Hawaii health

The fact counts reported abortions occurring in Hawaii, regardless of patient residence. Provider permissions and protections concern access to that care; they do not measure residents receiving care elsewhere. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: Abortions reported by area of occurrence. This record’s connection to the topic does not establish an effect on the measured result.

SECTION 2. Chapter 323J, Hawaii Revised Statutes, is amended by adding three new sections to be appropriately designated and to read as follows: "§323J- Abusive litigation; prohibited; remedies. (a) If a person or entity, whether or not acting under the color of law, engages in or attempts to engage in abusive litigation, or attempts to enforce any order or judgment issued in connection with any abusive litigation, any aggrieved person may bring a civil action against that person or entity in the circuit court of the circuit in which the aggrieved person resides or in which the aggrieved person accessed, received, provided, facilitated, or attempted to access, receive provide, or facilitate reproductive health care services or gender-affirming health care services. The civil actions may be for: (1) Injunctive relief; (2) Actual damages, including the amount of any judgment issued in connection with the abusive litigation; (3) Expenses, costs, and reasonable attorneys' fees incurred in connection with the abusive litigation; (4) Expenses, costs, and reasonable attorneys' fees incurred to bring an action under this section; and (5) Punitive damages. (b) Any civil action filed pursuant to this section shall be filed within six years after the date the abusive litigation is commenced, or if the person or entity is attempting to enforce an order or a judgment, within six years after the date enforcement is attempted. (c) Notwithstanding any provision of this section, the requirements set forth herein shall not apply to prohibit standard health care actions or activities of a health payor regarding insurance coverage status, fraud, waste, or lawful activities of a health payor to enforce its rights under a contract with a person or entity. (d) For the purposes of this section: "Abusive litigation" means any litigation or other legal action, including civil, criminal, or administrative action, brought against another person or entity for accessing, receiving, providing, facilitating, or attempting to access, receive, provide, or facilitate reproductive health care services or gender-affirming health care services that are lawful under the laws of this State. "Aggrieved person" means: (1) A person or entity against whom abusive litigation is filed or prosecuted or against whom an order or judgment issued in connection with such abusive litigation is attempted to be enforced; or (2) The employer or principal of a person against whom abusive litigation is filed or prosecuted or against whom an order or a judgment issued in connection with such abusive litigation is attempted to be enforced if the action that forms the basis of the abusive litigation was performed within the scope of the person's employment or agency relationship. §323J- Medical malpractice insurance; prohibited actions. (a) Any insurer that issues medical malpractice insurance in this State shall not take a prohibited action against an applicant for, or the named insured under, a medical malpractice policy in this State solely because the applicant or insured has provided, or assisted in the provision of, reproductive health care services or gender-affirming health care services or made a referral for reproductive health care services or gender-affirming health care services; provided that the care provided by the applicant or insured was consistent with generally accepted standards of practice under the laws of this State and did not otherwise violate the laws of this State. (b) For the purposes of this section, "prohibited action" means: (1) Refusing to issue a medical malpractice policy; (2) Canceling or terminating a medical malpractice policy; (3) Refusing to renew a medical malpractice policy; or (4) Imposing any sanctions, fines, penalties, or rate increases that are not supported by actuarial analysis conducted in accordance with the applicable Actuarial Standards of Practice promulgated by the Actuarial Standards Board. §323J- Health carriers; prohibitions. No group health plan or health insurance insurer offering or renewing a health plan in this State shall terminate or refuse to renew a health care contract with a participating health care provider on the sole basis that the participating provider provides, or assists in the provision of, reproductive health care services or gender-affirming health care services."

The fact counts reported abortions occurring in Hawaii, regardless of patient residence. Provider permissions and protections concern access to that care; they do not measure residents receiving care elsewhere. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: Abortions reported by area of occurrence. This record’s connection to the topic does not establish an effect on the measured result.

SECTION 2. Chapter 323J, Hawaii Revised Statutes, is amended by adding three new sections to be appropriately designated and to read as follows: "§323J- Abusive litigation; prohibited; remedies. (a) If a person or entity, whether or not acting under the color of law, engages in or attempts to engage in abusive litigation, or attempts to enforce any order or judgment issued in connection with any abusive litigation, any aggrieved person may bring a civil action against that person or entity in the circuit court of the circuit in which the aggrieved person resides or in which the aggrieved person accessed, received, provided, facilitated, or attempted to access, receive provide, or facilitate reproductive health care services or gender-affirming health care services. The civil actions may be for: (1) Injunctive relief; (2) Actual damages, including the amount of any judgment issued in connection with the abusive litigation; (3) Expenses, costs, and reasonable attorneys' fees incurred in connection with the abusive litigation; (4) Expenses, costs, and reasonable attorneys' fees incurred to bring an action under this section; and (5) Punitive damages. (b) Any civil action filed pursuant to this section shall be filed within six years after the date the abusive litigation is commenced, or if the person or entity is attempting to enforce an order or a judgment, within six years after the date enforcement is attempted. (c) Notwithstanding any provision of this section, the requirements set forth herein shall not apply to prohibit standard health care actions or activities of a health payor regarding insurance coverage status, fraud, waste, or lawful activities of a health payor to enforce its rights under a contract with a person or entity. (d) For the purposes of this section: "Abusive litigation" means any litigation or other legal action, including civil, criminal, or administrative action, brought against another person or entity for accessing, receiving, providing, facilitating, or attempting to access, receive, provide, or facilitate reproductive health care services or gender-affirming health care services that are lawful under the laws of this State. "Aggrieved person" means: (1) A person or entity against whom abusive litigation is filed or prosecuted or against whom an order or judgment issued in connection with such abusive litigation is attempted to be enforced; or (2) The employer or principal of a person against whom abusive litigation is filed or prosecuted or against whom an order or a judgment issued in connection with such abusive litigation is attempted to be enforced if the action that forms the basis of the abusive litigation was performed within the scope of the person's employment or agency relationship. §323J- Medical malpractice insurance; prohibited actions. (a) Any insurer that issues medical malpractice insurance in this State shall not take a prohibited action against an applicant for, or the named insured under, a medical malpractice policy in this State solely because the applicant or insured has provided, or assisted in the provision of, reproductive health care services or gender-affirming health care services or made a referral for reproductive health care services or gender-affirming health care services; provided that the care provided by the applicant or insured was consistent with generally accepted standards of practice under the laws of this State and did not otherwise violate the laws of this State. (b) For the purposes of this section, "prohibited action" means: (1) Refusing to issue a medical malpractice policy; (2) Canceling or terminating a medical malpractice policy; (3) Refusing to renew a medical malpractice policy; or (4) Imposing any sanctions, fines, penalties, or rate increases that are not supported by actuarial analysis conducted in accordance with the applicable Actuarial Standards of Practice promulgated by the Actuarial Standards Board. §323J- Health carriers; prohibitions. No group health plan or health insurance insurer offering or renewing a health plan in this State shall terminate or refuse to renew a health care contract with a participating health care provider on the sole basis that the participating provider provides, or assists in the provision of, reproductive health care services or gender-affirming health care services."

