There is established within the department of health the state health insurance program whose goals shall be to:

(1) Subsidize health care coverage for gap group individuals, including but not necessarily limited to outpatient primary and preventive care;

Terms Used In Hawaii Revised Statutes 431N-3

  • Gap group individuals: means medically uninsured persons who are residents of the State. See Hawaii Revised Statutes 431N-2
  • Health care coverage: means contractually arranged medical, personal, or other services, including preventive services, education, case management, and outreach, provided to an eligible member. See Hawaii Revised Statutes 431N-2
(2) Encourage the uninsured who can afford to participate in existing health plans to seek that coverage;
(3) Discourage individuals who are already adequately insured from seeking benefits under the state health insurance program;
(4) Assure that those persons who have the ability to pay for all or part of their coverage be appropriately assessed by the contractors on a sliding fee scale basis; and
(5) Ensure that the state health insurance program is affordable to gap group individuals.

The program shall be funded by legislative appropriations made to the department of health.

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