunds to, any person who:  (1) Is required by court or administrative order to provide coverage of the cost of health services to a child eligible for medical assistance under medicaid; and  (2) Has received payment from a third party for the costs of such services but has not used the payments to reimburse either the other parent or guardian of the child or the provider of the services, to the extent necessary to reimburse the department of human services for its costs, but claims for current and past due child support shall take priority over these claims. [L 1995, c 83, pt of §2]
HI Rev Stat § 431L-6 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431L. Medicaid-Related Mandates|431L-6 Requirements for coverage of an adopted child.

  §431L-6 Requirements for coverage of an adopted child. (a) In any case in which a group health plan provides coverage for dependent children of participants or beneficiaries, the plan shall provide benefits to dependent children placed with participants or beneficiaries for adoption under the same terms and conditions as apply to the natural, dependent children of the participants and beneficiaries, irrespective of whether the adoption has become final.  (b) A group health plan may not restrict coverage under the plan of any dependent child adopted by a participant or beneficiary, or placed with a participant or beneficiary for adoption, solely on the basis of a preexisting condition of the child at the time that the child would otherwise become eligible for coverage under the plan, if the adoption or placement for adoption occurs while the participant or beneficiary is eligible for coverage under the plan.  (c) As used in this section:  "Child" means, in connection with any adoption, or placement for adoption, of the child, an individual who has not attained the age of eighteen as of the date of such adoption or placement for adoption.  "Placement for adoption" means the assumption and retention by a person of a legal obligation for total or partial support of a child in anticipation of the adoption of the child. The child's placement with a person terminates upon the termination of such legal obligation. [L 1995, c 83, pt of §2]
HI Rev Stat § 431M-2 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-2 Policy coverage.

  §431M-2  Policy coverage. (a) All individual and group accident and health or sickness insurance policies issued in this State, individual or group hospital or medical service plan contracts, and nonprofit mutual benefit society, fraternal benefit society, and health maintenance organization health plan contracts shall include within their hospital and medical coverage the benefits of alcohol use disorder, substance use disorder, and mental health treatment services, including services for alcohol dependence and drug dependence, except that this section shall not apply to insurance policies that are issued solely for single diseases, or otherwise limited, specialized coverage.  (b) The policies and contracts set forth in subsection (a) shall not impose any financial requirements or treatment limitations on mental health or substance use disorder benefits that are more restrictive than the predominant financial requirements and treatment limitations, either quantitative or nonquantitative, imposed on medical and surgical benefits in accordance with the Mental Health Parity and Addiction Equity Act of 2008. [L 1988, c 202, pt of §1, §3; am L 1994, c 111, §4; am L 1998, c 78, §3; am L 2002, c 239, §1; am L 2003, c 212, §120; am L 2004, c 122, §82; am L 2014, c 186, §10]
HI Rev Stat § 431M-3 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-3 REPEALED.

 §431M-3 REPEALED. L 2014, c 186, §18.
HI Rev Stat § 431M-5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-5 REPEALED.

 §431M-5 REPEALED. L 2014, c 186, §19.
HI Rev Stat § 431M-5.5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-5.5 REPEALED.

  §431M-5.5 REPEALED. L 2004, c 44, §33.
HI Rev Stat § 431M-6 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-6 Rules.

  §431M-6 Rules. The insurance commissioner, after consultation with all interested parties including the director of health, the Hawaii medical board, the board of psychology, and representatives of insurance carriers, nonprofit mutual benefit societies, health maintenance organizations, public and private providers, consumers, employers, and labor organizations shall adopt rules pursuant to chapter 91 as are deemed necessary for the effective implementation and operation of this chapter. The rules shall include criteria and guidelines to be used in determining the appropriateness and medical or psychological necessity of services covered under this chapter, including the appropriate level of care or place of treatment and the number or quantity of services, and shall include an appeals process.  The director of health shall also adopt rules pursuant to chapter 91 as are deemed necessary for the implementation and operation of this chapter. The rules shall provide certification standards that:  (1) Reflect quality of care; and  (2) Do not compromise the quality of care. [L 1988, c 202, pt of §1, §3; am L 1991, c 90, §2; am L 1994, c 111, §4; am L 1998, c 78, §3; am L 2002, c 239, §1; am L 2004, c 122, §83; am L 2008, c 9, §3; am L 2014, c 186, §12]
HI Rev Stat § 431M-7 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431M. Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits|431M-7 Preservation of certain benefits.

  §431M-7 Preservation of certain benefits. Nothing in this chapter shall serve to prevent the offering or acceptance of benefits required by this chapter. [L 1988, c 202, pt of §1, §3; am L 1994, c 111, §4; am L 1998, c 78, §3; am L 2002, c 239, §1]
HI Rev Stat § 431N-1 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-1 Findings and purpose.

