Hawaii Legislature (healthcare bills) · December 8, 2025 · Primary source
HI HB 1092: RELATING TO MEDICAID THIRD PARTY LIABILITY.
Summary
Hawaii HB 1092 amends the state's Medicaid third-party liability (TPL) provisions to conform with requirements imposed by the federal Consolidated Appropriations Act of 2022. The bill carries a nominal effective date of 7/1/3000 and has been carried over to the 2026 Regular Session, meaning it has not yet been enacted. The measure addresses the sequencing and recovery rules governing Medicaid claims where a third-party payer is liable.
What this may mean
If enacted, the bill would align Hawaii's Medicaid TPL rules with federal Consolidated Appropriations Act, 2022 mandates, affecting how Medicaid managed care plans and state agencies pursue third-party recovery on claims. Providers and managed care organizations operating in Hawaii's Medicaid program would be subject to updated TPL claim-filing and coordination-of-benefits requirements. The bill remains pending and has no current operative effect.
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