HR 180 Hawaii House · 2025 Regular Session

URGING THE GOVERNOR TO DETERMINE A COURSE OF ACTION FOR THE STATE, SHOULD THE FEDERAL GOVERNMENT CUT FUNDING FOR MEDICAID.

This House Resolution urges Hawaii's governor to develop a plan for state Medicaid (Med-QUEST) if federal funding is cut. It highlights that Medicaid covers 1 in 5 Hawaii residents (including 1 in 3 children) and relies on 73% federal funding, with potential cuts risking coverage for 156,000 people - 34% of Hawaii's Medicaid population. The resolution notes maintaining coverage would require significant state funding increases, while dropping expansion could eliminate federal support for 156,000 vulnerable residents. As a non-binding resolution, it does not change policy but requests proactive planning.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2025

Committee Review

Floor Vote

Governor

Introduced Mar 7, 2025 Last action Mar 27, 2025

Maddy AI version diff · 1 comparison

What changed between versions

HR180 → HR180_HD1 · 4 edits

MODERATE

The bill was reformatted from a text-based legislative document to a structured digital format (Word document metadata), with substantive policy additions including a new clause about federal workforce reductions and expanded reporting requirements for the Governor. The core Medicaid funding concerns remain unchanged, but the document now includes more specific directives for congressional consultation and a 2026 reporting deadline.

Scope change

The bill's scope remains focused on Medicaid funding concerns, but the applicability was expanded to include federal workforce reduction impacts and formalized reporting timelines for the Governor.

TIMELINE

Added a requirement for the Governor to submit a report to the Legislature no later than twenty days prior to the convening of the Regular Session of 2026.

REQUIREMENT

Added a new clause requiring the Governor to consult with Hawaii's congressional delegation about pending federal legislation impacts on Medicaid expansion.

SCOPE

Added a new WHEREAS clause addressing federal workforce reductions and their potential impact on the number of uninsured workers and families in Hawaii.

TECHNICAL

Converted the document from plain text format to structured Word document metadata with version control information and digital formatting tags.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 27, 2025

Committee

Report adopted; referred to the committee(s) on FIN as amended in HD 1 with none voting aye with reservations; Representative(s) Alcos, Garcia, Matsumoto, Muraoka, Pierick, Shimizu voting no (6) and Representative(s) Hashem, Hussey, Templo, Ward excused (4).

lower

Mar 27, 2025

Committee

Reported from HSH (Stand. Com. Rep. No. 1607) as amended in HD 1, recommending referral to FIN.

lower

Mar 20, 2025

Lower · Passed

The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 1 Excused: Representative(s) Takenouchi.

lower

Mar 14, 2025

Committee

Referred to HSH, FIN, referral sheet 22

lower

Mar 7, 2025

Introduced

Offered

lower

9 primary · 0 co-sponsors