All Roll Calls
Yes: 239 • No: 1
HawaiiSB 30252025–2026 Regular Session (Year 2)SenateWALLET
RELATING TO MEDICAL DEBT.
Sponsored By: Chris Lee (Democratic)
Signed by Governor
Summary
Requires the Office of Wellness and Resilience to develop, implement, and administer a Medical Debt Acquisition and Forgiveness Program to acquire and forgive outstanding medical debt for residents of the State, subject to the availability of program funds. Requires a report to the Legislature before the Regular Session of 2027. Appropriates funds subject to a matching private funds requirement. Effective 7/1/3000. (HD3)
Office of Wellness and ResilienceMedical Debt Acquisition and Forgiveness ProgramReportAppropriationHSH/HLT, CPC, FIN
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Medical debt relief for eligible residents
Starting July 1, 2026, Hawaii’s Office of Wellness and Resilience runs a program to buy and forgive available medical debt for residents. Household income must be no more than 400% of Hawaii’s federal poverty level, adjusted gross income must be below $100,000, and the debt must be at least 5% of household income. The state provides $500,000, or as much as needed, from general revenues for fiscal year 2026–2027. Uncommitted funds expire on June 30, 2028; the law does not promise a specific amount of debt relief to any household.
Privacy protections for medical debt records
Starting July 1, 2026, information collected for Hawaii’s medical debt relief program must stay confidential. The Office may use personal and health information only for debt relief and related services, such as financial education and insurance enrollment help. Information may be disclosed with consent or when the law allows it.
Sponsors & Cosponsors
Sponsor
Chris Lee
Democratic • Senate
Cosponsors
C.
Affiliation unavailable
Jarrett Keohokalole
Democratic • Senate
Roll Call Votes
House vote • 5/6/2026
House Floor Vote
Yes: 50 • No: 0
Senate vote • 5/1/2026
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 2 • No: 0
House vote • 5/1/2026
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 4 • No: 0
House vote • 4/14/2026
House Floor Vote
Yes: 49 • No: 1
House vote • 4/7/2026
The committee on FIN recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 16 • No: 0
House vote • 3/25/2026
The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 11 • No: 0
House vote • 3/19/2026
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...
Yes: 50 • No: 0
House vote • 3/17/2026
The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
House vote • 3/17/2026
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 8 • No: 0
Senate vote • 3/10/2026
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 3/3/2026
The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 12 • No: 0
Senate vote • 2/18/2026
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
Act 220, 07/09/2026 (Gov. Msg. No. 1322).
7/9/2026SenateAct 220, on 07/09/2026 (Gov. Msg. No. 1322).
7/9/2026HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 888).
5/8/2026SenateEnrolled to Governor.
5/8/2026SenatePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
5/6/2026SenatePassed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Alcos excused (1).
5/6/2026HouseReceived notice of Final Reading (Sen. Com. No. 816).
5/6/2026HouseThe Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) McKelvey, Lee, C.; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
5/1/2026SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Marten, Keohokapu-Lee Loy, Matayoshi, Hartsfield; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Garcia.
5/1/2026HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 205-26).
5/1/2026Senate48 Hrs. Notice (as amended CD 1) 05-06-26.
5/1/2026SenateReported from Conference Committee (Conf Com. Rep. No. 205-26) as amended in (CD 1).
5/1/2026HouseForty-eight (48) hours notice Wednesday, 05-06-26.
5/1/2026HouseConference Committee Meeting will reconvene on Friday 05-01-26 2:00PM in conference room 329.
4/30/2026HouseConference Committee Meeting will reconvene on Thursday 04-30-26 2:00PM in conference room 329.
4/29/2026HouseConference Committee Meeting will reconvene on Wednesday 04-29-26 2:00PM in conference room 329.
4/28/2026HouseReceived notice of Senate conferees (Sen. Com. No. 742).
4/24/2026HouseBill scheduled for Conference Committee Meeting on Monday, 04-27-26 2:00PM in conference room 329.
4/24/2026HouseSenate Conferees Appointed: McKelvey Chair; Lee, C. Co-Chairs; Fevella.
4/23/2026SenateHouse Conferees Appointed: Marten, Keohokapu-Lee Loy, Matayoshi, Hartsfield Co-Chairs; Garcia.
4/20/2026HouseReceived notice of appointment of House conferees (Hse. Com. No. 787).
4/20/2026SenateReceived from House (Hse. Com. No. 728).
4/16/2026SenateSenate disagrees with House amendments.
4/16/2026SenateReceived notice of disagreement (Sen. Com. No. 710).
4/16/2026HousePassed Third Reading as amended in HD 3 with Representative(s) Shimizu voting aye with reservations; Representative(s) Pierick voting no (1) and Representative(s) Quinlan excused (1). Transmitted to Senate.
4/14/2026House
Bill Text
Bill Text
Original
SB3025_CD1
SB3025_HD1
SB3025_HD2
SB3025_HD3
SB3025_SD1
SB3025_SD2
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