All Roll Calls
Yes: 182 • No: 1
HawaiiSB 14432025–2026 Regular Session (Year 1)SenateWALLET
RELATING TO THE DEPARTMENT OF HEALTH.
Sponsored By: Ronald D. Kouchi (Democratic)
Signed by Governor
Summary
Establishes maximum rates of payment for medical care for patients of the Hawaii State Hospital or of another psychiatric facility who are under the custody of the Director of Health. Authorizes the Department of Health to establish long-term care payment rates for certain patients discharged to a long-term care facility from the Hawaii State Hospital or another psychiatric facility. Exempts the Department of Health from the Hawaii Public Procurement Code for the procurement of medical care and long-term care for certain patients. (HD1)
DOHHawaii State HospitalPsychiatric FacilityLong-Term Care FacilityPaymentMedicaidProcurement ExemptionHLT, FIN
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
New payment rules for Hawaii psychiatric patients
Effective upon approval, the law caps Health Department payments for medical care at Hawaii’s Medicaid fee schedule or the provider’s bill, whichever is lower. This covers Hawaii State Hospital patients and patients in the health director’s custody at another psychiatric facility. Medical care includes medical and dental exams, diagnosis, treatment, and supplies the department finds clinically necessary—not long-term care. The department may set separate long-term care rates when these patients are discharged to a long-term care facility. The law sets no long-term care rate. The department’s purchases of both types of care are exempt from chapter 103F state purchasing requirements. These changes do not themselves require patients to pay. Rights and duties already established, penalties already incurred, and proceedings already begun before the law took effect remain unaffected.
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/16/2025
Senate Floor Vote
Yes: 23 • No: 0
House vote • 4/3/2025
House Floor Vote
Yes: 48 • No: 1
House vote • 3/28/2025
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...
Yes: 14 • No: 0
House vote • 3/18/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...
Yes: 49 • No: 0
House vote • 3/14/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/28/2025
The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The...
Yes: 10 • No: 0
Senate vote • 2/5/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
Act 050, 05/14/2025 (Gov. Msg. No. 1150).
5/14/2025SenateAct 050, on 05/14/2025 (Gov. Msg. No. 1150).
5/14/2025HousePassed Final Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 0 (none). Excused, 2 (Senator(s) Fevella, Ihara).
4/16/2025SenateReceived notice of Final Reading (Sen. Com. No. 806).
4/16/2025HouseEnrolled to Governor.
4/16/2025SenateReconsideration of action taken on 04-04-25 in disagreeing to the House amendments.
4/15/2025SenateSenate agrees with House amendments. Placed on the calendar for Final Reading on 04-16-25.
4/15/2025SenateOne Day Notice 04-16-25
4/15/2025SenateReceived notice of reconsideration and Senate agreement (Sen. Com. No. 786).
4/15/2025HouseReceived from House (Hse. Com. No. 492).
4/4/2025SenateSenate disagrees with House amendments.
4/4/2025SenateReceived notice of disagreement (Sen. Com. No. 590).
4/4/2025HouseReported from FIN (Stand. Com. Rep. No. 1933), recommending passage on Third Reading.
4/3/2025HousePassed Third Reading with none voting aye with reservations; Representative(s) Amato voting no (1) and Representative(s) Cochran, Woodson excused (2). Transmitted to Senate.
4/3/2025HouseThe committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 14 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Holt, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo, Alcos, Reyes Oda; Ayes with reservations: none; Noes: none; and 2 Excused: Representative(s) Hussey, Ward.
3/28/2025HouseBill scheduled to be heard by FIN on Friday, 03-28-25 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
3/25/2025HouseReported from HLT (Stand. Com. Rep. No. 1306) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
3/18/2025HousePassed 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 Representative(s) Cochran, Ward excused (2).
3/18/2025HouseThe committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
3/14/2025HouseBill scheduled to be heard by HLT on Friday, 03-14-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.
3/11/2025HousePass First Reading
3/6/2025HouseReferred to HLT, FIN, referral sheet 19
3/6/2025HouseReport adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.
3/4/2025SenateReceived from Senate (Sen. Com. No. 338) in amended form (SD 1).
3/4/2025HouseThe committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 10 Aye(s): Senator(s) Dela Cruz, Moriwaki, Aquino, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 3 Excused: Senator(s) Kidani, Kim, Lee, C..
2/28/2025Senate
Bill Text
Bill Text
Original
SB1443_HD1
SB1443_SD1
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