HRS §431:26-107
State insurance chief can enforce health network rules
Read the official text at capitol.hawaii.gov ↗If the insurance commissioner finds a health plan does not have enough doctors or other providers, or breaks network rules, the commissioner can make the plan fix it. The commissioner can require changes, a corrective plan, or use other powers. The commissioner will not settle disputes between plans and providers.
The statute, as written — Enforcement
A copy, taken August 20, 2026. The version published by the Legislature is the one that governs, and it may have changed since. Check it before relying on anything here.
(a) If the commissioner determines that: (1) A health carrier has not contracted with a sufficient number of participating providers to ensure that covered persons have accessible health care services in a geographic area; (2) A health carrier's network access plan does not ensure reasonable access to covered benefits; (3) A health carrier has entered into a contract that does not comply with this article; or (4) A health carrier has not complied with this article, then the commissioner shall require a modification to the access plan, institute a corrective action plan that shall be followed by the health carrier, or use any of the commissioner's other enforcement powers to obtain the health carrier's compliance with this article. (b) The commissioner shall not arbitrate, mediate, or settle disputes regarding a decision not to include a provider in a network plan or provider network or regarding any other dispute between a health carrier, its intermediaries, or one or more providers arising under a provider contract or its termination.
LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.