HI SCR186

Urges the Governor to appoint members to the dormant Hawaii Health Authority to plan for transitioning to a single-payer health care system

Responds to federal Budget Reconciliation Act cuts of over $1 trillion in Medicaid over ten years, which would cost Hawaii an estimated $400 million in Medicaid spending and affect more than 400,000 residents

Projects administrative cost savings of approximately 30% through global hospital budgets, simplified physician fee structures, and reduced billing costs, potentially reducing the total state budget by about 9%

Proposes using savings to fund community-based programs for high-risk patients and increase pay for primary care physicians and psychiatrists to address Hawaii's physician shortage

Requires the Hawaii Health Authority to submit a progress report with recommendations and proposed legislation to the Legislature by 20 days before the 2027 Regular Session