HI HB192

Authorizes the Hawaii Health Authority to continue planning for adoption of a universal, publicly-administered health-care-for-all insurance model with a single payout agency adapted for Hawaii.

Appropriates $350,000 for fiscal years 2021-2022 and 2022-2023 to the Hawaii Health Authority for general administration, including hiring an executive director and staff exempt from civil service.

Establishes a rate stabilization reserve fund within the employer-union health benefits trust fund to cover increasing costs of health and benefit plans for active employees and retirees.

Caps public employer prefunding to the other post-employment benefits trust fund once combined subaccount balances reach $2,000,000,000, with investment earnings thereafter transferred to the rate stabilization reserve fund.

Authorizes the Hawaii Health Authority to contract for healthcare benefits to state and county employees using a self-insured model to potentially reduce costs.