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HI HR87

Resolution

Status

Introduced

3/12/2026

Primary Sponsor

Tina Grandinetti

Click for details

Origin

House of Representatives

2026 Regular Session

AI Summary

  • Urges the Governor to appoint members to the existing but inactive Hawaii Health Authority to plan a transition to a state single-payer health care system
  • Responds to federal Budget Reconciliation Act cuts of over $1 trillion in Medicaid over ten years, which would reduce Hawaii's Medicaid spending by an estimated $400 million and affect more than 400,000 residents
  • Claims a single-payer system could reduce Hawaii's total health care costs by approximately 30% through administrative savings, including eliminating roughly 15% of hospital budgets currently spent on billing and collections
  • Proposes capturing federal funding from Medicare, Medicaid, and TRICARE through waivers to finance the new system
  • Requests the Hawaii Health Authority submit a progress report with recommendations and proposed legislation at least 20 days before the 2027 legislative session

Legislative Description

Supporting The Reactivation Of, And Urging The Governor To Appoint Members To, The Hawaii Health Authority To Plan For A Transition To A Maximally Cost-effective Single-payer Health Care System For The State, To Be Implemented As Soon As Possible After Waivers Have Been Obtained To Capture All Major Sources Of Federal Funding Flowing To The State Through Medicare, Medicaid, And Tricare.

Hawaii Health Authority

Last Action

Offered

3/16/2026

Full Bill Text

No bill text available