RELATING TO HEALTH CARE.

SB3243

THE SENATE

S.B. NO.

3243

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to health care
.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

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SECTION
1.
�
Definitions.
�
As used in this Act:

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"Board"
means the health care for all Hawaii board.

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"Group
practice" means a single legal entity consisting of individual providers
organized as a partnership, professional corporation, limited liability
company, foundation, nonprofit corporation, faculty practice plan, or similar
association:

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(1)
�
In which each individual provider uses office
space, facilities, equipment, and personnel shared with other individual
providers to deliver medical care, consultation, diagnosis, treatment, or other
services that the provider routinely delivers in the provider's practice;

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(2)
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For which substantially all of the services
delivered by the individual providers are delivered on behalf of the group
practice and billed as services provided by the group practice;

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(3)
�
For which substantially all of the payments to
the group practice are to reimburse the cost of services provided by the
individual providers in the group practice;

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(4)
�
In which the overhead expenses of, and the
income from, the group practice are shared among the individual providers in
the group practice in accordance with methods agreed to by the individual
providers who are members of the group practice; and

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(5)
�
That is a unified business with consolidated
billing, accounting, and financial reporting and a centralized decision-making
body that represents the individual providers who are members of the group
practice.

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"Individual
provider" means a health care provider who is licensed, certified, or
registered in the State or who is licensed, certified, or registered to provide
care in another state or country.

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"Institutional
provider" means a single legal entity that is:

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(1)
�
A health care facility as defined in section
323D-2;

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(2)
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A comprehensive outpatient rehabilitation
facility;

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(3)
�
A home health agency; or

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(4)
�
A hospice program.

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"Provider"
means an individual provider, institutional provider, or group practice.

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"Single
payer health care financing system" means a universal system used by the
State for paying the cost of health care services or goods in which:

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(1)
�
Institutional providers are paid directly for
health care services or goods by the State or are paid by an administrator that
does not bear risk in its contracts with the State;

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(2)
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Group practices are paid directly for health
care services or goods by the State or are paid by an administrator that does
not bear risk in its contracts with the State; and

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(3)
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Individual providers are paid directly for
health care services or goods by the State, their employers, an administrator
that does not bear risk in its contracts with the State, an institutional
provider, or a group practice.

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SECTION
2.
�
Establishment of the health care for
all Hawaii board; advisory committee.
�

(a)
�
There is established a health
care for all Hawaii board, to be placed within the department of health for
administrative purposes only, to design and recommend the health care for all
Hawaii plan, a universal, equitable, affordable, and comprehensive health care
system that is publicly funded and available to every resident of the State.

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(b)
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The board shall consist of the following
twenty members:

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(1)
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Two members of the senate, including one
member from the majority party and one member from the minority party, to be
appointed by the senate president;

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(2)
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Two members of the house of representatives,
including one member from the majority party and one member from the minority
party, to be appointed by the speaker of the house of representatives;

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(3)
�
Thirteen members appointed by the governor and
with the advice and consent of the senate, who reside in the State and who:

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(A)
�
Demonstrate a commitment to achieving a
universal, single-payer system, or as close to it as possible; and

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(B)
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Possess expertise in health system design and
health policy;

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(4)
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The director of health, or the director's
designee, who shall serve as an ex officio nonvoting member;

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(5)
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The director of commerce and consumer affairs,
or the director's designee, who shall serve as an ex officio nonvoting member;
and

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(6)
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A representative of the Hawaii State
Association of Counties, who shall serve as a nonvoting member.

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(c)
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In making appointments under subsection
(b)(3), the governor shall ensure that there is no disproportionate influence
by any individual, organization, government entity, industry, business, or profession
in any decision-making by the board and no actual or potential conflicts of
interest.

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(d)
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A majority of the voting members of the board
shall constitute a quorum to do business.

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(e)
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Any official action by the board shall
require the approval of a majority of the voting members of the board.

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(f)
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The board shall elect a chairperson and a
vice-chairperson from among its members.

