Hawaii 2025 Regular Session

Hawaii Senate Bill SCR130

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 resolution articulates that significant savings could occur due to reduced billing and collection costs, which currently consume a considerable portion of resources in hospitals and physician practices. It posits that a streamlined administrative system would not only lower the state's healthcare costs but also enhance available funding for community-based programs tailored to serve high-risk populations. The document also touches on the pressing need to address Hawaii's physician shortage, advocating for improved compensation for primary care and psychiatry to retain healthcare professionals amid the state's high cost of living.

Summary

Senate Concurrent Resolution 130 (SCR130) is aimed at reactivating the Hawaii Health Authority to develop a plan for transitioning to a single-payer healthcare system within the State of Hawaii. The resolution underscores the urgency of creating a more cost-effective healthcare financing system in light of potential deep cuts to federal Medicaid funding. By pursuing a single-payer approach, the resolution highlights the potential for substantial administrative cost savings while maintaining care delivery standards for medical professionals.

Contention

Notably, the proposal does suggest a shift in how healthcare is financed within Hawaii, with the hope that the Health Authority will manage this transition effectively while ensuring federal funding is secured through acquired waivers. However, debates around the resolution may revolve around concerns about the feasibility of implementing a single-payer system, potential resistance from stakeholders within the existing healthcare framework, and the need to ensure that all residents benefit equitably from such a system. Ultimately, SCR130 requests that the Health Authority report back to the legislature on its progress and recommendations, indicating an ongoing dialogue about the direction of healthcare policy in Hawaii.

Companion Bills

HI SR109

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.

HI HCR176

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.

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