HI HCR187

Urges the Governor to determine a course of action for Hawaii should the federal government cut Medicaid funding, in response to a February 2025 House budget resolution proposing over $800 billion in Medicaid reductions over ten years and elimination of the ACA expansion match rate.

Directs the Governor to consult with Hawaii's congressional delegation about impacts of pending federal legislation on Medicaid expansion and timing of funding reductions.

Requests the Governor submit a report with findings, recommendations, and proposed legislation to the Legislature no later than twenty days before the 2026 Regular Session convenes.

Notes that under one scenario, Hawaii would lose $320 million in annual federal funding if it maintains Medicaid expansion; under another scenario, Hawaii would lose $9.4 billion annually and 156,000 residents (34% of Medicaid population) would lose coverage.

Highlights that Hawaii's Medicaid program (Med-QUEST) serves one in five residents, and Federally Qualified Health Centers saved Hawaii's Medicaid system $215.8 million and the overall health system $301 million in 2023.