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(g)
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Any vacancy shall be filled in the same
manner as the original appointment.

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(h)
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The board shall meet at times and places as
specified by the chairperson or a majority of the voting members of the board.

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(i)
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The board may adopt rules pursuant to chapter
91, Hawaii Revised Statutes, necessary for the operation of the board.

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(j)
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The board shall establish an advisory
committee to provide input from a consumer perspective.
�
The following qualifications shall be
possessed by the members of the advisory committee such that:

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(1)
�
At least one member:

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(A)
�
Has
experience in seeking or receiving health care in the State to address one or
more serious medical conditions or disabilities;

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(B)
�
Is enrolled in a health benefits plan offered
by the Hawaii employer-union health benefits trust fund;

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(C)
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Is enrolled in employer-sponsored health
insurance, group health insurance, or a self-insured health plan offered by an
employer;

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(D)
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Is enrolled in commercial insurance purchased
without any employer contribution;

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(E)
�
Receives medical assistance;

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(F)
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Is enrolled in medicare;

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(G)
�
Is a parent or guardian of a child enrolled in
the children's health insurance program;

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(H)
�
Is enrolled in the federal employees health
benefits program;

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(I)
�
Is enrolled in TRICARE;

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(J)
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Receives care from the United States
Department of Veteran Affairs Veterans Health Administration;

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(K)
�
Has an active license to provide health care
in the State;

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(L)
�
Has an active license to provide mental or
behavioral health care in the State;

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(M)
�
Has expertise, based on knowledge and
experience, in advocating for health care equity; and

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(N)
�
Has personal experience in seeking and
receiving health care in the State to treat complex or multiple chronic
illnesses or disabilities; and

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(2)
�
To the greatest extent practicable, at least
one member from each of the following constituencies:

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(A)
�
Diverse social identities, including but not
limited to individuals who identify by geography, race, ethnicity, sex, gender
nonconformance, sexual orientation, economic status, disability, or health
status; and

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(B)
�
Diverse
areas of expertise, based on knowledge and experience, including but not
limited to patient advocacy, receipt of medical assistance, management of a
business that offers health insurance to the business's employees, public
health, organized labor, provision of health care, or owning a small business;
and

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(C)
�
T
he
following areas of expertise acquired by education, vocation, or personal
experience:

��������������
(i)
�
Rural health;

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(ii)
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Quality assurance and health care
accountability;

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(iii)
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Fiscal management and change management;

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(iv)
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Social services;

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(v)
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Public health services;

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(vi)
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Medical and surgical services;

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(vii)
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Alternative therapy services;

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(viii)
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Services for individuals with disabilities; or

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(ix)
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Nursing services.

Members of the advisory committee shall serve
without compensation but may be reimbursed for actual expenses, including
travel expenses, incurred in the performance of their duties.

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(k)
�
The board may establish additional advisory
or technical committees the board deems necessary.
�
The committees may be continuing or
temporary.
�
The board shall determine the
representation, membership, terms, and organization of the committees and shall
appoint the members of the committees.

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(l)
�
The legislative reference bureau shall
provide administrative support to the board.

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(m)
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The board may apply for public or private
grants from nonprofit organizations for the costs of research.

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(n)
�
Members of the legislature appointed to the board
pursuant to subsection (b)(1) and (2) shall be nonvoting members of the board
and shall act in an advisory capacity only.

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(o)
�
Members of the board shall serve without
compensation but may be reimbursed for actual expenses, including travel
expenses, incurred in the performance of their duties.

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(p)
�
Members of advisory or technical committees,
other than the advisory committee established pursuant to subsection (j), shall
serve without compensation but may be reimbursed for actual expenses, including
travel expenses, incurred in the performance of their duties.

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(q)
�
When necessary and applicable, all state
departments shall cooperate with and assist the board in the performance of its
duties and, to the extent permitted by federal and state confidentiality laws,
furnish information and provide advice as requested by the board.

