Bill > HR180

This resolution urges the Governor of Hawaii to develop a strategic plan in response to potential federal Medicaid funding cuts, which could significantly impact the state's healthcare system. The resolution highlights that Hawaii's Medicaid program (Med-QUEST) currently provides health coverage to approximately one in five state residents, with 73% of its $3 billion annual budget coming from federal funding. The proposed federal budget resolution would cut Medicaid funding by over $800 billion over ten years and eliminate the Affordable Care Act (ACA) expansion match rate, which could result in up to 156,000 Hawaii residents (34% of the state's Medicaid population) losing health coverage. Specifically, the resolution requests that the Governor consult with Hawaii's congressional delegation to understand the potential impacts, assess the timing of potential funding reductions, and submit a comprehensive report with findings and recommendations to the Legislature at least 20 days before the 2026 legislative session. The resolution also emphasizes the critical role of Federally Qualified Health Centers (FQHCs) in serving vulnerable populations, including low-income individuals, children, seniors, homeless people, veterans, and agricultural workers.

Budget and Finance, Housing and Urban Affairs

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HR&billnumber=180&year=2025