# Hawaii HB 1490: RELATING TO HEALTH CARE.

Hawaii HB 1490, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 1) House bill sponsored by Amy A. Perruso (Democratic); status in committee, last action 2025-01-27 (Referred to HLT/HSH, CPC, FIN, referral sheet 4) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/HI-HB1490-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 1490
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO HEALTH CARE.
- Status: in committee
- Chamber: House
- Introduced: 2025-01-23
- Last action: 2025-01-27, Referred to HLT/HSH, CPC, FIN, referral sheet 4
- Sponsor: Amy A. Perruso (Democratic)
- Cosponsors: 6
- Subjects: Hawaii Care, Universal Health Care, Hawaii Health Authority, Single Payer Health Care System, Medicare, Medicaid, Prepaid Health Care Act, HLT/HSH, CPC, FIN
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Requires the Hawaii Health Authority to develop a comprehensive plan for the establishment of a universal, single payer health care system to replace all other health care coverage in the State, including Medicare, Medicaid, and the Prepaid Health Care Act. Establishes a universal, single payer health care system to be known as the Hawaii Care program under the Hawaii Health Authority to take effect one hundred eighty days after the approval of waivers from certain provisions of the Patient Protection and Affordable Care Act of 2010 and the State's Medicaid plan. Appropriates funds.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Amy A. Perruso (Democratic), House
- Cosponsor: Terez Amato (Democratic), House
- Cosponsor: Della Au Belatti (Democratic), House
- Cosponsor: Elle Cochran (Republican), House
- Cosponsor: Tina Nakada Grandinetti (Democratic), House
- Cosponsor: Kim Coco Iwamoto (Democratic), House
- Cosponsor: Mahina Poepoe (Democratic), House

## Actions (2)

- 2025-01-27: Referred to HLT/HSH, CPC, FIN, referral sheet 4 (House)
- 2025-01-23: Introduced and Pass First Reading. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1490_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1490_.pdf)

## Related bills

- SB 572: RELATING TO HOUSING. (signed)
- HB 431: RELATING TO HOUSING. (signed)
- HB 420: RELATING TO REMEDIES. (signed)
- SB 1296: RELATING TO DISASTER RECOVERY. (signed)
- HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1490_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1490_.pdf)

## Related
- [SB 572: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB572-2025)
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 420: RELATING TO REMEDIES.](https://policyrisk.com/state-bill/HI-HB420-2025)
- [SB 1296: RELATING TO DISASTER RECOVERY.](https://policyrisk.com/state-bill/HI-SB1296-2025)
- [HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS.](https://policyrisk.com/state-bill/HI-HB830-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/HI-HB1490-2025 (as of 2026-10-17).