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SECTION
3.
�
Purpose.
�
The board shall produce findings and
recommendations for a well-functioning single payer health care financing
system that is responsive to the needs and expectations of the residents of the
State by:

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(1)
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Improving the health status of individuals,
families, and communities;

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(2)
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Defending against threats to the health of the
residents of the State;

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(3)
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Protecting individuals from the financial
consequences of ill health;

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(4)
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Providing equitable access to person-centered
care;

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(5)
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Removing cost as a barrier to accessing health
care;

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(6)
�
Removing any financial incentive for a health
care provider to provide care to one patient rather an another;

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(7)
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Making it possible for individuals to
participate in decisions affecting their health and the health care system;

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(8)
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Establishing measurable health care goals and
guidelines that align with other federal and state health standards; and

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(9)
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Promoting continuous quality improvement and
fostering interorganizational collaboration.

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SECTION
4.
�
Values.
�
The board, in developing its recommendations
for the health care for all Hawaii plan, shall consider, at a minimum, the
following values:

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(1)
�
Health care, as a fundamental element of a
just society, is to be secured for all individuals on an equitable basis by
public means, similar to public education, public safety, and other public
infrastructure;

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(2)
�
Access to a distribution of health care
resources and services according to each individual's needs and location within
the State should be available.
�
Race;
color; national origin; age; disability; wealth; income; citizenship status;
primary language use; genetic conditions; previous or existing medical
conditions; religion; sex, including sex stereotyping, gender identity, and sexual
orientation; and pregnancy and related medical conditions, including
termination of pregnancy, should not create any barriers to health care or
disparities in health outcomes due to access to care;

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(3)
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The components of the single payer health care
financing system should be accountable and fully transparent to the public with
regard to information, decision-making, and management through meaningful
public participation in decisions affecting people's health care; and

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(4)
�
Funding for the health care for all Hawaii
plan should be a public trust and any savings or excess revenue should be
returned to the trust.

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SECTION
5.
�
Principles.
�
The board, in developing its recommendations
for the health care for all Hawaii plan, shall consider, at a minimum, the
following principles:

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(1)
�
A participant in the plan may choose any
individual provider who is licensed, certified, or registered in the State or
any group practice;

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(2)
�
The plan shall not discriminate against any
individual provider who is licensed, certified, or registered in the State to
provide services covered by the plan and who is acting within the individual
provider's scope of practice;

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(3)
�
A participant and the participant's provider
shall determine, within the scope of services covered within each category of
care and within the plan's parameters for standards of care and requirements
for prior authorization, whether a treatment is medically necessary or
medically appropriate for that participant; and

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(4)
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The plan shall cover services from birth to
death, based on evidence-informed decisions as determined by the director of
health.

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SECTION
6.
�
Scope of design of the health care
for all Hawaii plan.
�
(a)
�
The design of the health care for all Hawaii
plan recommended by the board shall:

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(1)
�
Adhere to the values and principles described
under sections 4 and 5 of this Act, respectively;

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(2)
�
Be a single payer health care financing
system;

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(3)
�
Ensure that individuals who receive services
from the United States Department of Veterans Affairs Veterans Health
Administration may be enrolled in the plan while continuing to receive services
from the Veterans Health Administration;

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(4)
�
Equitably and uniformly include all state
residents in the plan without decreasing the ability of any individual to
obtain affordable health care coverage if the individual moves out of the State
by obtaining a waiver of federal requirements that pose barriers to achieving
the goal or by adopting other approaches; and

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(5)
�
Preserve the coverage of health services
currently required by medicare; medicaid; the children's health insurance
program; the federal Patient Protection and Affordable Care Act (P.L. 111-148),
as amended by the federal Health Care and Education Reconciliation Act of 2010;
and any other federal or state program.