  §431N-1 Findings and purpose. (a) The legislature finds that despite the fact that Hawaii has the only statutorily mandated prepaid health care program in the country, as well as a broad-based medicaid program which provides an array of medical benefits to Hawaii's lowest income level residents, there remain in the State uninsured "gap group individuals". Available statistics consistently reveal that an estimated five per cent of the civilian population of this State, or 50,000 individuals, lack any form of medical insurance whatsoever and are therefore limited in access to medical care.  (b) These "gap group individuals" are characterized by one or more of the following conditions or factors contributing to lack of insurance or "medical indigency":  (1) They have too much income or too many assets to qualify for medicaid, but too little to afford private insurance;  (2) They do not qualify for prepaid health care insurance coverage through employment;  (3) They choose not to obtain health insurance; or  (4) They are dependents, primarily children of insureds who are not covered by their parent's, guardian's, or spouse's policies.  (c) The legislature further finds that it is a matter of compelling public interest to provide for the health and well-being of all the people of this State. This is also consistent with the health provisions of the Hawaii State Planning Act as set forth in section 226-20(a)(1), which establish as an objective the "fulfillment of basic individual health needs of the general public." This objective is construed to include access to basic health insurance coverage. To responsibly carry out this objective, it is therefore appropriate that the legislature use innovative means to ensure that all residents, regardless of age, income, employment status, or any other factor, have access to health insurance coverage which will provide basic medical services necessary to sustain a healthy life.  (d) The purpose of this chapter is to establish a program within the department of health, funded through legislative appropriations, to ensure basic health insurance coverage is available for Hawaii residents who are medically uninsured and who are defined in section 431N-2 as "gap group individuals". [L 1989, c 378, pt of §1]
HI Rev Stat § 431N-2 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-2 Definitions.

  §431N-2 Definitions. As used in this chapter unless otherwise indicated by the context:  "Gap group individuals" means medically uninsured persons who are residents of the State.  "Health care contractor" means any medical group or organization which undertakes, under a prepaid health care program, to provide health care, or any nonprofit organization or insurer who undertakes, under a prepaid health care program, to defray or reimburse in whole or part, the expenses of health care.  "Health care coverage" means contractually arranged medical, personal, or other services, including preventive services, education, case management, and outreach, provided to an eligible member.  "Medical indigence" means the status of a person who is uninsured or lacks medical insurance. [L 1989, c 378, pt of §1]
HI Rev Stat § 431N-3 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-3 State health insurance program established.

  §431N-3 State health insurance program established. There is established within the department of health the state health insurance program whose goals shall be to:  (1) Subsidize health care coverage for gap group individuals, including but not necessarily limited to outpatient primary and preventive care;  (2) Encourage the uninsured who can afford to participate in existing health plans to seek that coverage;  (3) Discourage individuals who are already adequately insured from seeking benefits under the state health insurance program;  (4) Assure that those persons who have the ability to pay for all or part of their coverage be appropriately assessed by the contractors on a sliding fee scale basis; and  (5) Ensure that the state health insurance program is affordable to gap group individuals. The program shall be funded by legislative appropriations made to the department of health. [L 1989, c 378, pt of §1]
HI Rev Stat § 431N-4 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-4 Transfer of funds.

  §431N-4 Transfer of funds. The department of health shall have the authority to utilize funds appropriated under this chapter to directly purchase services in accordance with chapter 103F when it is determined that such a purchase is more effective and cost efficient in meeting the goals of this chapter. The department of health shall also have the authority to transfer funds appropriated under this chapter to the department of human services. The department of human services may receive and apply such funds for the purpose of maximizing medical care services to gap group individuals under the medicaid program contained in the medicaid state plan. The departments of health and human services shall develop and implement an interagency working agreement necessary to carry out the purpose of this section. [L 1989, c 378, pt of §1; am L 1991, c 335, §14; am L 1997, c 190, §6]
HI Rev Stat § 431N-5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-5 Rulemaking authority.

  §431N-5 Rulemaking authority. The director of health shall adopt rules in accordance with chapter 91 which are necessary to carry out this chapter. The rules shall include, but need not be limited to:  (1) Establishment of guidelines for the purchase of health care coverage from health care contractors by the department;  (2) Establishment of specific health care services to be covered, limited, and excluded by the program, including preventive services, outreach, and education strategies designed to reach gap group individuals;  (3) Establishment of eligibility requirements for participation in the program;  (4) Development and implementation of an identification and notification process for eligible program participants;  (5) Establishment of a payment schedule based on the person's ability to pay;  (6) Establishment of program participation criteria for health care contractors;  (7) Establishment of monitoring and evaluative guidelines for the program;  (8) Establishment of appeal procedures for denial of eligibility, disqualification from program participation, assessment of civil penalties, or other negative action; and  (9) Establishment of procedures to exclude or remove from the program persons who drop individual or group coverage to obtain insurance. [L 1989, c 378, pt of §1]
HI Rev Stat § 431N-6 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-6 Reporting, continued funding.

