HawaiiSB 23402025–2026 Regular Session (Year 2)SenateWALLET

RELATING TO COMMUNITY CARE FOSTER FAMILY HOMES.

Sponsored By: Troy N. Hashimoto (Democratic)

Signed by Governor

Summary

Clarifies that individuals with intellectual and developmental disabilities who meet an intermediate care facility or nursing facility level of care shall not be denied residency in a certified community care foster family home solely because of their disability or enrollment in a specific Medicaid waiver program. Effective 7/1/3000. (HD1)

DOHCommunity Care Foster Family HomesIndividuals with Intellectual and Developmental DisabilitiesMedicaid WaiversHousing AccessHLT/HSH, FIN

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More Medicaid waiver care at home

A certified community care foster family home cannot deny residency solely because a person has a disability or is enrolled in a Medicaid waiver. The person must meet an intermediate care or nursing facility level of care and qualify for the 1915(c) or section 1115 waiver. Certified caregivers can provide services through either waiver. The Hawaii Department of Health must train and guide care teams and work with Medicaid programs on waiver rules, provider qualifications, and payment models. These changes begin after the department revises home standards and federal officials approve the 1915(c) waiver updates.

Sponsors & Cosponsors

Sponsor

  • Troy N. Hashimoto

    Democratic • Senate

Cosponsors

  • Dru Mamo Kanuha

    Democratic • Senate

  • Angus L.K. McKelvey

    Democratic • Senate

  • Joy A. San Buenaventura

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 224 • No: 0

House vote • 5/6/2026

House Floor Vote

Yes: 51 • No: 0

Senate vote • 4/30/2026

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....

Yes: 3 • No: 0

House vote • 4/30/2026

The Conference Committee recommends that the measure be Passed, with Amendments....

Yes: 4 • No: 0

House vote • 4/14/2026

House Floor Vote

Yes: 51 • No: 0

House vote • 4/8/2026

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes ...

Yes: 16 • No: 0

House vote • 3/30/2026

Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN...

Yes: 46 • No: 0

House vote • 3/25/2026

The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 9 • No: 0

House vote • 3/25/2026

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 9 • No: 0

Senate vote • 3/10/2026

Senate Floor Vote

Yes: 25 • No: 0

Senate vote • 2/27/2026

The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 5 • No: 0

Senate vote • 2/13/2026

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 5 • No: 0

Actions Timeline

  1. Act 199, 07/07/2026 (Gov. Msg. No. 1301).

    7/7/2026Senate
  2. Act 199, on 07/07/2026 (Gov. Msg. No. 1301).

    7/7/2026House
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

    5/8/2026Senate
  4. Enrolled to Governor.

    5/8/2026Senate
  5. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

    5/6/2026Senate
  6. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

    5/6/2026House
  7. Received notice of Final Reading (Sen. Com. No. 816).

    5/6/2026House
  8. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 152-26).

    5/1/2026Senate
  9. 48 Hrs. Notice (as amended CD 1) 05-06-26.

    5/1/2026Senate
  10. Reported from Conference Committee (Conf Com. Rep. No. 152-26) as amended in (CD 1).

    5/1/2026House
  11. Forty-eight (48) hours notice Wednesday, 05-06-26.

    5/1/2026House
  12. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Rhoads, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

    4/30/2026Senate
  13. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Marten, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

    4/30/2026House
  14. Conference Committee Meeting will reconvene on Thursday 04-30-26 3:15PM in conference room 329.

    4/28/2026House
  15. Bill scheduled for Conference Committee Meeting on Tuesday, 04-28-26 3:15PM in conference room 329.

    4/24/2026House
  16. Received notice of Senate conferees (Sen. Com. No. 720).

    4/22/2026House
  17. House Conferees Appointed: Takayama, Marten, Keohokapu-Lee Loy Co-Chairs; Alcos.

    4/21/2026House
  18. Received notice of appointment of House conferees (Hse. Com. No. 800).

    4/21/2026Senate
  19. Senate Conferees Appointed: San Buenaventura Chair; Rhoads Co-Chair; Fevella.

    4/21/2026Senate
  20. Received from House (Hse. Com. No. 645).

    4/16/2026Senate
  21. Senate disagrees with House amendments.

    4/16/2026Senate
  22. Received notice of disagreement (Sen. Com. No. 710).

    4/16/2026House
  23. Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

    4/14/2026House
  24. Reported from FIN (Stand. Com. Rep. No. 2091-26), recommending passage on Third Reading.

    4/10/2026House
  25. The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and Excused: none.

    4/8/2026House

Bill Text

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