Medicaid Home- and Community-Based Services Funding Appropriation

State Bills: Hawaii

Published March 10th, 2026

Detected April 2nd, 2026

Summary

Hawaii SB3324 was passed by the Senate and House, appropriating Medicaid funds to the Department of Human Services for home- and community-based services. The bill increases funding for residential services in community care foster family homes and expanded adult residential care homes, requiring the Department to obtain federal matching funds and pursue additional funding sources.

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What changed

Hawaii SB3324, introduced by Senator Sharon Moriwaki, passed both chambers in the 2026 Regular Session (Senate 25-0, House committees unanimous). The bill appropriates funds to the Hawaii Department of Human Services to increase Medicaid reimbursement for home- and community-based services, specifically targeting community care foster family homes and adult residential care homes. The Department is required to obtain matching federal funds and explore additional funding sources.

Compliance officers in affected healthcare facilities should monitor for updated reimbursement rates from the Department of Human Services. No immediate action is required as this is a funding appropriation bill; implementation will depend on federal matching fund approvals and Department guidance.

Source document (simplified)

ChangeBridge / Hawaii / SB3324 Passed SB3324 Senate Bill Passed 2026-03-10

Relating To Medicaid.

Appropriates funds to the Department of Human Services to increase funding for certain Medicaid home- and community-based services, including residential services offered in community care foster family homes and expanded adult residential care homes. Requires the Department to obtain matching federal funds and to pursue additional funding sources. Effective 7/1/3000. (HD1)

Bill Details

State Hawaii

Session 2026 Regular Session

Chamber Senate

Committee Finance

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

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Action History

2026-03-30 H Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN 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. 1449-26) as amended in HD 1, recommending passage on Second Reading and 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. 2026-03-12 H Referred to HSH, FIN, referral sheet 17 2026-03-12 H Pass First Reading 2026-03-10 H Received from Senate (Sen. Com. No. 402) in amended form (SD 1). 2026-03-10 S Report adopted; Passed Third Reading, as amended (SD 1). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. 2026-03-05 S 48 Hrs. Notice 03-10-26. 2026-03-05 S Reported from WAM (Stand. Com. Rep. No. 2840) with recommendation of passage on Third Reading, as amended (SD 1). 2026-03-03 S The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENTS. 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. 2026-02-20 S Report adopted; Passed Second Reading and referred to WAM. 2026-02-20 S Reported from HHS (Stand. Com. Rep. No. 2637) with recommendation of passage on Second Reading and referral to WAM. 2026-02-19 S The committee(s) on HHS recommend(s) that the measure be PASSED, UNAMENDED. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. 2026-02-18 S The committee(s) on HHS will hold a public decision making on 02-19-26 12:45PM; CR 016 & Videoconference. 2026-02-18 S The committee on HHS deferred the measure. 2026-02-13 S The committee(s) on HHS has scheduled a public hearing on 02-18-26 1:00PM; Conference Room 225 & Videoconference. 2026-02-02 S Referred to HHS, WAM. 2026-01-30 S Passed First Reading. 2026-01-30 S Introduced.

Votes

2026-02-19 Senate Health and Human Services: Passed, Unamended Yea: 5 Nay: 0 2026-03-03 Senate Ways and Means: Passed, With Amendments Yea: 12 Nay: 0

Committee Referrals

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

Bill Text Versions

2026-01-28 Introduced 2026-03-04 Amended 2026-03-27 Amended

Subjects

DHS Medicaid Med-QUEST Home- and Community-Based Services Residential Services Community Care Foster Family Homes Expanded Adult Residential Care Homes Federal Matching Funds Appropriation ($) Legislative data powered by LegiScan (CC BY 4.0)