SB3325 • 2026

RELATING TO PUBLIC SCHOOL MEDICAID REIMBURSEMENTS.

Education

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: MORIWAKI
Last action: 2026-05-08
Official status: Enrolled to Governor.
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

RELATING TO PUBLIC SCHOOL MEDICAID REIMBURSEMENTS.

What This Bill Does

RELATING TO PUBLIC SCHOOL MEDICAID REIMBURSEMENTS.
DOE; DHS; Med-QUEST; Medicaid Reimbursement; Students with Special Needs; Special Education; IEP; Administrative and Support Services; Annual Report 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.
(CD1)

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

CD1

Hawaii published version CD1

Plain English: SB3325 CD1 THE SENATE S.B.

SB3325 CD1 THE SENATE S.B.
NO.
3325 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD1

Hawaii published version HD1

Plain English: SB3325 HD1 THE SENATE S.B.

SB3325 HD1 THE SENATE S.B.
NO.
3325 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

HD2

Hawaii published version HD2

Plain English: SB3325 HD2 THE SENATE S.B.

SB3325 HD2 THE SENATE S.B.
NO.
3325 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII H.D.

SD1

Hawaii published version SD1

Plain English: SB3325 SD1 THE SENATE S.B.

SB3325 SD1 THE SENATE S.B.
NO.
3325 THIRTY-THIRD LEGISLATURE, 2026 S.D.
1 STATE OF HAWAII A BILL FOR AN ACT RELATING TO PUBLIC SCHOOL MEDICAID REIMBURSEMENTS .

Bill History

2026-05-08 S
Enrolled to Governor.
2026-05-08 S
Received notice of passage on Final Reading in House (Hse. Com. No. 888).
2026-05-06 H
Received notice of Final Reading (Sen. Com. No. 816).
2026-05-06 H
Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and Representative(s) Alcos excused (1).
2026-05-06 S
Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
2026-05-01 H
Forty-eight (48) hours notice Wednesday, 05-06-26.
2026-05-01 H
Reported from Conference Committee (Conf Com. Rep. No. 236-26) as amended in (CD 1).
2026-05-01 S
48 Hrs. Notice (as amended CD 1) 05-06-26.
2026-05-01 S
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 236-26).
2026-05-01 S
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) Kim, Moriwaki, DeCorte; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
2026-05-01 H
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Woodson, Marten, Lee, M., Souza; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.
2026-05-01 H
Conference Committee Meeting will reconvene on Friday 05-01-26 5:00PM in conference room 229.
2026-05-01 H
Conference Committee Meeting will reconvene on Friday 05-01-26 4:00PM in conference room 229.
2026-04-30 H
Conference Committee Meeting will reconvene on Friday 05-01-26 1:30PM in conference room 229.
2026-04-29 H
Conference Committee Meeting will reconvene on Thursday 04-30-26 1:37PM in conference room 229.
2026-04-28 H
Conference Committee Meeting will reconvene on Wednesday 04-29-26 1:30PM in conference room 229.
2026-04-27 H
Bill scheduled for Conference Committee Meeting on Tuesday, 04-28-26 1:35PM in conference room 229.
2026-04-21 H
Received notice of Senate conferees (Sen. Com. No. 718).
2026-04-21 S
Senate Conferees Appointed: Kim Chair; Moriwaki Co-Chair; DeCorte.
2026-04-21 S
Received notice of appointment of House conferees (Hse. Com. No. 800).
2026-04-21 H
House Conferees Appointed: Woodson, Marten, Lee, M. Co-Chairs; Souza.
2026-04-10 H
Received notice of disagreement (Sen. Com. No. 564).
2026-04-10 S
Senate disagrees with House amendments.
2026-04-10 S
Received from House (Hse. Com. No. 530).
2026-04-09 H
Passed Third Reading with Representative(s) Reyes Oda voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate.
2026-04-09 H
Reported from FIN (Stand. Com. Rep. No. 2014-26), recommending passage on Third Reading.
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.

