SB 3324 Hawaii Senate · 2026 Regular Session

RELATING TO MEDICAID.

Summary

Appropriates funds to the Department of Human Services to increase funding for certain Medicaid home- and community-based services, including residential services offered in community care foster family homes and expanded adult residential care homes. Requires the Department to obtain matching federal funds and pursue additional funding sources as a condition for expending the appropriated funds. (CD1)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

May 2026

Senate Passage

May 2026

House Passage

May 2026

Signed into Law

Jul 2026

Introduced Jan 30, 2026 Signed Jul 7, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

SB3324_HD1 → SB3324_SD1 · 3 edits

MINOR

The bill was amended to transition from a House version (HD1) to a Senate version (SD1), updating author names and revision numbers. The most significant policy change is the effective date, which was moved from July 1, 3000, to July 1, 2050, likely to align with a future fiscal budget cycle. The text also swapped the word 'funds' for 'moneys' in several sections and adjusted line item numbers.

Scope change

The bill's scope regarding the services funded (Medicaid home- and community-based services) remains unchanged; only the effective date and administrative metadata were modified.

TIMELINE

The effective date of the Act was changed from July 1, 3000, to July 1, 2050.

TECHNICAL

The term 'funds' was replaced with 'moneys' in the purpose and description sections.

Author names and revision numbers were updated to reflect the Senate version of the bill.

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

Amendments

May 6, 2026

Upper · Passed

Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

upper

May 6, 2026

Lower · Passed

Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

lower

May 1, 2026

Lower · Passed

Reported from Conference Committee (Conf Com. Rep. No. 201-26) as amended in (CD 1).

lower

May 1, 2026

Introduced

48 Hrs. Notice (as amended CD 1) 05-06-26.

upper

May 1, 2026

Upper · Passed

Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 201-26).

upper

May 1, 2026

Lower · Passed

The 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.

lower

May 1, 2026

Upper · Passed

The 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.

upper

Apr 30, 2026

Lower · Passed

Conference Committee Meeting will reconvene on Friday 05-01-26 1:45PM in conference room 329.

lower

Apr 27, 2026

Lower · Passed

Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 1:45PM in conference room 329.

lower

Apr 16, 2026

Amended

Senate disagrees with House amendments.

upper

Apr 16, 2026

Introduced

Received from House (Hse. Com. No. 778).

upper

Apr 14, 2026

Lower · Passed

Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

lower

Apr 7, 2026

Lower · Passed

The 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.

lower

Mar 30, 2026

Committee

Reported from HSH (Stand. Com. Rep. No. 1449-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

lower

Mar 24, 2026

Lower · Passed

The 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.

lower

Mar 12, 2026

Committee

Referred to HSH, FIN, referral sheet 17

lower

Mar 10, 2026

Introduced

Received from Senate (Sen. Com. No. 402) in amended form (SD 1).

lower

Mar 10, 2026

Upper · Passed

Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.

upper

Mar 3, 2026

Upper · Passed

The 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.

upper

Feb 23, 2026

Upper · Passed

The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.

upper

Feb 20, 2026

Upper · Passed

Report adopted; Passed Second Reading and referred to WAM.

upper

Feb 20, 2026

Committee

Reported from HHS (Stand. Com. Rep. No. 2637) with recommendation of passage on Second Reading and referral to WAM.

upper

Feb 19, 2026

Upper · Passed

The 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.

upper

Feb 18, 2026

Upper · Passed

The committee(s) on HHS will hold a public decision making on 02-19-26 12:45PM; CR 016 & Videoconference.

upper

Feb 13, 2026

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-18-26 1:00PM; Conference Room 225 & Videoconference.

upper

Feb 2, 2026

Committee

Referred to HHS, WAM.

upper

Jan 30, 2026

Introduced

Introduced.

upper

1 primary · 0 co-sponsors