Hawaii SB3324: Relating to Medicaid.

What the bill says

A bill for an act relating to medicaid.

From the enrolled text:

A BILL FOR AN ACT RELATING TO MEDICAID. SECTION 1. The legislature finds that, in a 2021 quantitative research study, the TVARP found that, among Hawaii residents aged forty-five and older, seventy-five per cent of the respondents reported that having affordable long-term care options in their communities was an important independent living issue. Respondents also reported that maintaining a connection with family and friends and the ability to continue visiting familiar health care providers are significantly easier when the State's kupuna can be cared for closer to home. The legislature recognizes that, in 2026, a strong demand for community-based care options for kupuna still exists. The legislature further finds that the latest review of the State's home and community-based medicaid reimbursement rates for residential services was a third-party study conducted by the actuarial firm Milliman, published on December 30, 2022. The study developed benchmark comparison rates for certain home and community-based services, including residential services 2026-2406 SB3324 GDI SMA-l.docx wnuNiiiiniiiiiH Page 2 S.B. NO. C.D. provided in community care foster family homes and expanded adult residential care homes. Notably, amongst all provider types examined in the Milliman study, the current median direct care wages paid to home and community-based services providers fell below the twenty-fifth percentile for those occupation codes and titles as determined by the United States Bureau of …

Read the full official text

Sponsors

• Sharon Moriwaki (D, 12) · primary sponsor

Latest actions

1. July 7, 2026: Act 198, on 07/07/2026 (Gov. Msg. No. 1300).
2. July 7, 2026: Act 198, 07/07/2026 (Gov. Msg. No. 1300).
3. May 8, 2026: Enrolled to Governor.
4. May 8, 2026: Received notice of passage on Final Reading in House (Hse. Com. No. 888).
5. May 6, 2026: Received notice of Final Reading (Sen. Com. No. 816).
6. May 6, 2026: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
7. May 6, 2026: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
8. May 1, 2026: Forty-eight (48) hours notice Wednesday, 05-06-26.
9. May 1, 2026: Reported from Conference Committee (Conf Com. Rep. No. 201-26) as amended in (CD 1).
10. May 1, 2026: 48 Hrs. Notice (as amended CD 1) 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): 3 yea, 0 nay, passed
• Conference Committee Vote (May 1, 2026): 2 yea, 0 nay, passed
• Third Reading with none voting aye with reservations; none voting no (0) and none excused (0) (April 14, 2026): 51 yea, 0 nay, passed
• FIN: recommend that the measure be PASSED, UNAMENDED (April 7, 2026): 15 yea, 0 nay, passed

Common questions

What is SB3324?

SB3324 is a bill in the Hawaii Legislature (2026 Regular Session): Relating to Medicaid.

What does SB3324 do?

In its own words: A bill for an act relating to medicaid.

What is the status of SB3324?

Signed into law as of July 7, 2026. Latest action: Act 198, on 07/07/2026 (Gov. Msg. No. 1300). (July 7, 2026).

Who sponsored SB3324?

Sharon Moriwaki (D, 12).

Where is the official record for SB3324?

On the Hawaii Legislature website: https://www.capitol.hawaii.gov/measure_indiv.aspx?billtype=SB&billnumber=3324&year=2026