H2224 related to creating a LTC plan for achieving policy goals was signed by the Governor on July 1. Effective July 1, 2024, H2224 requires Hawaii's Executive Office on Aging, in coordination with the State Health Planning and Development Agency, to create a comprehensive long-term care plan to accomplish certain long-term care policy goals that ensure the availability of a full continuum of institutional and community-based services. The bill establishes and appropriates funds for one long-term care planner position within the Executive Office on Aging to oversee the development and implementation of the long-term care plan. The Executive Office on Aging is required to submit a report to the legislature prior to the 2025 regular session.
Where are things?
Senate Bill 2931 was introduced on January 23, 2026, for Long-Term Care Services and Supports. The bill proposes to establish a statewide long-term services and supports trust program in Hawaii, funded through employee payroll premiums to provide long-term care benefits. The bill references a benefit structure that is based on the Washington Cares Act and includes other program features like portability and supplemental private coverage. The current draft also provides an opt-out for individuals with private coverage.
In April 2025, Hawaii adopted HI Senate Resolution 19. This is a request to the HI Tax Review Commission to identify possible ways of implementing the state LTC Financing Program when the Commission convenes later this year. The LTC Financing Program intends to provide universal and affordable LTC care for all eligible HI residents. Such LTC benefits would be primary to Medicaid and private LTC insurance. Legislation supporting the program passed in 2022, but that bill only outlined the framework and eligibility. Funding sources and other program details were left out of the legislation. The Commission is to deliver its report shortly after the 2026 legislative session begins.
Additional resources
Sources of Information: Trustmark, Finseca, NABIP and NAIFA
Revised: Feb 26, 2026