# Hawaii HB 2144: RELATING TO MEDICAID.

Hawaii HB 2144, RELATING TO MEDICAID., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Gregg Takayama (Democratic); status failed, last action 2026-01-30 (Referred to HSH/HLT, CPC, FIN, referral sheet 5) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2144-2026
- 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 2144
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO MEDICAID.
- Status: failed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-01-30, Referred to HSH/HLT, CPC, FIN, referral sheet 5
- Sponsor: Gregg Takayama (Democratic)
- Cosponsors: 0
- Subjects: DHS, Med-QUEST Division, Medicaid, Financial Risk-Bearing Entity, Prohibition, Administrative Services Organization, Medicaid, Care Coordination Program, Regional Health Hub, Medicaid Stakeholder Advisory Group, Reports, Appropriation, HSH/HLT, CPC, FIN
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Prohibits a financial risk-bearing entity from administering Medicaid services. Requires the Department of Human Services to contract with one or more administrative services organizations to perform non-risk administrative functions for the operation of the State's Medicaid program. Requires the Department to establish a Medicaid Care Coordination Program to contract with community-based programs to provide care coordination services. Requires physicians, other independent practitioners, hospitals, and other institutional providers to be paid or reimbursed directly by the State's medicaid agency. Requires the Department to establish regional health hubs in each county to serve as localized oversight bodies. Requires the Department to convene a Medicaid Stakeholder Advisory Group to support continuous improvement throughout the transition period. Requires reports to the Legislature. Appropriate 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 HSH/HLT, 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/HB2144_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2144_.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/HB2144_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2144_.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-HB2144-2026 (as of 2026-11-01).