Hawaii Senate Bill 2273 was introduced, which would amend the state’s work comp law to establish clearer timelines and procedures for payment of medical bills.

The bill requires employers to pay for all medical services related to a compensable injury within 30 days, while prohibiting denial of claims without reasonable cause and mandating written notice of any disputed charges. Employers must pay undisputed amounts in a timely manner, and providers may assess 1% monthly interest on unpaid, undisputed balances.

The measure also creates a bill dispute process through the Department of Labor and Industrial Relations, including defined negotiation periods and administrative review by the director, who may assess up to a $1,000 fee for failure to negotiate in good faith.

Additionally, employees may be required to reimburse benefits if a controverted claim is ultimately deemed non-compensable. The bill would take effect upon enactment.