HRS §431:10A-145
Insurance coverage for services by participating pharmacists
This section applies to new health insurance policies issued in Hawaii starting July 1, 2026. It requires those policies to treat licensed pharmacists who contract with the insurer as participating providers, cover their services if the same service by another provider is covered, and pay pharmacists for those services.
everyone
The statute, as written — Services provided by participating registered pharmacists; coverage
(a) Each individual or group policy of accident and health or sickness insurance delivered or issued for delivery in the State on or after July 1, 2026, shall: (1) Recognize pharmacists licensed pursuant to chapter 461 as participating providers; (2) Include coverage for a service provided by a participating registered pharmacist practicing within the scope of the participating registered pharmacist's license for purposes of health maintenance or treatment to the extent that the policy provides coverage for the same service rendered by another health care provider; and (3) Pay or reimburse a pharmacist or pharmacy for the cost of a service provided by a pharmacist within the scope of the pharmacist's practice. (b) For the purposes of this section, "participating registered pharmacist" means a registered pharmacist licensed pursuant to chapter 461 who has contracted with the insurer to provide health care services to its insureds.
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