SB 3324HawaiiProcess complete

Hawaii would tie Medicaid care funding to federal and state funding efforts

For fiscal year 2026–2027, Hawaii's human services department could use up to $5.81 million for certain Medicaid care services if it meets funding conditions.

What it does

The measure would set aside up to $5.81 million for certain Medicaid home- and community-based services, including residential care. The department could spend it only after meeting federal matching and funding-search conditions.

Argument forIf the funding conditions are met, added support could help residential care providers keep services available to Hawaii's older adults.

Argument againstProviders might not receive added support if the department cannot get the available federal match or must keep pursuing other identified funding sources.

More detail

The Department of Human Services would use state money to increase support for certain Medicaid home- and community-based services. The funding covers certain Medicaid home- and community-based services, including residential care in community care foster family homes and expanded adult residential care homes. The department may spend the money only if it obtains the maximum available federal matching funds and exhaustively pursues funding sources identified by the State, including private grants. The appropriation is for fiscal year 2026–2027, and the Act states that it takes effect July 1, 2026.

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More on this bill

Where it stands

IntroducedJan 30
Passed SenateMar 10
Passed HouseApr 14
To GovernorMay 8
Became LawJul 7

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jul 7Act 198, 07/07/2026 (Gov. Msg. No. 1300).Latest
2. Jul 7Act 198, on 07/07/2026 (Gov. Msg. No. 1300).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 8Enrolled to Governor.To Governor
5. May 6Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).Major
  - Vote recorded Passed Final Reading as amended in CD 1. Result: pass.Lower
6. May 6Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. May 1The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Moriwaki; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The Conference Committee recommends that the measure be Passed, with Amendments. Result: pass.Lower
  - Vote recorded The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
9. May 1The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Marten, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
10. May 1Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 201-26).
11. May 148 Hrs. Notice (as amended CD 1) 05-06-26.
12. May 1Reported from Conference Committee (Conf Com. Rep. No. 201-26) as amended in (CD 1).
13. May 1Forty-eight (48) hours notice Wednesday, 05-06-26.
14. Apr 30Conference Committee Meeting will reconvene on Friday 05-01-26 1:45PM in conference room 329.
15. Apr 27Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 1:45PM in conference room 329.
16. Apr 23Senate Conferees Appointed: San Buenaventura Chair; Moriwaki Co-Chair; Fevella.
17. Apr 23Received notice of Senate conferees (Sen. Com. No. 739).Minor
18. Apr 21House Conferees Appointed: Marten, Keohokapu-Lee Loy Co-Chairs; Alcos.
19. Apr 21Received notice of appointment of House conferees (Hse. Com. No. 800).Minor
20. Apr 16Received from House (Hse. Com. No. 778).Minor
21. Apr 16Senate disagrees with House amendments.Minor
22. Apr 16Received notice of disagreement (Sen. Com. No. 710).Minor
23. Apr 14Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading. Result: pass.Lower
24. Apr 10Reported from FIN (Stand. Com. Rep. No. 2081-26), recommending passage on Third Reading.
25. Apr 10Deferred one day 04-14-26.Minor
26. Apr 7The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Perruso.Minor
  - Vote recorded The committee on FIN recommend that the measure be PASSED, UNAMENDED. Result: pass.Lower
27. Apr 2Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
28. Mar 30Reported from HSH (Stand. Com. Rep. No. 1449-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
  - Vote recorded Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN. Result: pass.Lower
29. Mar 30Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).Minor
30. Mar 24The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Hartsfield, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.Minor
  - Vote recorded The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
31. Mar 20Bill scheduled to be heard by HSH on Tuesday, 03-24-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
32. Mar 12Pass First ReadingMinor
33. Mar 12Referred to HSH, FIN, referral sheet 17Minor
34. Mar 10Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.Passed Senate
  - Vote recorded Report adopted; Passed Third Reading, as amended (SD 1). Result: pass.Upper
35. Mar 10Received from Senate (Sen. Com. No. 402) in amended form (SD 1).Minor
36. Mar 5Reported from WAM (Stand. Com. Rep. No. 2840) with recommendation of passage on Third Reading, as amended (SD 1).
37. Mar 548 Hrs. Notice 03-10-26.
38. Mar 3The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
39. Feb 25The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference.Minor
40. Feb 23The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.
41. Feb 20Reported from HHS (Stand. Com. Rep. No. 2637) with recommendation of passage on Second Reading and referral to WAM.
42. Feb 20Report adopted; Passed Second Reading and referred to WAM.Minor
43. Feb 19The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.Minor
  - Vote recorded The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. Result: pass.Upper
44. Feb 18The committee on HHS deferred the measure.Minor
45. Feb 18The committee(s) on HHS will hold a public decision making on 02-19-26 12:45PM; CR 016 & Videoconference.
46. Feb 13The committee(s) on HHS has scheduled a public hearing on 02-18-26 1:00PM; Conference Room 225 & Videoconference.
47. Feb 2Referred to HHS, WAM.Minor
48. Jan 30Introduced.Minor
49. Jan 30Passed First Reading.Introduced

Healthcare

Issue with this bill?

