Bill > SB298

This bill aims to increase funding for Medicaid in-home services in Hawaii, addressing critical challenges faced by kupuna (elderly) and people with disabilities who wish to age in place. Based on a 2021 study and a 2022 Milliman report, the legislation highlights that 65% of Hawaii residents over 45 are concerned about aging at home, and current reimbursement rates for in-home care providers are insufficient. The bill seeks to raise reimbursement rates to the "high scenario" modeled in the Milliman study, which would set wages at the 75th percentile of the U.S. Department of Labor's Bureau of Labor Statistics data. Currently, most in-home care workers are paid below the 25th percentile wage benchmark, making it difficult for providers like Kokua Healthcare to offer services to Medicaid clients. By appropriating funds for fiscal years 2025-2026 and 2026-2027, the bill aims to increase state funding for Medicaid in-home services, which will also trigger corresponding federal matching funds. The goal is to address wage pressures, improve care provider compensation, and ensure that essential home-based care remains accessible for vulnerable populations who prefer to live independently.

Budget and Finance, Health and Social Services, Housing and Urban Affairs

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=298&year=2025