SB 1564 Hawaii Senate · 2026 Regular Session

RELATING TO MEDICAID.

Summary

Appropriates funds to the Department of Human Services to increase the funding of certain Medicaid home- and community-based services, including adult day programs and residential services offered in community care foster family homes and expanded adult residential care homes. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Feb 2025

Senate Passage

Feb 2025

House Passage

Governor

Introduced Jan 22, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB1564 → SB1564_SD1 · 3 edits

MINOR

This bill was updated from its original introduction to a Senate Committee version (SD1), which includes significant changes to the effective date and funding description. The most critical change is the effective date, which was moved from July 1, 2025, to December 31, 2050, effectively delaying the implementation of the funding increase by over 25 years. Additionally, the text was updated to consistently use hyphens in compound terms like 'home- and community-based services' for grammatical clarity.

Scope change

The scope of the bill's immediate impact has been drastically reduced by changing the effective date to 2050, meaning the appropriated funds will not be utilized for their intended purpose until that distant future date.

TIMELINE

The effective date of the Act was changed from July 1, 2025, to December 31, 2050, delaying the funding increase by more than 25 years.

FISCAL

The description of the appropriated funds was updated to specify that the money is for the Department of Human Services and to standardize the phrasing of 'home- and community-based services' with hyphens.

TECHNICAL

Minor grammatical corrections were made throughout the text to ensure consistent use of hyphens in compound adjectives and to fix a missing word in the legislative findings section.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 14, 2025

Upper · Passed

Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.

upper

Feb 14, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 504) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.

upper

Feb 5, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

upper

Jan 31, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference.

upper

Jan 27, 2025

Committee

Referred to HHS, WAM.

upper

Jan 23, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 22, 2025

Introduced

Pending Introduction.

upper

1 primary · 0 co-sponsors