# Hawaii HB 2224: RELATING TO MEDICAID.

Hawaii HB 2224, RELATING TO MEDICAID., is a 2025–2026 Regular Session (Year 2) House bill sponsored by Tina Nakada Grandinetti (Democratic); status failed, last action 2026-02-18 (Reported from HSH (Stand. Com. Rep. No. 376-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-HB2224-2026
- 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 2224
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO MEDICAID.
- Status: failed
- Chamber: House
- Introduced: 2026-01-26
- Last action: 2026-02-18, Reported from HSH (Stand. Com. Rep. No. 376-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
- Sponsor: Tina Nakada Grandinetti (Democratic)
- Cosponsors: 11
- Subjects: Department of Human Services, Medicaid, Pharmaceutical Benefits Management, Managed Care Plans, HSH, FIN
- Touches household money: no
- Roll calls: 2 (58 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Repeals a provision in Act 4, Special Session Laws of Hawaii 2005, that prohibits the Department of Human Services from taking any action to remove pharmaceutical benefits management from managed care plans that provide health care coverage for Hawaii Medicaid beneficiaries. Effective 7/1/3000. (HD1)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Tina Nakada Grandinetti (Democratic), House
- Cosponsor: Terez Amato (Democratic), House
- Cosponsor: Della Au Belatti (Democratic), House
- Cosponsor: Ikaika Hussey (Democratic), House
- Cosponsor: Greggor Ilagan (Democratic), House
- Cosponsor: Kim Coco Iwamoto (Democratic), House
- Cosponsor: Jeanne Kapela (Democratic), House
- Cosponsor: Scot Z. Matayoshi (Democratic), House
- Cosponsor: Amy A. Perruso (Democratic), House
- Cosponsor: Mahina Poepoe (Democratic), House
- Cosponsor: Gregg Takayama (Democratic), House
- Cosponsor: Shirley Ann Templo (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-02-18 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN... | pass | 50 | 0 |   |
| 2026-02-12 | House | The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 8 | 0 |   |

## Actions (7)

- 2026-02-18: Reported from HSH (Stand. Com. Rep. No. 376-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN. (House)
- 2026-02-18: Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and none excused (0). (House)
- 2026-02-12: The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Marten, Olds, Amato, Hartsfield, Keohokapu-Lee Loy, Takayama, Alcos, Garcia; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Takenouchi. (House)
- 2026-02-10: Bill scheduled to be heard by HSH on Thursday, 02-12-26 10:30AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2026-01-30: Referred to HSH, FIN, referral sheet 5 (House)
- 2026-01-28: Introduced and Pass First Reading. (House)
- 2026-01-26: Pending introduction. (House)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_HD1_.pdf)
- HB2224_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_HD1_.HTM)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_.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
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_HD1_.pdf)
- [HB2224_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_HD1_.HTM)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/HB2224_.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)
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Source: PRIA, https://policyrisk.com/state-bill/HI-HB2224-2026 (as of 2026-11-01).