Hawaii 2025 Regular Session

Hawaii Senate Bill SB451

Introduced
1/16/25  
Refer
1/21/25  
Report Pass
2/14/25  

Caption

Relating To Persons With Disabilities.

Impact

The proposed legislation would significantly amend Chapter 346 of the Hawaii Revised Statutes by establishing guidelines for eligibility and premium requirements for beneficiaries. Eligible individuals would be required to pay premiums on a sliding scale based on their income, with a minimum of $20 and a maximum of $250. This structure aims to make the program accessible while encouraging workers with disabilities to achieve higher earnings without risking their health insurance benefits. By broadening access to Medicaid, SB451 seeks to enhance the quality of life for this demographic in Hawaii.

Summary

SB451 aims to create a Medicaid buy-in program for workers with disabilities in Hawaii. This initiative is designed to extend benefits to individuals whose income exceeds 250% of the federal poverty level, allowing them to potentially retain Medicaid coverage while earning a higher income. The bill specifically addresses the financial limitations currently faced by workers with disabilities, offering them a pathway to secure essential healthcare services while still engaging in meaningful employment. The implementation of this program is dependent on the availability of federal financial participation under existing laws.

Sentiment

Overall, the sentiment around SB451 appears to be supportive as it seeks to empower individuals with disabilities through enhanced Medicaid access. Advocates for people with disabilities have expressed optimism about the potential positive impact of the bill, believing it will facilitate greater workforce participation and economic independence. However, there exists a cautious approach, with some stakeholders emphasizing the importance of well-structured implementation to ensure that the program aligns with the needs of workers and does not inadvertently create financial obstacles.

Contention

A notable point of contention surrounding SB451 is the premium framework, as some critics argue that the established sliding scale may still pose a financial burden on lower-income beneficiaries. While supporters contend that the program promotes independence and self-sufficiency for workers with disabilities, concerns about affordability may lead to debate on the necessity of adjustments to the premium structure. Additionally, discussions may arise regarding the adequacy of federal participation in funding such a program, as it hinges on the state’s ability to secure necessary financial backing.

Companion Bills

No companion bills found.

Previously Filed As

HI HB2276

Relating to notice of services and programs, including residential services, available for persons with intellectual disabilities.

HI HB1683

Relating to parking placards for vehicles of persons with disabilities.

HI HB3163

Relating to parking for persons with disabilities.

HI SB1869

Relating to a franchise tax credit for taxable entities that employ persons with disabilities.

HI HB406

Relating to parking placards for vehicles of persons with disabilities.

HI HB1075

Relating to an alert for a missing person with an intellectual disability.

Similar Bills

MS HB1565

Medicaid; seek federal waiver to provide for presumptive eligibility for persons who need mental health or substance use disorder services.

HI SB59

Relating To Algorithmic Discrimination.

NJ A702

Raises income eligibility threshold for pension and retirement income exclusion from gross income to $125,000.

MS HB1105

Medicaid; expand eligibility under federal Affordable Care Act.

MS HB706

Medicaid; expand eligibility under federal Affordable Care Act.

MS HB132

Medicaid; expand eligibility under federal Affordable Care Act.

MS HB427

Medicaid; expand eligibility under federal Affordable Care Act.

MS HB55

Medicaid; expand eligibility under federal Affordable Care Act and under CHIP.