Hawaii was relatively active in the 2018 legislative term and introduced legislation pertaining to healthcare price transparency, cost, and competition. While most bills failed to pass, the legislature passed SB 2340, which ensures that certain benefits under the Affordable Care Act are preserved under Hawaii law, including prohibiting health insurance entities from imposing a preexisting condition exclusion and prohibiting health insurance entities from using an individual’s gender to determine premiums or contributions.

In 2017, the state legislature passed HB 552, which established the Affordable Health Insurance Working Group to plan for and mitigate adverse effects of the potential repeal of the federal Affordable Care Act by Congress. Regardless of what happens on the federal level, the bill calls for the preservation of the primary provisions of the individual mandate. The Legislature also passed a bill that establishes a Hawaii Health Savings Account, which allows local employees to open a tax-exempt account funded by employer contributions. The bill was referred to the Governor and has not yet been signed.

Hawaii also continues to use the Hawaii Health Information Exchange, the state’s private sector non-profit designee for the receipt of federal funds to create a statewide health information exchange that will ultimately feed into the nationwide eHealth Exchange technology network.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from 2017-2019 and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates. 

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Additional Resources


Hawaii’s current legislative session runs from 1/16/2019 – 5/2/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.

2017-2019 BUDGET

The State budgets on a biennium basis with the Executive biennium budget submitted to the Legislature for action on odd numbered years and the Executive supplemental budget submitted on even numbered years. The State’s fiscal year runs from July 1st to June 30th. Hawaii enacted its 2017-2019 Budget during the regular legislative session. To view Hawaii’s Department of Health 2017-2019 Budget, visit page 14 here.