2015 Hawaii Revised Statutes
432D. Health Maintenance Organization Act

Cross References

Assessments of health insurers, see 431:2-216.

Conformance to federal law, see 431:2-201.5.

Health care provider network adequacy, see chapter 432F.

Peer review, see 663-1.7.

Prescription drug benefits, see chapter 431R.

Prescription drugs; mail order opt out option, see 87A-16.3.

Attorney General Opinions

Section 431:10A-601 applied only to insurers, and not mutual benefit societies or health maintenance organizations. Att. Gen. Op. 97-5.

Case Notes

As this chapter does not cover the field of managed care regulation and because 432D-2, 432E-1, and article 431:10A can be read together and there is no explicit language or policy reason not to give each statute effect, this chapter does not repeal chapter 432E by implication. 126 H. 326, 271 P.3d 621 (2012).

Properly licensed HMOs, like plaintiff, were authorized pursuant to 432D-1 to "provide or arrange", at their option, for the closed panel health care services required under the managed care plan program; accident and health insurers were authorized under 431:10A-205(b) to arrange for medical services for members using a defined network of providers, i.e., particular "hospitals or persons"; thus, article 431:10A and this chapter authorized both accident and health insurers and HMOs, as risk-bearing entities, to provide the closed panel product required by the managed care plan contracts. 126 H. 326, 271 P.3d 621 (2012).

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