SB 322 Hawaii Senate · 2026 Regular Session

RELATING TO MEDICAID.

Summary

Appropriates funds to the Department of Human Services to achieve the full funding, including estimated payment increases, of Medicaid home- and community-based services. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Feb 2025

Senate Passage

Feb 2025

House Passage

Governor

Introduced Jan 14, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB322 → SB322_SD1 · 4 edits

MODERATE

The bill was transitioned from a House version (HB) to a Senate committee draft (SD1), updating the bill number, author, and metadata. The most significant substantive change is the effective date, which was moved from July 1, 2025, to December 31, 2050, likely to allow time for further legislative review or implementation planning. The text also includes minor grammatical corrections and formatting updates throughout.

Scope change

The bill's scope remains focused on appropriating funds for Medicaid home- and community-based services, but the delayed effective date alters when these funds become active.

TIMELINE

The effective date of the Act was changed from July 1, 2025, to December 31, 2050.

TECHNICAL

The bill title was updated to reflect the Senate Draft 1 (SD1) version, changing the author from Jordon Higa to Finnley Brakke and updating associated metadata.

Minor grammatical corrections were made, such as adding an apostrophe to 'department of human services' and removing a hyphen from 'med-QUEST'.

The summary of the Act was updated to include the new effective date and the SD1 designation.

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

Feb 14, 2025

Upper · Passed

Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.

upper

Feb 14, 2025

Committee

Reported from HHS (Stand. Com. Rep. No. 592) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.

upper

Feb 12, 2025

Upper · Passed

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

upper

Feb 4, 2025

Upper · Passed

The committee(s) on HHS has scheduled a public hearing on 02-10-25 1:20PM; Conference Room 225 & Videoconference.

upper

Jan 21, 2025

Committee

Referred to HHS, WAM.

upper

Jan 15, 2025

Introduced

Introduced and passed First Reading.

upper

Jan 14, 2025

Introduced

Pending Introduction.

upper

8 primary · 2 co-sponsors