Bill > HB1349

This bill aims to expand Medicaid coverage through the Children's Health Insurance Program (CHIP) to include income-qualified pregnant persons and children who are currently ineligible due to their immigration status. The legislation is motivated by findings that approximately 500 pregnant individuals in Hawaii are denied access to affordable health care, and evidence shows that limited healthcare access significantly increases health risks, including premature birth and neonatal death. The bill notes that 24 states and Washington D.C. already provide such coverage, and Hawaii's Department of Human Services estimates the annual cost of providing health insurance and postpartum care at $1,364,000. The bill appropriates funds from the state's general revenues for fiscal years 2025-2026 and 2026-2027 to support Medicaid coverage for both pregnant persons and children who meet income requirements but are currently excluded due to immigration status. By expanding healthcare access, the bill seeks to reduce barriers and improve health outcomes for immigrant populations in the state, with the ultimate goal of providing equitable, accessible, and affordable healthcare to all residents.

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

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=1349&year=2026