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Hawaii · 2026 Regular Session · Bill

HB 1490: RELATING TO HEALTH CARE.

In committee Official data

  1. Introduced
  2. In committee
  3. Passed one chamber
  4. Passed both chambers
  5. Enacted

Last official action: ·Record last updated:

Plain-language summary

HB 1490 is a bill introduced in the Hawaii House on January 23, 2025. According to its official title, it concerns: RELATING TO HEALTH CARE. Primary sponsor: Amy Perruso (Democratic), Terez Amato (Democratic), Della Belatti (Democratic), Elle Cochran (Republican), Tina Grandinetti (Democratic), Kim Coco Iwamoto (Democratic), Mahina Poepoe (Democratic). Most recent recorded action (December 8, 2025): Carried over to 2026 Regular Session.

Generated automatically from the official title, sponsor list, and status record only. It does not characterize the bill’s purpose or effects. How summaries are written

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Requires the Hawaii Health Authority to develop a comprehensive plan for the establishment of a universal, single payer health care system to replace all other health care coverage in the State, including Medicare, Medicaid, and the Prepaid Health Care Act. Establishes a universal, single payer health care system to be known as the Hawaii Care program under the Hawaii Health Authority to take effect one hundred eighty days after the approval of waivers from certain provisions of the Patient Protection and Affordable Care Act of 2010 and the State's Medicaid plan. Appropriates funds.

Sponsors

Sponsors by party (alphabetical): Democratic 6 · Republican 1

NameRolePartyChamberDistrict
Amy PerrusoPrimary sponsorDemocraticHouse46
Terez AmatoPrimary sponsorDemocraticHouse11
Della BelattiPrimary sponsorDemocraticHouse26
Elle CochranPrimary sponsorRepublicanHouse14
Tina GrandinettiPrimary sponsorDemocraticHouse20
Kim Coco IwamotoPrimary sponsorDemocraticHouse25
Mahina PoepoePrimary sponsorDemocraticHouse13

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

  1. Carried over to 2026 Regular Session.
  2. Referred to HLT/HSH, CPC, FIN, referral sheet 4
  3. Introduced and Pass First Reading.

Sources

  1. Open States / Plural (data from the official legislature website)
  2. Official legislature source