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(b)
�
In designing the plan, the board shall:

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(1)
�
Develop cost estimates for the plan, including
but not limited to cost estimates for:

���������
(A)
�
The approach recommended for achieving the
result described in subsection (a)(4); and

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(B)
�
The payment method designed by the board under
section 7(b) in designing the plan;

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(2)
�
Consider the plan's impact on the structure of
existing state and county boards and commissions and the counties, as well as
its impact on the federal government and other states;

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(3)
�
Investigate other states' attempts at
providing universal coverage and using single payer health care financing
systems, including the outcomes of the attempts; and

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(4)
�
Consider the work by existing health care
provider boards and commissions and include important aspects of the work of
these boards and commissions in its recommendations.

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(c)
�
In developing recommendations for the plan,
the board shall engage in a public process to solicit public input on the
elements of the plan.
�
The public process
shall:

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(1)
�
Ensure input from individuals in rural and
underserved communities and individuals in communities that experience health
care disparities;

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(2)
�
Solicit public comments statewide while
providing the public with evidence-based information developed by the board
about the health care costs of a single payer health care financing system,
including the cost estimates developed under subsection (b), as compared to the
current system; and

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(3)
�
Solicit the perspectives of:

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(A)
�
Individuals throughout the range of
communities that experience health care disparities;

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(B)
�
A range of businesses, based on industry and
employer size;

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(C)
�
Individuals whose insurance coverage
represents a range of current insurance types and individuals who are uninsured
or underinsured; and

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(D)
�
Individuals with a range of health care needs,
including individuals needing disability services and long-term care services
who have experienced the financial and social effects of policies requiring
them to exhaust a large portion of their resources before qualifying for
long-term care services paid for by federal or state assistance programs.

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(d)
�
The
board's recommendations shall be succinct statements and include actions and
timelines, the degree of consensus, and the priority of each recommendation,
based on urgency and importance.
�
The
report shall include but not be limited to the following:

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(1)
�
The governance and leadership of the board,
specifically:

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(A)
�
The composition and representation of the
membership of the board, appointed or otherwise selected using an open and
equitable selection process;

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(B)
�
The statutory authority of the board to
establish policies, guidelines, mandates, incentives, and enforcement needed to
develop a highly effective and responsive single payer health care financing
system;

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(C)
�
The ethical standards and the enforcement of
the ethical standards for members of the board to ensure the most rigorous
protections and prohibitions from actual or perceived economic conflicts of
interest; and

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(D)
�
The steps for ensuring that there is no
disproportionate influence by any individual, organization, government,
industry, business, or profession in any decision-making by the board;

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(2)
�
A list of federal and state laws and rules,
state contracts or agreements, and court actions or decisions that may
facilitate, constrain, or prevent implementation of the plan and an explanation
of how the federal or state laws and rules, state contracts or agreements, and
court actions or decisions may facilitate or constrain or prevent
implementation;

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(3)
�
The plan's economic sustainability,
operational efficiency, and cost control measures that include but shall not be
limited to the following:

���������
(A)
�
A financial governance system supported by
relevant legislation, financial audit and public expenditure reviews, and clear
operational rules to ensure efficient use of public funds; and

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(B)
�
Cost control features such as multistate
purchasing;

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(4)
�
Features of the plan that are necessary to
continue to receive federal funding that is currently available to the State
and estimates of the amount of the federal funding that will be available;

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(5)
�
Fiduciary requirements for the revenue
generated to fund the plan, including but not limited to the following:

���������
(A)
�
A dedicated fund, separate and distinct from
the general fund, that is held in trust for the residents of the State;

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(B)
�
Restrictions to be authorized by the board on
the use of the trust fund;

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(C)
�
A process for creating a reserve fund by retaining
moneys in the trust fund if, over the course of a year, revenue exceeds costs;
and

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(D)
�
Required accounting methods that eliminate the
potential for misuse of public funds, detect inaccuracies in provider
reimbursement, and use the most rigorous generally accepted accounting
principles, including annual external audits and audits at the time of each
transition in the board's executive management;

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(6)
�
Requirements for the purchase of reinsurance;

