SR 167 Hawaii Senate · 2026 Regular Session

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 urges the Governor to reactivate the Hawaii Health Authority and appoint members to develop a plan for transitioning Hawaii to a single-payer healthcare system. The bill directly affects the state's healthcare infrastructure by directing the Health Authority to create a transition strategy that would consolidate federal funding from Medicare, Medicaid, and TRICARE under a unified system. Key provisions include requesting a progress report with recommendations to the Legislature by early 2027 and transmitting the resolution to state officials. The document frames the proposal as a response to projected federal Medicaid cuts and cites potential administrative cost savings as a rationale for the system change.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 16, 2026 Last action Mar 19, 2026
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2
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Committee
1
Mar 19, 2026
Committee
Referred to HHS/CPN.
upper
Mar 16, 2026
Introduced
Offered.
upper
4 primary · 0 co-sponsors

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