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.

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