SB 3324HawaiiProcess complete

Hawaii would tie Medicaid care funding to federal and state funding efforts

For fiscal year 2026–2027, Hawaii's human services department could use up to $5.81 million for certain Medicaid care services if it meets funding conditions.

What it does

Argument forIf the funding conditions are met, added support could help residential care providers keep services available to Hawaii's older adults.

Argument againstProviders might not receive added support if the department cannot get the available federal match or must keep pursuing other identified funding sources.

More detail

Where do you stand?

Tell your reps

Take a position to see your representatives and ways to contact them.

More on this bill

Where it stands

IntroducedJan 30
Passed SenateMar 10
Passed HouseApr 14
To GovernorMay 8
Became LawJul 7

Looking ahead

No hearings or votes scheduled.

History

2026
1. Jul 7Act 198, 07/07/2026 (Gov. Msg. No. 1300).Latest
2. Jul 7Act 198, on 07/07/2026 (Gov. Msg. No. 1300).Became Law
3. May 8Received notice of passage on Final Reading in House (Hse. Com. No. 888).Minor
4. May 8Enrolled to Governor.To Governor
5. May 6Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).Major
  - Vote recorded Passed Final Reading as amended in CD 1. Result: pass.Lower
6. May 6Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.Major
7. May 6Received notice of Final Reading (Sen. Com. No. 816).Minor
8. May 1The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Moriwaki; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The Conference Committee recommends that the measure be Passed, with Amendments. Result: pass.Lower
  - Vote recorded The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
9. May 1The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Marten, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.Minor
10. May 1Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 201-26).
11. May 148 Hrs. Notice (as amended CD 1) 05-06-26.
12. May 1Reported from Conference Committee (Conf Com. Rep. No. 201-26) as amended in (CD 1).
13. May 1Forty-eight (48) hours notice Wednesday, 05-06-26.
14. Apr 30Conference Committee Meeting will reconvene on Friday 05-01-26 1:45PM in conference room 329.
15. Apr 27Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 1:45PM in conference room 329.
16. Apr 23Senate Conferees Appointed: San Buenaventura Chair; Moriwaki Co-Chair; Fevella.
17. Apr 23Received notice of Senate conferees (Sen. Com. No. 739).Minor
18. Apr 21House Conferees Appointed: Marten, Keohokapu-Lee Loy Co-Chairs; Alcos.
19. Apr 21Received notice of appointment of House conferees (Hse. Com. No. 800).Minor
20. Apr 16Received from House (Hse. Com. No. 778).Minor
21. Apr 16Senate disagrees with House amendments.Minor
22. Apr 16Received notice of disagreement (Sen. Com. No. 710).Minor
23. Apr 14Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.Passed House
  - Vote recorded Passed Third Reading. Result: pass.Lower
24. Apr 10Reported from FIN (Stand. Com. Rep. No. 2081-26), recommending passage on Third Reading.
25. Apr 10Deferred one day 04-14-26.Minor
26. Apr 7The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Perruso.Minor
  - Vote recorded The committee on FIN recommend that the measure be PASSED, UNAMENDED. Result: pass.Lower
27. Apr 2Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
28. Mar 30Reported from HSH (Stand. Com. Rep. No. 1449-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
  - Vote recorded Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN. Result: pass.Lower
29. Mar 30Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4).Minor
30. Mar 24The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Hartsfield, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.Minor
  - Vote recorded The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. Result: pass.Lower
31. Mar 20Bill scheduled to be heard by HSH on Tuesday, 03-24-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
32. Mar 12Pass First ReadingMinor
33. Mar 12Referred to HSH, FIN, referral sheet 17Minor
34. Mar 10Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.Passed Senate
  - Vote recorded Report adopted; Passed Third Reading, as amended (SD 1). Result: pass.Upper
35. Mar 10Received from Senate (Sen. Com. No. 402) in amended form (SD 1).Minor
36. Mar 5Reported from WAM (Stand. Com. Rep. No. 2840) with recommendation of passage on Third Reading, as amended (SD 1).
37. Mar 548 Hrs. Notice 03-10-26.
38. Mar 3The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Minor
  - Vote recorded The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. Result: pass.Upper
39. Feb 25The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference.Minor
40. Feb 23The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.
41. Feb 20Reported from HHS (Stand. Com. Rep. No. 2637) with recommendation of passage on Second Reading and referral to WAM.
42. Feb 20Report adopted; Passed Second Reading and referred to WAM.Minor
43. Feb 19The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.Minor
  - Vote recorded The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. Result: pass.Upper
44. Feb 18The committee on HHS deferred the measure.Minor
45. Feb 18The committee(s) on HHS will hold a public decision making on 02-19-26 12:45PM; CR 016 & Videoconference.
46. Feb 13The committee(s) on HHS has scheduled a public hearing on 02-18-26 1:00PM; Conference Room 225 & Videoconference.
47. Feb 2Referred to HHS, WAM.Minor
48. Jan 30Introduced.Minor
49. Jan 30Passed First Reading.Introduced

Healthcare

Issue with this bill?

What it does

Where do you stand?

Choose your position

Tell your reps

More on this bill

Where it stands

Looking ahead

History

What it does

Where do you stand?

Choose your position

Tell your reps

More on this bill

Where it stands

Looking ahead

History