HB 1349 Hawaii House · 2026 Regular Session

RELATING TO MEDICAID.

Summary

Appropriates funds to the Department of Human Services to authorize Medicaid coverage through the Children's Health Insurance Program to income-qualified pregnant persons and children regardless of immigration status. Effective 7/1/3000. (HD1)

Issues: ✓ Healthcare ✓ Immigration

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Mar 2025

House Passage

Feb 2025

Senate Passage

Governor

Introduced Jan 23, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

HB1349 → HB1349_HD1 · 4 edits

MODERATE

The bill was amended to reflect House District Committee changes, primarily updating metadata and formatting. The most significant substantive change is the effective date in Section 4, which was altered from July 1, 2025, to July 1, 3000, effectively delaying the implementation of the Medicaid coverage expansion for pregnant immigrants until the year 3000.

Scope change

The bill's scope regarding the expansion of Medicaid coverage to income-qualified pregnant persons and children regardless of immigration status remains unchanged, but the timeline for this expansion has been drastically extended.

TIMELINE

The effective date for the Act was changed from July 1, 2025, to July 1, 3000, preventing the law from taking effect in the near future.

TECHNICAL

The bill title was updated from 'HB1349' to 'HB1349 HD1' to indicate it has been processed by the House District Committee.

Various metadata fields, including author names, file paths, and line counts, were updated to reflect the new version of the document.

Minor formatting adjustments were made to the header and title section, such as changing 'relating to medicaid' to 'RELATING TO MEDICAID' and adding 'H.D. 1'.

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 17, 2025

Upper · Passed

The committee(s) on HHS deleted the measure from the public hearing scheduled on 03-17-25 1:00PM; CR 225 & Videoconference.

upper

Mar 11, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 03-17-25 1:00PM; Conference Room 225 & Videoconference.

upper

Mar 4, 2025

Committee

Referred to HHS, WAM.

upper

Mar 4, 2025

Introduced

Received from House (Hse. Com. No. 166).

upper

Feb 28, 2025

Lower · Passed

Passed Third Reading with Representative(s) Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Matsumoto, Muraoka, Shimizu voting no (5) and Representative(s) Cochran, Pierick, Templo, Ward excused (4). Transmitted to Senate.

lower

Feb 24, 2025

Lower · Passed

The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 14 Ayes: Representative(s) Yamashita, Takenouchi, Grandinetti, Holt, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lamosao, Lee, M., Miyake, Morikawa, Templo; Ayes with reservations: Representative(s) Reyes Oda; 1 Noes: Representative(s) Alcos; and 1 Excused: Representative(s) Ward.

lower

Feb 11, 2025

Committee

Reported from HSH (Stand. Com. Rep. No. 413) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

lower

Feb 6, 2025

Lower · Passed

The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi; Ayes with reservations: none; 2 Noes: Representative(s) Alcos, Garcia; and 0 Excused: none.

lower

Jan 27, 2025

Committee

Referred to HSH, FIN, referral sheet 4

lower

Jan 23, 2025

Introduced

Introduced and Pass First Reading.

lower

4 primary · 0 co-sponsors