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SB3324HIPassed 2026 Regular Session

Relating To Medicaid.

Last status update Jul 7, 2026

What this measure contains

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 pursue additional funding sources as a condition for expending the appropriated funds. (CD1)

Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.

Read the latest imported text

Read the full bill at its source ↗
Source: legiscan· Loaded Oct 30, 2026· Snapshot export date not suppliedOriginal record ↗

Bill text and versions

Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.

How this measure moved

Legislative path

Each stage below is a recorded decision from the official measure history, attached to the draft it considered. A member's row follows their votes from the first draft to the latest, and a highlighted vote marks where it changed. Committee and conference votes list every member by name. Floor votes list only exceptions; members serving that day who aren't named are shown as ayes in a dashed outline.

  1. Introduced
  2. SD1by WAM
  3. HD1by HSH
  4. CD1by Conference

Decision stages

  1. Health and Human Services (HHS) on the introduced draft: Passed, unamended

    5 aye · 0 no · 0 excused · Source roll call

  2. Ways and Means (WAM) on the introduced draft: Passed, with amendments, reported as SD1

    12 aye · 0 no · 1 excused · Source roll call

  3. Senate third reading on SD1: Passed

    25 aye · 0 no · 0 excused

  4. House HSH committee on SD1: Passed, with amendments, reported as HD1

    9 aye · 0 no · 0 excused

  5. House second reading on HD1: Passed

    46 aye · 0 no · 4 excused

  6. House FIN committee on HD1: Passed, unamended

    15 aye · 0 no · 1 excused

  7. House third reading on HD1: Passed

    51 aye · 0 no · 0 excused

  8. Senate conference managers on HD1: Passed, with amendments, reported as CD1

    2 aye · 0 no · 1 excused · Source roll call

  9. House conference managers on HD1: Passed, with amendments, reported as CD1

    3 aye · 0 no · 0 excused · Source roll call

  10. House final reading on CD1: Passed

    51 aye · 0 no · 0 excused

  11. Senate final reading on CD1: Passed

    25 aye · 0 no · 0 excused

Senate members along the path

Senate members' votes at each stage of SB3324
MemberHHS
Introduced		WAM
Introduced		Third reading
SD1		Conference
HD1		Final reading
CD1		Change along the path
Lynn DecoiteSD-007AyeAyeAye
Donovan CruzSD-017AyeAyeAye
Brandon ElefanteSD-016AyeAyeAye
Kurt FevellaSD-020AyeExcusedAyeExcusedAye
Troy HashimotoSD-005AyeAyeAye
Lorraine InouyeSD-001AyeAyeAye
Dru KanuhaSD-003AyeAyeAyeAye
Jarrett KeohokaloleSD-024AyeAyeAye
Michelle KidaniSD-018AyeAyeAye
Donna KimSD-014AyeAyeAye
Chris LeeSD-025AyeAyeAye
Angus McKelveySD-006AyeAyeAye
Sharon MoriwakiSD-012AyeAyeAyeAye
Tim RichardsSD-004AyeAyeAye
Joy San BuenaventuraSD-002AyeAyeAyeAye
Glenn WakaiSD-015AyeAyeAye
9 more Senate members only counted as floor ayes
MemberHHS
Introduced		WAM
Introduced		Third reading
SD1		Conference
HD1		Final reading
CD1		Change along the path
Brenton AwaSD-023AyeAye
Stanley ChangSD-009AyeAye
Samantha DeCorteSD-022AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Carol FukunagaSD-011AyeAye
Mike GabbardSD-021AyeAye
Les IharaSD-010AyeAye
Ronald KouchiSD-008AyeAye
Karl RhoadsSD-013AyeAye

House members along the path

House members' votes at each stage of SB3324
MemberHSH
SD1		Second reading
HD1		FIN
HD1		Third reading
HD1		Conference
HD1		Final reading
CD1		Change along the path
David AlcosHD-041AyeAyeAyeAyeAyeAye
Terez AmatoHD-011AyeAyeAyeAye
Elle CochranHD-014ExcusedAyeAye
Diamond GarciaHD-042AyeAyeAyeAye
Joe GedeonHD-018AyeAyeAyeAye
Daisy HartsfieldHD-036AyeAyeAyeAyeAye
Ikaika HusseyHD-029AyeAyeAyeAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAyeAyeAyeAye
Lisa KitagawaHD-048AyeAyeAyeAye
Matthias KuschHD-001AyeAyeAyeAye
Mike LeeHD-050AyeAyeAyeAye
Nicole LowenHD-007ExcusedAyeAye
Lisa MartenHD-051AyeAyeAyeAyeAye
Tyson MiyakeHD-010AyeAyeAyeAye
Daynette MorikawaHD-017AyeAyeAyeAye
Ikaika OldsHD-023AyeAyeAyeAye
Amy PerrusoHD-046ExcusedExcusedAyeAye
Sean QuinlanHD-047ExcusedAyeAye
Julie Reyes OdaHD-040AyeAyeAyeAye
Gregg TakayamaHD-034AyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAyeAyeAye
Shirley Ann TemploHD-030AyeAyeAyeAye
Chris ToddHD-003AyeAyeAyeAye
Kyle YamashitaHD-012AyeAyeAyeAye
27 more House members only counted as floor ayes
MemberHSH
SD1		Second reading
HD1		FIN
HD1		Third reading
HD1		Conference
HD1		Final reading
CD1		Change along the path
Della au BelattiHD-026AyeAyeAye
Cory ChunHD-035AyeAyeAye
Luke EvslinHD-016AyeAyeAye
Andrew GarrettHD-022AyeAyeAye
Tina GrandinettiHD-020AyeAyeAye
Mark HashemHD-019AyeAyeAye
Linda IchiyamaHD-031AyeAyeAye
Greggor IlaganHD-004AyeAyeAye
Kim IwamotoHD-025AyeAyeAye
Kirstin KahaloaHD-006AyeAyeAye
Jeanne KapelaHD-005AyeAyeAye
Darius KilaHD-044AyeAyeAye
Sam KongHD-033AyeAyeAye
Trish La ChicaHD-037AyeAyeAye
Scot MatayoshiHD-049AyeAyeAye
Lauren MatsumotoHD-038AyeAyeAye
Chris MuraokaHD-045AyeAyeAye
Nadine NakamuraHD-015AyeAyeAye
Elijah PierickHD-039AyeAyeAye
Mahina PoepoeHD-013AyeAyeAye
Michael RatcliffeHD-028AyeAye
Jackson SayamaHD-021AyeAyeAye
Garner ShimizuHD-032AyeAyeAye
Kanani SouzaHD-043AyeAyeAye
Adrian TamHD-024AyeAyeAye
David TarnasHD-008AyeAyeAye
Justin WoodsonHD-009AyeAyeAye

