This amendment directs the Executive Office on Aging to create a plan and budget for studying how to pay for long-term care services in Hawaii.
Hawaii2026Enacted
HB1804
Creating a Commission to Study Long-Term Care Payment Options
Last scannedAug 24, 2026, 11:30 PM
In one sentence
This law creates an independent advisory commission to study different public and private ways to pay for long-term care services in Hawaii.
What it does
- Establishes the Joint House of Representatives and Senate Long-Term Care Financing Advisory Commission as an independent body.
- Requires the commission to examine the feasibility, costs, and impacts of different financing options for people with functional limitations or chronic illnesses.
- Directs the commission to hire a part-time project director through the Legislative Reference Bureau within 30 days of finalizing membership.
- Orders the commission to contract with consultants to perform actuarial assessments, policy analysis, and public education studies.
- Requires an analysis of whether proposed funding plans can cover costs over a 75-year period based on economic assumptions.
Who it affects
- The newly created Long-Term Care Financing Advisory Commission
- State officials including directors from Health, Human Services, Taxation, and the Executive Office on Aging
- University of Hawaii representatives serving as ex officio members or consultants
- Public members appointed to represent consumers and direct care workers
Limits and unknowns
- The law requires a study but does not create any new taxes or payment rates itself.
- Members serve without pay unless they are public appointees who may request reimbursement for expenses if funds are available.
- The specific date the final report must be submitted is not listed in this text.
Plain language
Terms to know
- Long-Term Care Financing
- The methods used to pay for ongoing health support and daily living assistance.
- Home- and Community-Based Care
- Support services provided in a person's home or community instead of an institution like a nursing facility.
- Actuarial Assessment
- A mathematical study that predicts future costs, risks, and the financial stability of a program over time.
Official record
Sources
Official summary
RELATING TO LONG-TERM CARE FINANCING. EOA; UH; Long-Term Care Financing; Long-Term Care Services and Supports; Home- and Community-Based Care; Report; Appropriation ($) Requires the Executive Office on Aging to develop the framework and scope of work for a proposed study that examines the feasibility, impacts, and costs of different public and private financing options for long-term care services and supports and submit a report to the Legislature. Authorizes the Executive Office on Aging to contract with the University of Hawaii. Appropriates funds. (CD1)
Official activity
Bill history
- Act 249, on 07/14/2026 (Gov. Msg. No. 1351).H
- Act 249, 07/14/2026 (Gov. Msg. No. 1351).S
- Received notice of passage on Final Reading in House (Hse. Com. No. 888).S
- Transmitted to Governor.H
- Received notice of Final Reading (Sen. Com. No. 816).H
- Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.S
- Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).H
- 48 Hrs. Notice (as amended CD 1) 05-06-26S
- Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 156-26).S
- Forty-eight (48) hours notice Wednesday, 05-06-26.H
- Reported from Conference Committee (Conf Com. Rep. No. 156-26) as amended in (CD 1).H
- The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 2 Aye(s): Senator(s) San Buenaventura, Moriwaki; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.S
- The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Chun, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.H
- Conference Committee Meeting will reconvene on Friday 05-01-26 3:20PM in conference room 329.H
- Conference Committee Meeting will reconvene on Thursday 04-30-26 3:15PM in conference room 329.H
- Bill scheduled for Conference Committee Meeting on Tuesday, 04-28-26 3:15PM in conference room 329.H
- Received notice of Senate conferees (Sen. Com. No. 719).H
- Senate Conferees Appointed: San Buenaventura Chair; Moriwaki Co-Chair; Fevella.S
- Received notice of appointment of House conferees (Hse. Com. No. 786).S
- House Conferees Appointed: Takayama, Keohokapu-Lee Loy Co-Chairs; Chun, Alcos.H
Changes
Amendments
4 stored
This amendment creates a new independent commission to study different ways Hawaii can pay for long-term care services.
This amendment creates a new independent commission to study different ways Hawaii can pay for long-term care services.
This amendment requires Hawaii's Executive Office on Aging to create a detailed plan and budget proposal for studying how to pay for long-term care services.