HI SCR130

Urges the Governor to appoint members to the Hawaii Health Authority, which is currently inactive despite being established in state law, to plan for a single-payer health care system.

Proposes transitioning to a single-payer system that would capture federal funding from Medicare, Medicaid, and Tricare through obtaining necessary waivers.

Projects potential cost savings of approximately 30% or more in Hawaii health care costs through reduced administrative expenses in hospital billing, physician practices, and state administration.

Requests the Hawaii Health Authority submit a report with progress, recommendations, and any proposed legislation to the Legislature no later than 20 days before the 2026 Regular Session.

Identifies potential use of savings to fund community-based programs for high-risk patients, improve physician compensation in underserved specialties to address physician shortages, and reduce the state budget burden of health care costs currently consuming around 30% of the total state budget.