Aye named · Aye* with reservations · Aye floor vote, not named as an exception · No · Excused · Changed reversed from the previous vote

Names are matched to legislators only when exactly one person fits; every printed name on this measure was matched. A missing vote means no record was found for that member at that stage, not a no vote. Committee codes follow the Legislature's abbreviations.Official measure history ↗

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Legislative history

  1. Introduced.

  2. Passed First Reading.

  3. Referred to HHS, WAM.

  4. The committee(s) on HHS has scheduled a public hearing on 02-18-26 1:00PM; Conference Room 225 & Videoconference.

  5. The committee on HHS deferred the measure.

  6. The committee(s) on HHS will hold a public decision making on 02-19-26 12:45PM; CR 016 & Videoconference.

  7. 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.

  8. Reported from HHS (Stand. Com. Rep. No. 2637) with recommendation of passage on Second Reading and referral to WAM.

  9. Report adopted; Passed Second Reading and referred to WAM.

  10. The committee(s) on WAM will hold a public decision making on 02-25-26 10:57AM; Conference Room 211 & Videoconference.

  11. The committee(s) on WAM deferred the measure until 03-03-26 10:15AM; Conference Room 211 & Videoconference.

  12. 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.

  13. Reported from WAM (Stand. Com. Rep. No. 2840) with recommendation of passage on Third Reading, as amended (SD 1).

  14. 48 Hrs. Notice 03-10-26.

  15. 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.

  16. Received from Senate (Sen. Com. No. 402) in amended form (SD 1).

  17. Pass First Reading

  18. Referred to HSH, FIN, referral sheet 17

  19. Bill scheduled to be heard by HSH on Tuesday, 03-24-26 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.

  20. 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.

  21. Reported from HSH (Stand. Com. Rep. No. 1449-26) as amended in HD 1, recommending passage on Second Reading and referral to FIN.

  22. 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).

  23. Bill scheduled to be heard by FIN on Tuesday, 04-07-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.

  24. 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, Morikawa, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and 1 Excused: Representative(s) Perruso.

  25. Reported from FIN (Stand. Com. Rep. No. 2081-26), recommending passage on Third Reading.

  26. Deferred one day 04-14-26.

  27. Passed Third Reading with none voting aye with reservations; none voting no (0) and none excused (0). Transmitted to Senate.

  28. Received from House (Hse. Com. No. 778).

  29. Senate disagrees with House amendments.

  30. Received notice of disagreement (Sen. Com. No. 710).

  31. House Conferees Appointed: Marten, Keohokapu-Lee Loy Co-Chairs; Alcos.

  32. Received notice of appointment of House conferees (Hse. Com. No. 800).

  33. Senate Conferees Appointed: San Buenaventura Chair; Moriwaki Co-Chair; Fevella.

  34. Received notice of Senate conferees (Sen. Com. No. 739).

  35. Bill scheduled for Conference Committee Meeting on Thursday, 04-30-26 1:45PM in conference room 329.

  36. Conference Committee Meeting will reconvene on Friday 05-01-26 1:45PM in conference room 329.

  37. 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.

  38. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Marten, Keohokapu-Lee Loy, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

  39. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 201-26).

  40. 48 Hrs. Notice (as amended CD 1) 05-06-26.

  41. Reported from Conference Committee (Conf Com. Rep. No. 201-26) as amended in (CD 1).

  42. Forty-eight (48) hours notice Wednesday, 05-06-26.

  43. Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).

  44. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.

  45. Received notice of Final Reading (Sen. Com. No. 816).

  46. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

  47. Enrolled to Governor.

  48. Act 198, 07/07/2026 (Gov. Msg. No. 1300).

  49. Act 198, on 07/07/2026 (Gov. Msg. No. 1300).

Bill sponsors