# Hawaii HB 2143: RELATING TO HEALTH CARE.

Hawaii HB 2143, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Gregg Takayama (Democratic); status failed, last action 2026-01-30 (Referred to HLT/HSH, CPC, FIN, referral sheet 5) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2143-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 2143
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HEALTH CARE.
- Status: failed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-01-30, Referred to HLT/HSH, CPC, FIN, referral sheet 5
- Sponsor: Gregg Takayama (Democratic)
- Cosponsors: 0
- Subjects: Hawaii Health Authority, Hawaii Care, Universal Health Care, Single Payer Health Care System, Hawaii Care Special Fund, Rules, Reports, Governor, Department of Human Services, Medicare, Medicaid, Appropriation, HLT/HSH, CPC, FIN
- Touches household money: no
- Economic provisions PRIA read: 0

## 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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Gregg Takayama (Democratic), House

## Actions (3)

- 2026-01-30: Referred to HLT/HSH, CPC, FIN, referral sheet 5 (House)
- 2026-01-28: Introduced and Pass First Reading. (House)
- 2026-01-26: Pending introduction. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2143_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2143_.pdf)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 1973: RELATING TO HEALTH. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2143_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2143_.pdf)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026)
- [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-HB2143-2026 (as of 2026-11-01).