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(7)
�
Bonding authority that may be necessary;

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(8)
�
The board's role in workforce recruitment,
retention, and development;

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(9)
�
A process for the board to develop statewide
goals, objectives, and ongoing review;

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(10)
�
The appropriate relationship between the board
and regional or local authorities regarding oversight of health activities,
health care systems, and providers to promote community health reinvestment,
equity, and accountability;

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(11)
�
Criteria to guide the board in determining
which health care services are necessary for the maintenance of health,
prevention of health problems, treatment or rehabilitation of health
conditions, and long-term and respite care.
�

Criteria may include but shall not be limited to the following:

���������
(A)
�
Whether the services are cost-effective and
based on evidence from multiple sources;

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(B)
�
Whether the services are currently covered by
the health benefit plans offered by the Hawaii employer-union health benefits
trust fund;

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(C)
�
Whether the services are designated as
effective by the United States Preventive Services Task Force; Advisory
Committee on Immunization Practices; Bright Futures Program of the United
States Department of Health and Human Services, Health Resources and Services
Administration; or Institute of Medicine Committee on Preventive Services for
Women; and

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(D)
�
Whether the evidence on the effectiveness of
services comes from peer-reviewed medical literature, existing assessments and
recommendations from federal and state boards and commissions, and other
peer-reviewed sources;

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(12)
�
A process to track and resolve complaints,
grievances, and appeals, including establishing an office of the patient
advocate;

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(13)
�
Options for transition planning, including an
impact analysis on existing health systems, providers, and patient
relationships;

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(14)
�
Options for incorporating cost containment
measures such as prior approval and prior authorization requirements and the
effect of such measures on equitable access to quality diagnosis and care;

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(15)
�
The methods of reimbursing providers for the
cost of care as described in section 7(b) and recommendations regarding the
appropriate reimbursement for the cost of services provided to plan
participants when they are traveling outside of the State; and

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(16)
�
Recommendations for long-term care services
and supports that are tailored to each individual's needs based on an
assessment.
�
The services and supports
may include:

���������
(A)
�
Long-term nursing services provided by an
institutional provider or in a community-based setting;

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(B)
�
A broad spectrum of long-term services and
supports, including home and community-based settings or other noninstitutional
settings;

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(C)
�
Services that meet the physical, mental, and
social needs of individuals while allowing them maximum possible autonomy and
maximum civic, social, and economic participation;

���������
(D)
�
Long-term services and supports that are not
based on the individual's type of disability, level of disability, service
needs, or age;

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(E)
�
Services provided in the least restrictive
setting appropriate to the individual's needs;

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(F)
�
Services provided in a manner that allows
individuals with disabilities to maintain their independence,
self-determination, and dignity;

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(G)
�
Services and supports that are of equal
quality and accessibility in every geographic region of the State; and

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(H)
�
Services and supports that give the individual
the opportunity to direct the services.

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(e)
�
In developing recommendations for long-term
care services and supports for the plan under subsection (d)(16), the board
shall convene an advisory committee that includes:

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(1)
�
Individuals with disabilities who receive
long-term care services and supports;

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(2)
�
Older adults who receive long-term care
services and supports;

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(3)
�
Individuals representing individuals with
disabilities and older adults;

����
(4)
�
Members of groups that represent the
diversity, including by gender, race, and economic status, of individuals with
disabilities;

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(5)
�
Providers of long-term care services and
supports, including in-home care providers who are represented by organized
labor, and family attendants and caregivers who provide long-term care services
and supports; and

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(6)
�
Academics and researchers in relevant fields
of study.

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(f)
�
Notwithstanding subsection (d)(16), the board
may explore the effects of excluding long-term care services from the plan,
including but not limited to the social, financial, and administrative costs.

