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.

This Senate Resolution (SR 109) urges Hawaii's Governor to appoint members to the dormant Hawaii Health Authority to plan for transitioning to a single-payer health care system. It specifies implementation should begin after securing federal waivers to maintain Medicare, Medicaid, and Tricare funding streams. The resolution requires the Authority to submit a progress report to the Legislature by early 2026, focusing on planning for a cost-effective system without altering care delivery. As a procedural resolution, it does not enact policy but directs the Authority's reactivation for planning purposes.