  §431N-6 Reporting, continued funding. The department of health shall report to the legislature on or about October 1, 1989, on the progress made in implementation of this chapter, including:  (1) Establishment of an advisory committee to review: the scope of the work to be done by a consultant, the input from the committee and the community to the consultant, and the schedule of work of the advisory committee;  (2) Final scope of work for the consultant, selection of the consultant, and the consultant's workplan;  (3) Involvement of the departments of labor and industrial relations, human services, and other departments needed to successfully develop the program;  (4) Required data collection efforts to successfully develop the program.  The department of health, in collaboration with the health care contractors, shall submit reports to the legislature and the governor no later than twenty days prior to the convening of each and every legislative session regarding program activities and expenditures, needed resources, participant demographics, evaluations, and such other information as may be necessary to determine the usefulness of and continued need for the state health insurance program.  The purchase of insurance shall not proceed without the formal approval of the governor and a review by the legislature during the 1990 regular session. Implementation is predicated upon the successful completion of the consultant's reports and findings. The legislature, by concurrent resolution, may opt to withhold funding appropriated for implementation if not satisfied with the plan, provided that such a concurrent resolution must be passed within thirty days after completion of the implementation plan or March 1, 1990, whichever occurs last. [L 1989, c 378, pt of §1; am L 1993, c 6, §21]
HI Rev Stat § 431N-7 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-7 Violation, penalty.

  §431N-7 Violation, penalty. Any person who violates this chapter or any rule adopted by the department of health pursuant to this chapter may be permanently disqualified from participation in the program, required to reimburse any benefits wrongfully obtained, and shall be fined not more than $500. Any action taken to impose or collect the penalty provided for in this section may be considered a civil action. [L 1989, c 378, pt of §1]
HI Rev Stat § 431N-8 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431N. State Health Insurance Program Act|431N-8 Severability.

  §431N-8 Severability. If any provision of this chapter, or the application thereof to any person or circumstance is held invalid, the invalidity shall not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this end the provisions of this chapter are severable. [L 1989, c 378, pt of §1]
HI Rev Stat § 431P-2 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431P. Hawaii Hurricane Relief Fund|431P-2 Establishment of Hawaii hurricane relief fund.

  §431P-2 Establishment of Hawaii hurricane relief fund. There shall be a Hawaii hurricane relief fund to be placed within the department of commerce and consumer affairs for administrative purposes. The fund shall be a public body and a body corporate and politic. [L 1993, c 339, pt of §2]
HI Rev Stat § 431P-3 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|431P. Hawaii Hurricane Relief Fund|431P-3 Board of directors.

  §431P-3 Board of directors. (a) The board of directors of the fund shall consist of the insurance commissioner as an ex officio voting member and six members appointed by the governor in accordance with section 26-34. The board shall be the policy making body of the fund. As such, the board shall be responsible for establishing policies for the administration and operation of the fund and the performance of other duties and functions assigned to the fund.  (b) Two members shall, by and with the advice and consent of the senate, be appointed by the governor for a term of four years; provided that of the initial appointees, one shall be appointed for a two-year term. A vacancy on the authority of a seat subject to this subsection shall be filled in accordance with Article V, section 6, of the Constitution of the State of Hawaii.  (c) Two members shall, by and with the advice and consent of the senate, be appointed by the governor from a list of nominations submitted by the president of the senate. The members appointed from a list of nominations of the president of the senate shall serve for a term of four years; provided that of the initial appointees, one shall be appointed for a two-year term.  (d) Two members shall, by and with the advice and consent of the senate, be appointed by the governor from a list of nominations submitted by the speaker of the house of representatives. The members appointed from a list of nominations of the speaker of the house of representatives shall serve for a term of four years; provided that of the initial appointees, one shall be appointed for a two-year term.  (e) The governor shall select a chairperson and vice-chairperson from among the members.  (f) The board shall meet as often as necessary to formulate and implement strategies and plans of operation in furtherance of this chapter. Upon its appointment, the board shall adopt an interim plan of operation within ninety days.  (g) The appointed directors shall receive no compensation for services, but shall be entitled to reimbursement of necessary expenses, including travel expenses, incurred in the performance of their duties.  (h) The board may appoint, not subject to chapter 76, an executive director of the fund whose salary shall be set by the board. The board may employ, not subject to chapter 76, technical experts and officers, agents, and employees, permanent or temporary, as required. The board may also contract with persons, not subject to chapters 76 and 78 when in the determination of the board, the services to be performed are unique and essential to the execution of the functions of the fund. [L 1993, c 339, pt of §2; am L 1998, c 106, §3; am L 2000, c 253, §150; am L 2005, c 22, §29]