HI SR116

Urges the Governor to determine a course of action for Hawaii should the federal government cut Medicaid funding, including a potential $800 billion reduction over 10 years and elimination of the Affordable Care Act expansion match rate.

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

Requests the Governor submit a report with findings, recommendations, and proposed legislation to the Legislature no later than 20 days before the 2026 Regular Session convenes.

Notes Hawaii's Med-QUEST program covers approximately one in five residents and one in three children, with federal government paying 73% of the $3 billion annual Medicaid spending in fiscal year 2023.

Highlights that elimination of ACA Medicaid expansion could result in 156,000 Hawaiians (34% of total Medicaid population) losing coverage and require the state to offset $3.2 billion in lost federal funding annually if expansion is maintained.