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(g)
�
The board's report to the legislature shall
include the following:

����
(1)
�
The waivers of federal laws and other federal
approval that will be necessary to enable a person who is a resident of the
State and who has coverage that is not subject to state regulation to enroll in
the plan without jeopardizing eligibility for the other coverage if the person
moves out of the State;

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(2)
�
Estimates of the savings and expenditure
increases under the plan, relative to the current health care system, including
but not limited to:

���������
(A)
�
Savings from eliminating waste in the current
system and administrative simplification, fraud reduction, monopsony power,
simplification of electronic documentation, and other factors that the board
identifies;

���������
(B)
�
Savings from eliminating the cost of insurance
that currently provides medical benefits that would be provided through the
plan; and

���������
(C)
�
Increased costs due to providing better health
care to more individuals than under the current health care system;

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(3)
�
Estimates of the expected health care
expenditures under the plan, compared to the current health care system,
reported in categories similar to the National Health Expenditure Accounts
compiled by the Centers for Medicare and Medicaid Services, including, at a
minimum:

���������
(A)
�
Personal health care expenditures;

���������
(B)
�
Health consumption expenditures; and

���������
(C)
�
State health expenditures;

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(4)
�
Estimates of how much of the expenditures on
the plan will be made from moneys currently spent on health care in the State
from federal and state sources and redirected or utilized, in an equitable and
comprehensive manner, to the plan;

����
(5)
�
Estimates of the amount, if any, of additional
state revenue that will be required;

����
(6)
�
Results of the board's evaluation of the
impact on individuals, communities, and the State if the current level of
health care spending continues without implementing the plan, using existing
reports and analysis where available; and

����
(7)
�
A description of how the board or another
entity may enhance:

���������
(A)
�
Access to comprehensive, high quality,
patient-centered, patient-empowered, equitable and publicly funded health care
for all individuals;

���������
(B)
�
Financially sustainable and cost-effective
health care for the benefit of businesses, families, individuals, and state and
county governments;

���������
(C)
�
Regional and community-based systems
integrated with community programs to contribute to the health of individuals
and communities;

���������
(D)
�
Regional planning for cost-effective,
reasonable capital expenditures that promote regional equity;

���������
(E)
�
Funding for the modernization of public health
as an integral component of cost efficiency in an integrated health care
system; and

���������
(F)
�
An ongoing and deepening collaboration with
other organizations providing health care that will not be under the authority
of the board.

����
(h)
�
The board's findings and recommendations
regarding revenue for the plan, including redirecting existing health care
moneys under subsection (g)(4), shall be ranked according to explicit criteria,
including the degree to which an individual, class of individuals, or
organization would experience an increase or decrease in the direct or indirect
financial burden or whether they would experience no change.
�
Revenue options may include but shall not be
limited to the following:

����
(1)
�
The redirection of current public agency
expenditures;

����
(2)
�
An employer payroll tax based on progressive
principles that protect small businesses and tend to preserve or enhance
federal tax expenditures for Hawaii employers that pay the costs of their
employees' health care; and

����
(3)
�
A dedicated revenue stream based on
progressive taxes that do not impose a burden on individuals who would
otherwise qualify for medical assistance.

����
(i)
�
The board may explore the effect of
means-tested copayments or deductibles, including but not limited to the effect
of increased administrative complexity and the resulting costs that cause
patients to delay getting necessary care, resulting in more severe consequences
for their health.

����
(j)
�
The board's recommendations shall ensure:

����
(1)
�
Public access to state and county reports and
forecasts of revenue expenditures;

����
(2)
�
That the reports and forecasts are accurate,
timely, of sufficient detail, and presented in a way that is understandable to
the public to inform policy making and the allocation or relocation of public
resources; and

����
(3)
�
That the information can be used to evaluate
programs and policies, while protecting patient confidentiality.

����
SECTION
7.
�
General nature of the system to be
evaluated.
�
(a)
�
The health care for all Hawaii plan designed
by the board shall allow participation by any individual who:

����
(1)
�
Resides in the State;

����
(2)
�
Is a nonresident who works full-time in the
State and contributes to the plan; or

����
(3)
�
Is a nonresident who is a dependent of an
individual described in paragraph (1) or (2).

