summary
Introduced
01/30/2026
01/30/2026
In Committee
02/02/2026
02/02/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Establishes a universal, single payer health care system to be known as "Hawaii Care", to provide comprehensive health care benefits to all state residents and eventually replace all existing health care plans in the State. Designates the Hawaii Health Authority as the responsible agency for the comprehensive planning, implementation, and administration of Hawaii Care. Requires the Hawaii Health Authority to develop and submit a comprehensive implementation and administration plan to the legislature by a certain date. Establishes the Hawaii Care special fund. Requires the Hawaii Health Authority to adopt rules and submit reports to the Legislature. Requires the Governor to appoint members to the Hawaii Health Authority by 12/31/2026. Requires the Department of Human Services to apply for necessary federal waivers. Takes effect 180 days after the approval of the Hawaii Medicaid State Plan and necessary federal waivers. Appropriates funds.
AI Summary
This bill establishes "Hawaii Care," a universal, single-payer healthcare system for all Hawaii residents, intended to replace all existing health insurance plans. The Hawaii Health Authority (Authority) will be responsible for planning, implementing, and administering this new system, and must submit a comprehensive plan to the legislature. A dedicated "Hawaii Care special fund" will be created to manage finances, and the Authority will be required to adopt rules and submit regular reports. The Governor must appoint members to the Authority by December 31, 2026, and the Department of Human Services is tasked with securing necessary federal waivers, including those related to Medicare and Medicaid, which are government health insurance programs for specific populations. The bill will take effect 180 days after the approval of the Hawaii Medicaid State Plan and necessary federal waivers, and includes an appropriation for the Authority's initial administration.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Referred to HHS/CPN, WAM/JDC. (on 02/02/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=3305&year=2026 |
| BillText | https://www.capitol.hawaii.gov/sessions/session2026/bills/SB3305_.HTM |
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