Official Summary Text

RELATING TO PUBLIC SCHOOL MEDICAID REIMBURSEMENTS.
DOE; DHS; Med-QUEST; Medicaid Reimbursement; Students with Special Needs; Special Education; IEP; Administrative and Support Services; Annual Report
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. (CD1)

Current Bill Text

Read the full stored bill text

SB3325

THE SENATE

S.B. NO.

3325

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

Relating
to Public School Medicaid Reimbursements
.

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

����
SECTION 1.
�
The legislature finds that, pursuant to Senate
Concurrent Resolution No. 81, Regular Session of 2018, a working group submitted
to the 2019 legislature a report examining how the department of education
could maximize medicaid reimbursements for support services offered to eligible
students, specifically to special education youth having severe mental health
conditions.

����
The
legislature believes that, given the critical importance of providing all
students with a quality public education, further oversight and an updated plan
are needed to ensure that the department continues to maximize medicaid
reimbursements for administrative and support services for students with
special needs.

����
Accordingly,
the purpose of this Act is to require the department of education to provide:

����
(1)
�
An updated plan to maximize medicaid
reimbursements for administrative and support services for students with
special needs; and

����
(2)
�
Annual reports on the status of the plan's
implementation.

����
SECTION
2.
�
Chapter 302A, Hawaii Revised
Statutes, is amended by adding a new section to part II, subpart C, to be
appropriately designated and to read as follows:

����
"
�302A-
��

��
Medicaid reimbursement
for support services; students with special needs; reporting requirements.
�
(a)
�
The department shall establish an updated
plan to maximize medicaid reimbursements for administrative and support
services provided to students with special needs.
�
The department may amend the plan as
necessary to carry out the purposes of this section.

����
(b)
�
The department of education,
in consultation with the med-QUEST division of the department of human
services,
shall submit a report to the legislature no later than twenty
days prior to the convening of each regular session, providing the status of the
department's plan and efforts pursuant to subsection (a).
�
The report shall include
:

����
(1)
�
A copy of the plan established
pursuant to subsection (a) and the status of the plan's implementation;

����
(2)
�
A detailed explanation of how the
following medicaid claim requirements shall be met:

���������
(A)
�
Service documentation for the
individualized education program of applicable students;

���������
(B)
�
Confirmation of a student's medicaid
eligibility;

���������
(C)
�
Records of completed parental
consent forms;

���������
(D)
�
Documentation indicating that all reported
services provided are appropriate, medically necessary, and covered by med-QUEST,
in addition to any other details required for services provided; and

���������
(E)
�
Documentation substantiating that
any medicaid reimbursable service provided was delivered by a licensed and
medicaid-enrolled provider or by select professionals under the supervision of
a licensed provider;

����
(3)
�
Training materials and evidence of
successful training on medicaid reimbursable school-based services rules and
requirements for department of education staff, including the assistant
superintendent for student support services, special education section,
district education specialists, student coordinators, teachers, and providers;

����
(4)
�
Detailed information on the
department's procedures for identifying the medically necessary needs of special
education students, and if eligible for medicaid reimbursement, the complete
process of pursuing reimbursement;

����
(5)
�
An evaluation of the department's progress
in implementing the updated plan, including monthly indicators of the total:

���������
(A)
�
Number of students served,
classified by complex area;

���������
(B)
�
Number of eligible administrative
and support services provided, classified by complex area; and

���������
(C)
�
Amount of federal reimbursement
leveraged for eligible services, including both direct service claiming and
administrative claiming, classified by complex area; and

����
(6)
�
Information detailing how
reimbursement moneys are being reinvested.
"

����
SECTION
3.
�
New statutory material is
underscored.

����
SECTION
4
�
This Act shall take effect upon its
approval.

INTRODUCED BY:

_____________________________

Report Title:

DOE; DHS;
Med-QUEST; Medicaid Reimbursement; Students with Special Needs; Special
Education; IEP; Administrative and Support Services; Annual Report

Description:

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.

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