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HR 167

REQUESTING THE AUDITOR TO ASSESS THE SOCIAL AND FINANCIAL EFFECTS OF PROPOSED MANDATORY HEALTH INSURANCE COVERAGE FOR CONTINUOUS GLUCOSE MONITORS.

2025 Regular Session Introduced by Terez Amato and 4 co-sponsors

Hawaii auditor must assess financial and health impacts of mandating continuous glucose monitor coverage in health insurance plans.

Referred to HLT, FIN, referral sheet 22
#auditor #continuousglucosemonitors #impactassessmentreport #mandatoryhealthinsurancecoverage
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Bill Summary · HR 167

Legislative bill overview

HR 167 requests Hawaii's state auditor to conduct an economic and social impact assessment of requiring health insurance plans to cover continuous glucose monitors (CGMs) as a mandatory benefit. The bill does not itself mandate coverage but rather directs an analysis to inform future policy decisions about whether such a mandate should be enacted.

Why is this important

CGMs are medical devices that help people with diabetes monitor blood sugar levels in real-time, potentially improving health outcomes and reducing complications. The assessment would provide policymakers with concrete data on the financial costs to insurers and consumers versus the public health benefits, informing whether mandatory coverage is economically justified and feasible in Hawaii's insurance market.

Potential points of contention

  • Cost allocation concerns: Insurance companies and employer groups may oppose mandatory coverage due to premium increases, while patient advocates argue the long-term savings from preventing diabetic complications justify upfront costs
  • Coverage equity questions: Debate over whether mandates should apply to all plans uniformly or include exemptions for smaller employers or specific plan types, affecting which populations benefit
  • Scope uncertainty: Disagreement about which patients qualify (Type 1 only, or Type 2 and gestational diabetes), frequency of device replacement, and whether all CGM brands should be covered equally

Compiled from official sources — confirm details with the bill’s official record.

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