Hawaii Revised Statutes
432. Benefit Societies
432:1-602.5 Coverage for child health supervision services. (a) All individual and group hospital and medical service corporation contracts which provide coverage for the children of the subscriber shall provide coverage for child health supervision...

§432:1-602.5 Coverage for child health supervision services. (a) All individual and group hospital and medical service corporation contracts which provide coverage for the children of the subscriber shall provide coverage for child health supervision services from the moment of birth through age five years. These services shall be exempt from any deductible provisions, and immunizations shall be exempt from any copayment provisions, which may be in force in these policies or contracts.
(b) Child health supervision services shall include twelve visits at approximately the following intervals: birth; two months; four months; six months; nine months; twelve months; fifteen months; eighteen months; two years; three years; four years; and five years. Services to be covered at each visit shall include a history, physical examination, developmental assessment, anticipatory guidance, immunizations, and laboratory tests, in keeping with prevailing medical standards. For purposes of this subsection, the term "prevailing medical standards" means the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics; provided that if the recommendations of the committee and the academy differ, the department of health shall determine which recommendations shall apply.
(c) Minimum benefits may be limited to one visit payable to one provider for all of the services provided at each visit cited in this section, except that the limitations authorized by this subsection shall not apply to immunizations recommended by the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services and the American Academy of Pediatrics; provided that if the recommendations of the committee and the academy differ, the department of health shall determine which recommendations shall apply.
(d) This section does not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies.
(e) For the purposes of this section, "child health supervision services" means physician-delivered, physician-supervised, physician assistant-delivered, or nurse-delivered services as defined by section 457-2 ("registered nurse"), which shall include as the minimum benefit coverage for services delivered at intervals and scope stated in this section. [L 1988, c 201, §3; am L 1993, c 83, §3 and c 362, §5; am L 2016, c 141, §17; am L 2020, c 70, §58]

Structure Hawaii Revised Statutes

Hawaii Revised Statutes

Title 24. Insurance

432. Benefit Societies

432:1-101 Scope; exemptions.

432:1-101.5 Disclosure of health care coverage and benefits.

432:1-101.6 Policies relating to domestic abuse cases.

432:1-102 Applicability of other laws.

432:1-103 Applicability of this article to existing societies and union mutual benefit societies.

432:1-104 Definitions.

432:1-104.5 Bona fide trade associations.

432:1-105 Penalty.

432:1-106 REPEALED.

432:1-107 Federal law compliance.

432:1-107.5 Prohibition on rescissions of coverage. (a) Notwithstanding sections 431:10-226.5 and 431:10A-106 to the contrary, a society shall not rescind coverage under a health benefit plan with respect to an individual, including a group to which...

432:1-108 Fees.

432:1-201 Incorporation by charter.

432:1-202 Constitution and bylaws; officers; government of society.

432:1-203 Actions or proceedings.

432:1-204 Foreign societies.

432:1-301 Registration with commissioner: certificate of registration and certificate of authority.

432:1-302 Commissioner refusal to authorize certificate or solicitation; appeal to circuit court.

432:1-303 Authority to offer death, sick, disability, or other benefits; conditions.

432:1-304 Authority to offer death, sick, disability, or other benefits; special deposit and control of certain funds.

432:1-305 Authority to offer death, sick, disability, or other benefits; restrictions on use of funds.

432:1-306 Authority to offer death, sick, disability, or other benefits; deposit or bond.

432:1-307 REPEALED.

432:1-308 Suspension, revocation, or denial of certificate of authority.

432:1-401 REPEALED.

432:1-402 Investments of certain mutual benefit societies.

432:1-403 Nonprofit medical, hospital indemnity associations; tax exemption.

432:1-404 Annual exhibits.

432:1-405 Annual audit.

432:1-406 Definitions.

432:1-407 Protection against insolvency.

432:1-408 Uncovered expenditures insolvency deposit.

432:1-409 Rehabilitation, liquidation, or conservation of mutual benefit societies.

