States / Hawaii / SB 2690

SB 2690 In Committee

RELATING TO PRIMARY CARE.

Introduced
In Committee
Floor
Crossed Over
Passed
Enacted

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications.

Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations.

Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

Chamber
Senate
Introduced
Jan 23, 2026
Last action
Jan 23, 2026 — Introduced.
Session
2026
Momentum
39 · Low