Hawaii legislation · 2026 Regular Session
Hawaii HB1804: Relating to Long-term Care Financing.
Status: Signed into law, July 14, 2026
Establishes a joint legislative Long-Term Care Financing Advisory Commission to examine the feasibility of different financing options for long-term care services and supports. Permits the Commission, through the Legislative Reference Bureau, to contract for services of a part-time project director and prepare proposals for contracts for consultants to support the work of the Commission. Requires the Commission to submit reports to the Legislature. Appropriates funds.
What the bill says
A bill for an act relating to long-term care financing.
From the enrolled text:
A BILL FOR AN ACT RELATING TO LONG-TERM CARE FINANCING. SECTION 1. The legislature finds that Hawaii's senior population has been growing faster than the national average. Without a sustainable financing framework for long-term care, the majority of Hawaii's families will be forced to shoulder increasingly unsustainable financial burdens. According to a 2025 report by the kupuna advisory council's long-term care financing permitted interaction group, the average per-person annual cost for long-term support services ranges from approximately $45,500 in a community care foster family home to more than $200,000 in a skilled nursing facility, which is already prohibitively expensive for many Hawaii families. The State must find a way to address long-term care costs and ensure that long-term care services remain equitable and available to all of Hawaii's residents. Accordingly, the legislature believes that it is necessary to obtain a comprehensive, data-driven evaluation of feasible financing strategies for long-term care. 2026--3352 HB1804 CD1 HMSO NcJ. ~ H.B. Page2 C.D. I The legislature also finds that creating a successful long-term care program is complicated due to the fragmented nature of the long-term care system; the multitude of providers and payors; the State's chronic shortage of caregivers; the high costs of private insurance; and the inherent difficulty in predicting the extent, duration, and timing of an individual's long-term care needs. To address …
Sponsors
- Lisa Marten (D, 51) · primary sponsor
- Terez Amato (D, 11)
- Cory Chun (D, 35)
- Tina Grandinetti (D, 20)
- Ikaika Hussey (D, 29)
- Greggor Ilagan (D, 4)
- Kim Iwamoto (D, 25)
- Susan Keohokapu-Lee Loy (D, 2)
- Darius Kila (D, 44)
- Scot Matayoshi (D, 49)
- Lauren Matsumoto (R, 38)
- Ikaika Olds (D, 23)
Latest actions
- : Act 249, on 07/14/2026 (Gov. Msg. No. 1351).
- : Act 249, 07/14/2026 (Gov. Msg. No. 1351).
- : Received notice of passage on Final Reading in House (Hse. Com. No. 888).
- : Transmitted to Governor.
- : Received notice of Final Reading (Sen. Com. No. 816).
- : Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
- : Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
- : 48 Hrs. Notice (as amended CD 1) 05-06-26
- : Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 156-26).
- : Forty-eight (48) hours notice Wednesday, 05-06-26.
Votes
- Passed Final Reading, as amended (CD 1) (May 6, 2026): 25 yea, 0 nay, passed
- Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0) (May 6, 2026): 51 yea, 0 nay, passed
- none. (May 1, 2026): 4 yea, 0 nay, passed
- Conference Committee Vote (May 1, 2026): 2 yea, 0 nay, passed
- Report adopted; Passed Third Reading, as amended (SD 2) (April 14, 2026): 25 yea, 0 nay, passed
- WAM: recommend(s) that the measure be PASSED, WITH AMENDMENTS (April 6, 2026): 12 yea, 0 nay, passed
Subjects: Report, Long-Term Care Financing, Appropriations, Insurance, UH, Study, Reports
Common questions
- What is HB1804?
- HB1804 is a bill in the Hawaii Legislature (2026 Regular Session): Relating to Long-term Care Financing.
- What does HB1804 do?
- In its own words: A bill for an act relating to long-term care financing.
- What is the status of HB1804?
- Signed into law as of July 14, 2026. Latest action: Act 249, on 07/14/2026 (Gov. Msg. No. 1351). (July 14, 2026).
- Who sponsored HB1804?
- Lisa Marten (D, 51), with 11 co-sponsors.
- Where is the official record for HB1804?
- On the Hawaii Legislature website: https://www.capitol.hawaii.gov/measure_indiv.aspx?billtype=HB&billnumber=1804&year=2026
Source: official Hawaii record. Tracked by Delilah, AI for legislation across all 50 states and Congress.