Healthcare (Medicaid)

in committee · Hawaii · House Jan 26, 2026

HB 1702: RELATING TO INSURANCE.

Beginning 1/1/2027, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for brief cognitive assessments for individuals fifty years of age and older.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover cognitive assessments for 50+ starting 2027, expanding access to preventive healthcare services.90% confidence

Sub-Topics Insurance Medicaid

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in committee · Hawaii · Senate Jan 28, 2026

SB 2428: RELATING TO INSURANCE.

Beginning 1/1/2027, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for brief cognitive assessments for individuals fifty years of age and older.

Topics ✓ HealthcareSupports HealthcareMandates health insurers and Medicaid to cover cognitive assessments for 50+ individuals, expanding preventive care access and aligning with coverage expansion indicators.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Hawaii · Senate Feb 18, 2026

SB 2690: RELATING TO PRIMARY CARE.

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

Topics ✓ HealthcareSupports HealthcareMandates 6-12% of medical spending for primary care, requires direct payments to providers, restricts downcoding, and ensures rural access - directly advancing primary care funding and access.95% confidence

Sub-Topics Medicaid Primary Care

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in committee · Hawaii · House Dec 8, 2025

HB 572: RELATING TO GENERAL EXCISE TAX.

Exempts food and groceries from certain healthcare-related goods or services that were not the general excise tax. Expands general excise tax exemptions to include purchased under the Medicare, Medicaid, and TRICARE programs. Effective 7/1/3000. (HD1)

Topics ✓ Budget & TaxesSupports Budget & TaxesExpands tax exemptions for food and healthcare, providing relief for essential purchases, aligning with tax relief indicators for lower-income households.95% confidence ✓ HealthcareSupports HealthcareExpands tax exemptions for Medicare/Medicaid/TRICARE purchases, reducing out-of-pocket costs for healthcare services and improving access to covered care.95% confidence

Sub-Topics Sales Tax Medicaid Medicare

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in committee · Hawaii · House Dec 8, 2025

HB 820: RELATING TO HEALTH INSURANCE.

Requires all health insurers in the State, including Medicaid managed care programs, to cover the cost of continuous glucose monitors and related supplies under certain conditions. Applies to insurance policies, contracts, plans, or agreements issued or renewed in the State after 12/31/2025.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover continuous glucose monitors for diabetics, expanding essential medical equipment access under health insurance plans per bill requirements.95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · Hawaii · Senate Feb 13, 2026

SB 2390: RELATING TO INSURANCE.

Beginning 1/1/2027, requires health insurers, mutual benefit societies, health maintenance organizations, and health plans under the State's Medicaid managed care program to provide coverage for biomarker testing.

Topics ✓ HealthcareSupports HealthcareMandates insurers and Medicaid to cover biomarker testing, expanding diagnostic access and strengthening health coverage requirements.95% confidence

Sub-Topics Medicaid

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in committee · Hawaii · Senate Dec 8, 2025

SB 648: RELATING TO THE DEPARTMENT OF HEALTH.

Requires the Developmental Disabilities Division of the Department of Health to amend its eligibility criteria for the home and community-based services Medicaid waiver to include individuals having an intellectual or a developmental disability and a comorbid mental illness. Appropriates funds.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid waiver eligibility for mental illness comorbidities and appropriates funds, directly supporting mental health services within healthcare coverage.95% confidence

Sub-Topics Medicaid Mental Health Tags People with Disabilities

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in committee · Hawaii · House Dec 8, 2025

HB 646: RELATING TO SUPPLEMENTAL SECURITY INCOME.

Requires the Department of Human Services to automatically enroll, or authorize the Social Security Administration to automatically enroll, in the State's Medicaid program any individual in the State who receives federal Supplemental Security Income benefits. Requires reports to the Legislature. Effective 7/1/3000. (HD1)

Topics ✓ HealthcareSupports HealthcareAutomatically enrolls SSI recipients into Medicaid, expanding health coverage access for vulnerable populations without additional steps.95% confidence

Sub-Topics Medicaid

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passed both · Hawaii · House Mar 30, 2026

HB 2009: RELATING TO FAMILY CAREGIVER SUPPORT.

Establishes a Disability and Caregiver Support Working Group to explore compliant and fiscally responsible approaches that address the longstanding gap affecting parents and guardians with disabilities whose caregiving capacity may be substantially impaired due to disability or serious medical conditions, while preserving federal funding integrity. Requires a report to the Legislature. Appropriates funds. Effective 7/1/3000. (SD1)

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates funds for child care subsidies and Medicaid caregiver evaluations, advancing public service funding per explicit budget allocation.90% confidence ✓ HealthcareSupports HealthcareBill updates Medicaid HCBS eligibility evaluations and appropriates funds, directly expanding access to home/community healthcare services and strengthening long-term care coverage.95% confidence

Sub-Topics Medicaid Tags People with Disabilities

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in committee · Hawaii · Senate Feb 6, 2026

SB 967: RELATING TO HEALTH.

SB 967 requires Medicaid and private health insurance plans to cover intravenous ketamine therapy for treating depression. The bill mandates this coverage for eligible patients and allocates state funding to support the program. It directly affects individuals seeking this specific depression treatment and insurers who must now include it in covered services. The policy change creates a new requirement for health coverage without specifying additional eligibility criteria beyond the therapy's use for depression.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates state funding for mandated Medicaid/private insurance coverage of ketamine therapy, directly increasing budgetary spending on healthcare services.95% confidence ✓ HealthcareSupports HealthcareMandates Medicaid/private insurance coverage for ketamine therapy, expands mental health treatment access, and allocates state funding for depression treatment coverage.95% confidence

Sub-Topics Insurance Medicaid Mental Health

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