HawaiiSB 33052025–2026 Regular Session (Year 2)Senate

RELATING TO HEALTH CARE.

Sponsored By: Jarrett Keohokalole (Democratic)

In Committee

Summary

Establishes a universal, single payer health care system to be known as "Hawaii Care", to provide comprehensive health care benefits to all state residents and eventually replace all existing health care plans in the State. Designates the Hawaii Health Authority as the responsible agency for the comprehensive planning, implementation, and administration of Hawaii Care. Requires the Hawaii Health Authority to develop and submit a comprehensive implementation and administration plan to the legislature by a certain date. Establishes the Hawaii Care special fund. Requires the Hawaii Health Authority to adopt rules and submit reports to the Legislature. Requires the Governor to appoint members to the Hawaii Health Authority by 12/31/2026. Requires the Department of Human Services to apply for necessary federal waivers. Takes effect 180 days after the approval of the Hawaii Medicaid State Plan and necessary federal waivers. Appropriates funds.

Hawaii Health AuthorityHawaii CareUniversal Health CareSingle Payer Health Care SystemHawaii Care Special FundRulesReportsGovernorDepartment of Human ServicesMedicareMedicaidAppropriationHHS/CPN, WAM/JDC

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Jarrett Keohokalole

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Referred to HHS/CPN, WAM/JDC.

    2/2/2026Senate
  2. Introduced.

    1/30/2026Senate
  3. Passed First Reading.

    1/30/2026Senate

Bill Text

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