HOUSE INTRODUCES MEASURES AIMED AT ADDRESSING
HAWAII HEALTH CONNECTOR CONCERNS
Measures to improve
transparency, accountability and sustainability
Honolulu,
Hawaii – House Representatives Della Au Belatti (Makiki, Tantalus, Papakolea, McCully, Pawaa,
Manoa) and Angus McKelvey (West Maui, Maalaea, North Kihei) are introducing a
package of bills intended to help the Hawaii Health Connector improve
transparency and reliability and ensure the agencies financial stability, as it
faces technical and administrative challenges. The Health Connector is the
state’s enrollment portal for coverage under the federal Affordable Care
Act.
Belatti, who chairs the House Committee on Health, and
McKelvey, who chairs the Committee on Consumer Protection and Commerce, have
led committee hearings during the interim aimed at understanding the challenges
and problems experienced by the Connector before and since the Connector’s
October 1, 2013 rollout. Both Belatti
and McKelvey share a common desire to see the Connector succeed.
“It goes without saying that the Connector has had a
rough time with their rollout for many reasons,” said Belatti. “But at the end
of the day, if it fails, it is the people of Hawaii who will be the losers.
There has been plenty of justification for finger pointing and calls for
accountability, but now we need to move beyond the criticism and provide
constructive recommendations to help right the ship.”
“The Connector was designed to match low-income
residents with subsidized health plans under the Affordable Care Act,” said
McKelvey. “It has faced technical difficulties as well as administrative ones.
The problems cannot be solved by a single silver bullet or by simply saying
let’s throw it all out and start fresh. If you do, you’re doomed to repeat the
same failures.
“We need to understand the specific problems and match
the solutions appropriately: If the problem is an administrative one, then let’s
fix it administratively. If it’s a technical one, let’s find a technological
fix. If it’s a financial one, let’s find
a financial fix.”
In Hawaii, more than 17,000 individuals
have applied for health insurance through the Health Connector during the
current open enrollment period, which ends March 31, 2014.
“We can all agree that access to quality
health care through affordable health insurance plans is a major goal of health
care reform today. The Connector plays a
critical role in fulfilling that goal,” Belatti said. “Our job in the
Legislature is to make sure that the Connector is restructured to provide
better transparency and accountability, ensure that the Connector is on a path
to sustainability, and connect the work of the Connector to the larger process of
healthcare transformation.”
The proposed measures include bills:
HB2529 RELATING TO HEALTH: Transitions the
Hawaii Health Connector from a private to a state entity. Makes changes to the
composition of the Hawaii Health Connector board. Creates a consumer, patient,
business, and health care advisory group and an intergovernmental advisory group.
HB2526 RELATING TO THE HAWAII
HEALTH INSURANCE EXCHANGE: Establishes the Hawaii Health Connector as a state entity as
of 01/01/2015.
HB2527 RELATING TO HEALTH INSURERS
ASSESSMENTS:
Establishes a sustainability fee for the Hawaii Health Connector. Deposits the
fee into a special subaccount of the Compliance Resolution Fund.
HB2525 RELATING TO INSURANCE RATES: Requires individual health insurance
plans and small group plans to establish rates based on community rating
without regard to age, sex, health status, tobacco use or occupation.
HB2530 RELATING TO THE HAWAII HEALTH CONNECTOR: Effective July 1, 2014, lowers the number of
members on the board of directors of the Hawaii Health Connector to twelve,
with a maximum of nine total voting members. Removes members representing
insurers and dental benefit providers from the board and requires all but one
of the state agency representatives on the board to be ex officio, non-voting
members. Establishes procedures for filling vacancies on the board.
HB2531 RELATING TO THE HAWAII HEALTH INSURANCE
EXCHANGE: Requires the Hawaii Health Insurance Exchange to
comply with open meeting and notice provisions and provide an annual report to
the Legislature. Clarifies the conduct of board meetings. Implements
enforcement provisions and penalties for violations of open meeting and notice
requirements.