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SB3325 - Hawaii DOE Medicaid Reimbursement Plan Requirement

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Detected April 8th, 2026
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Summary

Hawaii Senate Bill 3325 has passed both chambers, requiring the Department of Education to establish an updated plan for maximizing Medicaid reimbursements for administrative and support services provided to students with special needs. The bill mandates annual reports to the Legislature. The measure passed the Senate with 25 ayes and was transmitted to the House, where it advanced through EDN, HSH, and FIN committees before final passage.

What changed

Hawaii SB3325 enacts a new requirement for the state Department of Education to develop and maintain an updated plan for maximizing Medicaid reimbursements related to services provided to students with special needs. The bill specifies that the DOE must establish administrative and support service protocols to optimize federal Medicaid funding.

The primary affected parties are the Hawaii Department of Education, public schools providing services to students with disabilities, and healthcare providers delivering related services in educational settings. Educational institutions and administrators should prepare for new reporting obligations and potential operational changes to maximize eligible Medicaid reimbursements.

What to do next

  1. Develop and implement an updated Medicaid reimbursement maximization plan for special needs student services
  2. Submit annual reports to the Hawaii Legislature on Medicaid reimbursement activities
  3. Coordinate with relevant state agencies to ensure compliance with the new requirements

Source document (simplified)

ChangeBridge / Hawaii / SB3325 Passed SB3325 Senate Bill Passed 2026-03-10

Relating To Public School Medicaid Reimbursements.

Requires the Department of Education to establish an updated plan for maximizing Medicaid reimbursements for administrative and support services provided to students with special needs. Requires annual reports to the Legislature. Effective 7/1/3000. (HD2)

Bill Details

State Hawaii

Session 2026 Regular Session

Chamber Senate

Official Source www.capitol.hawaii.gov/session/measure_ind...

LegiScan View on LegiScan

Sponsors

Sharon Moriwaki (Sen - D)

Action History

2026-04-07 H The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 15 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Morikawa. 2026-04-02 H Bill scheduled for decision making on Tuesday, 04-07-26 10:10AM in conference room 308 VIA VIDEOCONFERENCE. 2026-04-02 H The committee(s) on FIN recommend(s) that the measure be deferred until 04-07-26. 2026-03-31 H Bill scheduled to be heard by FIN on Thursday, 04-02-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE. 2026-03-30 H Report adopted; referred to the committee(s) on FIN as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Lowen, Perruso, Quinlan excused (4). 2026-03-30 H Reported from HSH (Stand. Com. Rep. No. 1505-26) as amended in HD 2, recommending referral to FIN. 2026-03-24 H The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Hartsfield, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. 2026-03-20 H Bill scheduled to be heard by HSH on Tuesday, 03-24-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE. 2026-03-20 H Passed Second Reading as amended in HD 1 and referred to the committee(s) on HSH with none voting aye with reservations; none voting no (0) and Representative(s) Quinlan excused (1). 2026-03-20 H Reported from EDN (Stand. Com. Rep. No. 1291-26) as amended in HD 1, recommending passage on Second Reading and referral to HSH. 2026-03-19 H The committee on EDN recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Woodson, La Chica, Amato, Evslin, Garrett, Kapela, Kila, Olds, Muraoka, Souza; Ayes with reservations: none; Noes: none; and Excused: none. 2026-03-17 H Bill scheduled to be heard by EDN on Thursday, 03-19-26 2:00PM in House conference room 309 VIA VIDEOCONFERENCE. 2026-03-12 H Referred to EDN, HSH, FIN, referral sheet 17 2026-03-12 H Pass First Reading 2026-03-10 H Received from Senate (Sen. Com. No. 403) in amended form (SD 1). 2026-03-10 S Report adopted; Passed Third Reading. Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. 2026-03-06 S One Day Notice 03-10-26. 2026-03-06 S Reported from WAM (Stand. Com. Rep. No. 2901) with recommendation of passage on Third Reading. 2026-03-03 S The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Lee, C., Richards, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. 2026-02-25 S The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference. 2026-02-23 S The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference. 2026-02-18 S Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. 2026-02-18 S Reported from EDU (Stand. Com. Rep. No. 2332) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. 2026-02-13 S The committee(s) on EDU recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in EDU were as follows: 3 Aye(s): Senator(s) Kim, Kidani, DeCorte; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Fukunaga, Hashimoto. 2026-02-10 S The committee(s) on EDU has scheduled a public hearing on 02-13-26 1:05PM; CR 229 & Videoconference. 2026-02-02 S Referred to EDU, WAM. 2026-01-30 S Passed First Reading. 2026-01-30 S Introduced.

Votes

2026-02-13 Senate Education: Passed, With Amendments Yea: 3 Nay: 0 2026-03-03 Senate Ways and Means: Passed, Unamended Yea: 12 Nay: 0

Committee Referrals

2026-02-02 S Education 2026-02-18 S Ways and Means 2026-03-12 H Education 2026-03-20 H Human Services & Homelessness 2026-03-30 H Finance

Bill Text Versions

2026-01-28 Introduced 2026-02-17 Amended 2026-03-20 Amended 2026-03-27 Amended

Subjects

DOE DHS Med-QUEST Medicaid Reimbursement Students with Special Needs Special Education IEP Administrative and Support Services Annual Report Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Public School Medicaid Reimbursements

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Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
Hawaii Legislature
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
SB3325 (2026 Regular Session)

Who this affects

Applies to
Educational institutions Government agencies Healthcare providers
Industry sector
9211 Government & Public Administration
Activity scope
Medicaid billing Special education services State agency reporting
Geographic scope
US-HI US-HI

Taxonomy

Primary area
Education
Operational domain
Regulatory Affairs
Topics
Healthcare Government Administration

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