432:1-410 Reserve credit for reinsurance.

432:1-501 Examination by commissioner, assistance of other officers.

432:1-502 Summary orders and supervision.

432:1-503 Closing of doors without notice.

432:1-601 Contract limitations for handicapped children and children with intellectual disabilities.

432:1-601.5 Coverage for telehealth.

432:1-602 Newborn children coverage.

432:1-602.5 Coverage for child health supervision services. (a) All individual and group hospital and medical service corporation contracts which provide coverage for the children of the subscriber shall provide coverage for child health supervision...

432:1-602.6 Newborn adoptee; coverage.

432:1-603 Reimbursement for psychological services.

432:1-604 In vitro fertilization procedure coverage.

432:1-604.5 Contraceptive services.

432:1-605 Mammogram screening.

432:1-605.5 Mammograms; referral not required.

432:1-606 Qualified medical child support order.

432:1-607 Genetic information nondiscrimination in health insurance coverage.

432:1-607.3 Nondiscrimination on the basis of actual gender identity or perceived gender identity; coverage for services.

432:1-608 Hospice care coverage.

432:1-609 Medical foods and low-protein modified food products; treatment of inborn error of metabolism; notice.

432:1-610 Federally funded programs; exemption.

432:1-611 REPEALED.

432:1-612 Diabetes coverage.

432:1-613 Orthodontic services for orofacial anomalies; benefits and coverage; notice.

432:1-614 Autism benefits and coverage; notice; definitions.

432:1-615 Primary care provider; advanced practice registered nurse.

432:1-616 Cancer treatment.

432:1-617 Colon cancer screening coverage.

432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.

432:1-620 Formulary; accessibility requirements.

432:1-621 Medication synchronization; proration; dispensing fees.

432:1-622 Extension of dependent coverage.

432:1-623 Prohibition of preexisting condition exclusions.

432:1-624 Prohibited discrimination in premiums or contributions.

432:1-625 Reimbursement to providers.

432:2-101 Scope of article.

432:2-102 Applicability of other laws.

432:2-103 Definitions.

432:2-103.5 Policies relating to domestic abuse cases.

432:2-104 Fraternal benefit societies.

432:2-105 Lodge system.

432:2-106 Representative form of government.

432:2-107 Purposes and powers.

432:2-108 Fees.

432:2-201 Qualifications for membership.

432:2-202 Location of office, meetings, communications to members, grievance procedures.

432:2-203 No personal liability.

432:2-204 Waiver.

432:2-301 Organization.

432:2-302 Amendments to laws.

432:2-303 Institutions.

432:2-304 Reinsurance.

432:2-305 Consolidations and mergers.

432:2-306 Conversion of fraternal benefit society into mutual life insurance company.

432:2-401 Benefits.

432:2-402 Beneficiaries.

432:2-403 Benefits not attachable.

432:2-404 The benefit contract.

432:2-404.5 Genetic information nondiscrimination in health insurance coverage.

432:2-405 Nonforfeiture benefits, cash surrender values, certificate loans and other options.

432:2-406 Mammogram coverage required; referral not required.

432:2-410 Primary care provider; advanced practice registered nurse.

432:2-501 Investments.

432:2-502 Funds.

432:2-503 Taxation.

432:2-601 Valuations.

432:2-602 Reports.

432:2-603 Annual license.

432:2-604 Examination of societies; no adverse publications.

432:2-605 Foreign or alien society, admission.

432:2-606 Injunction, liquidation, receivership of domestic society.

432:2-607 Suspension, revocation or refusal of license of foreign or alien society.

432:2-608 Injunction.

432:2-609 Licensing of producers.

432:2-610 Unfair methods of competition and unfair and deceptive acts and practices.

432:2-611 Federal law compliance.

432:2-701 Service of process.

432:2-702 Review.

432:2-703 Penalties.

432:2-704 Exemption of certain societies.

432:2-705 Severability.