Hawaii 2025 Regular Session

Hawaii House Bill HCR176

Introduced
3/7/25  

Caption

Supporting The Reactivation Of, And Urging The Governor To Appoint Members To, The Hawaii Health Authority To Plan For A Transition To A Maximally Cost-effective Single-payer Health Care System For The State, To Be Implemented As Soon As Possible After Waivers Have Been Obtained To Capture All Major Sources Of Federal Funding Flowing To The State Through Medicare, Medicaid, And Tricare.

Impact

The implementation of a single-payer health care system in Hawaii could lead to significant savings by reducing administrative costs associated with current health care financing. Proponents argue that such a system could lower health care expenses by approximately thirty percent, impacting state expenditures, which currently allocate about thirty percent of the total budget to health care costs for Medicaid and state employees.

Summary

HCR176, introduced in the Thirty-third Legislature of Hawaii, seeks to reactivate the Hawaii Health Authority and urges the governor to appoint members to this body. The primary goal of the resolution is to plan for a transition to a single-payer health care system that would be maximally cost-effective. This system is intended to address potential federal cuts to Medicaid funding and is seen as a necessary measure to maintain and improve health care delivery across the state.

Contention

While advocates of HCR176 assert that a single-payer system would streamline costs and improve care delivery, potential contention arises from concerns about the future structure of healthcare financing and the impact on current providers. Some legislators express apprehension regarding the feasibility of funding such a comprehensive system, especially amid anticipated federal funding cuts. Additionally, there are worries that during the transition to a single-payer model, there could be disruptions in care and hesitance from healthcare providers to adapt to a new administrative framework.

Additional_points

Furthermore, the resolution outlines that the Hawaii Health Authority, which exists within state law but has been inactive, is tasked with producing a report detailing its progress and any recommendations including proposed legislation within a specific timeline. This establishes a framework for accountability moving forward and highlights the urgency perceived by legislators regarding health care reform in Hawaii.

Companion Bills

HI HR172

Same As Supporting The Reactivation Of, And Urging The Governor To Appoint Members To, The Hawaii Health Authority To Plan For A Transition To A Maximally Cost-effective Single-payer Health Care System For The State, To Be Implemented As Soon As Possible After Waivers Have Been Obtained To Capture All Major Sources Of Federal Funding Flowing To The State Through Medicare, Medicaid, And Tricare.

Previously Filed As

HI HCR139

Urging Hawaii's Congressional Delegation To Introduce And Support Legislation To Amend Title Iv-a Of The Social Security Act To Allow Temporary Assistance For Needy Families Funds To Be Used By States To Build Transitional Supportive Housing And Affordable Rental Housing.

HI HCR193

Urging The Governor And State Departments To Investigate Opportunities Provided By The Direct Pay Provision In The Inflation Reduction Act That Allows For Direct Payment Of Clean Energy Incentives To State Government Entities For The Cost Of Installing Solar Energy Systems In State Facilities.

HI HCR138

Urging The Hawaii Housing Finance And Development Corporation To Promote Supportive Housing In The State's Low-income Housing Tax Credit Program.

HI HCR103

Urging All Branches Of The United States Military Operating In Hawaii To Implement Changes In Their Policies To Reduce, To The Extent Possible, The Use Of Products Containing Perfluoroalkyl And Polyfluoroalkyl Substances.

HI HCR186

Urging The Governor, Department Of Human Services, And Department Of Health To Explore Avenues To Ensure Continued Access To Affordable Medications For The State's Underserved Populations Under The 340b Drug Pricing Program And Urging Hawaii's Congressional Delegation And Relevant Federal Agencies To Monitor Pharmaceutical Companies And Take Appropriate Actions To Protect The Integrity Of The 340b Drug Pricing Program.

HI HCR94

Requesting The Department Of Human Services To Conduct A Study On The Feasibility Of Increasing The Medicaid Reimbursement Payment Rate For Hawaii's Community Care Foster Family Homes And Expanded Adult Residential Care Homes For Medicaid Clients In 2032 And Every Ten Years Thereafter.

HI SCR135

Urging The Governor's Senior Advisor For Mental Health And The Justice System To Define Their Role And To Provide An Annual Report To The Legislature On The Progress The State Has Made Towards Jail Diversion.

HI SCR167

Urging The Department Of Health And Encouraging The County Of Maui, United States Army Corps Of Engineers, And Federal Emergency Management Agency To Take Certain Measures To Ensure The Safest Possible Management Of Ash And Debris From The August 2023 Maui Wildfires.

HI SR122

Urging The Governor's Senior Advisor For Mental Health And The Justice System To Define Their Role And To Provide An Annual Report To The Legislature On The Progress The State Has Made Towards Jail Diversion.

HI SCR23

Urging The Department Of Health To Amend The Hawaii Administrative Rules To Authorize Licensed Dietitians To Prescribe Modified Diets And Plan Therapeutic Diets.

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AL SB189

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NJ A3334

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HI SB797

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HI HB646

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CT HB05378

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NV AB556

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NJ S1962

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