CHAPTER 432E
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/hi/432eA research copy — for the controlling text, always check the official state or federal source. Not legal advice.
CHAPTER 432E
[PATIENTS' BILL OF RIGHTS AND RESPONSIBILITIES ACT]
Part I. General Provisions
Section
432E-1 Definitions
432E-1.4 Medical necessity
432E-1.5 Licensure of managed care plan medical directors
432E-2 Conflict with other laws
Part II. General Policies
432E-3 Repealed
432E-4 Enrollee participation in treatment decisions
432E-5 Complaints and appeals procedure for enrollees
432E-6 Repealed
432E-6.5 Expedited internal appeal, when authorized;
standard for decision
432E-7 Information to enrollees
432E-8 Enforcement
Part III. Reporting and Other Provisions
432E-9 Utilization review
432E-10 Managed care plan performance measurement and
data reporting standards
432E-11 Accreditation of managed care plans
432E-12 Rules
432E-13 Annual report
Part IV. External Review of Health Insurance
Determinations
432E-31 Applicability and scope
432E-32 Notice of right to external review
432E-33 Request for external review
432E-34 Standard external review
432E-35 Expedited external review
432E-36 External review of experimental or
investigational treatment adverse
determinations
432E-37 Binding nature of external review decision
432E-38 Approval of independent review organizations
432E-39 Minimum qualifications for independent review
organizations
432E-40 Hold harmless for independent review
organizations
432E-41 External review reporting requirements
432E-42 Funding of external review
432E-43 Disclosure requirements
432E-44 Rules
Note
The amendments made to this chapter by L 2011, c 230 have a transitional effective date and are subject to the insurance commissioner's emergency rulemaking authority for conformance to the federal Patient Protection and Affordable Care Act and a conditional repeal and reenactment provision. L 2011, c 230, §§14, 17.
Law Journals and Reviews
Hawai`i's Patients' Bill of Rights: Saving the Right to External Review. 28 UH L. Rev. 295 (2005).
Case Notes
As chapter 432D 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, chapter 432D does not repeal this chapter by implication. 126 H. 326, 271 P.3d 621 (2012).