����
(b)
�
Providers shall be paid as follows, or using
an alternative method that is similarly equitable and cost-effective:

����
(1)
�
Individual providers licensed in the State
shall be paid:

���������
(A)
�
On a fee-for-services basis; or

���������
(B)
�
As employees of institutional providers or
members of group practices that are reimbursed with global budgets;

����
(2)
�
Institutional providers shall be paid with
global budgets that include separate capital budgets, determined through
regional planning, and operational budgets; and

����
(3)
�
Budgets shall be determined for individual
hospitals and not for entities that own multiple hospitals, clinics, or other
providers of health care services or goods.

����
(c)
�
The board's recommendations shall address
issues related to the provision of services to nonresidents who receive
services in the State and plan participants who receive services outside the
State.

����
(d)
�
The board's recommendations for the duties of
the board and the details of the health care for all Hawaii plan shall consider
the following to ensure that patients are empowered to protect their health,
rights, and privacy:

����
(1)
�
Access to patient advocates who are
responsible to the patient and maintain patient confidentiality and whose
responsibilities include but are not limited to addressing concerns about
providers and helping patients navigate the process of obtaining medical care;

����
(2)
�
Access to culturally and linguistically
appropriate care and service;

����
(3)
�
A patient's ability to obtain needed care when
a treating provider is unable or unwilling to provide the care;

����
(4)
�
Paying providers to complete forms or perform
other administrative functions to assist patients in qualifying for disability
benefits, family medical leave, or other income supports; and

����
(5)
�
Patient access to and control of medical
records, including:

���������
(A)
�
Empowering patients to control access to their
medical records and obtain independent second opinions, unless there are clear
medical reasons not to do so;

���������
(B)
�
Requiring that a patient or the patient's
designee be provided a complete copy of the patient's health records promptly
after every interaction or visit with a provider;

���������
(C)
�
Ensuring that the copy of the health records
provided to a patient includes all data used in the care of that patient; and

���������
(D)
�
Requiring that the patient or the patient's
designee provide approval before any forwarding of the patient's data to, or
access of the patient's data by, family members, caregivers, other providers,
or researchers;

���������
provided
that patient access to and control of medical records shall be limited to
competent patients; provided further that if a patient's competency is in
question, the patient shall be subject to a medical or psychological evaluation
to determine competency and, if deemed incompetent, then the rights to records
shall be delegated to the patient's conservator, guardian, or other authorized
legal representative.

����
SECTION
8.
�
Board timeline.
�
(a)
�

The members of the board shall be appointed no later than August 31,
2026.

����
(b)
�
No later than October 31, 2026, the
legislative research bureau shall begin preparing a work plan for the board.

����
(c)
�
The board shall submit a report of its
findings and recommendations for the design of the health care for all Hawaii
plan, including any proposed legislation, to the legislature no later than
twenty days prior to the convening of the regular session of
2027.

����
SECTION
9.
�
There is appropriated out of the
general revenues of the State of Hawaii the sum of
$ or so much
thereof as may be necessary for fiscal year 2026-2027 to establish and operate
the board pursuant to this Act.

����
The sum
appropriated shall be expended by the department of health for the purposes of
this Act.

����
SECTION 10.
�
This Act shall take effect on July 1, 2026,
and shall be repealed on June 30, 2027.

INTRODUCED BY:

_____________________________

Report Title:

Health
Care for All Hawaii Board; Health Care for All Hawaii Plan; Advisory Committee;
Recommendations; Report; Appropriation

Description:

Establishes
a Health Care for All Hawaii Board to design and recommend the Health Care for
All Hawaii plan that is publicly funded and available to every resident of the
State.
�
Establishes values and principles
for the board in developing its plan, designates the scope of the plan, requires
the board to establish an advisory committee to provide consumer perspective
input, and requires the board to submit the plan to the Legislature.
�
Appropriates funds.
�
Repeals 6/30/2027.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.