The firearm mortality series includes deaths across intents, including suicide and homicide. Storage rules and gun-violence protective-order processing concern access and injury-prevention mechanisms, not a demonstrated mortality effect. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.

SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2026-2027 for staffing and administrative costs, including the hiring of personnel in each circuit, to effectuate efficient processing of temporary restraining orders and gun violence protective orders in accordance with part IV of chapter 134, Hawaii Revised Statutes. The sum appropriated shall be expended by the judiciary for the purposes of this Act. SECTION 3. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2026-2027 to conduct community-based gun violence intervention initiatives, including public awareness campaigns on gun violence protective orders. The sum appropriated shall be expended by the department of law enforcement for the purposes of this Act. SECTION 4. This Act shall take effect on July 1, 2055.

The fact counts OASDI beneficiaries receiving payments. Cost-of-living adjustment proposals concern their benefit amounts, without establishing a change in eligibility or beneficiary counts; SSI and Medicare are separate programs. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: Social Security beneficiaries. This record’s connection to the topic does not establish an effect on the measured result.

101.Consumer Price Index for Elderly Consumers (a)In GeneralThe Bureau of Labor Statistics of the Department of Labor shall prepare and publish an index for each calendar month to be known as the Consumer Price Index for Elderly Consumers that indicates changes over time in expenditures for consumption which are typical for individuals in the United States who are 62 years of age or older. (b)Effective DateSubsection (a) shall apply with respect to calendar months ending on or after July 31 of the calendar year following the calendar year in which this Act is enacted. (c)Authorization of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the provisions of this section. 102.Computation of cost-of-living increases (a)In generalSection 215(i)(1) of the Social Security Act (42 U.S.C. 415(i)(1)) is amended by adding at the end the following new subparagraph: (H)the term Consumer Price Index means the Consumer Price Index for Elderly Consumers (CPI–E, as published by the Bureau of Labor Statistics of the Department of Labor).. (b)Application to pre-1979 law (1)In generalSection 215(i)(1) of the Social Security Act as in effect in December 1978, and as applied in certain cases under the provisions of such Act as in effect after December 1978, is amended by adding at the end the following new subparagraph: (D)the term Consumer Price Index means the Consumer Price Index for Elderly Consumers (CPI–E, as published by the Bureau of Labor Statistics of the Department of Labor).. (2)Conforming amendmentSection 215(i)(4) of the Social Security Act (42 U.S.C. 415(i)(4)) is amended by inserting and by section 102 of the Protecting and Preserving Social Security Act after 1986. (c)No effect on adjustments under other lawsSection 215(i) of the Social Security Act (42 U.S.C. 415(i)) is amended by adding at the end the following: (6)Any provision of law (other than in this title or title XVI) which provides for adjustment of an amount based on a change in benefit amounts resulting from a determination made under this subsection shall be applied and administered without regard to the amendments made by section 102 of the Protecting and Preserving Social Security Act.. (d)No effect on eligibility for SSI and MedicaidAny increase to an individual’s monthly benefit amount under title II of the Social Security Act as a result of the amendments made by this section shall not be regarded as income or resources for any subsequent month, for purposes of determining the eligibility of the recipient (or the recipient's spouse or family) for benefits or assistance, or the amount or extent of benefits or assistance, under the Supplemental Security Income program or the Medicaid program. (e)Effective dateThe amendments made by this section shall apply to determinations made with respect to cost-of-living computation quarters (as defined in section 215(i)(1)(B) of the Social Security Act (42 U.S.C. 415(i)(1)(B))) ending on or after September 30 of the second calendar year following the calendar year in which this Act is enacted.

The fact counts OASDI beneficiaries receiving payments. Cost-of-living adjustment proposals concern their benefit amounts, without establishing a change in eligibility or beneficiary counts; SSI and Medicare are separate programs. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: Social Security beneficiaries. This record’s connection to the topic does not establish an effect on the measured result.

101.Consumer Price Index for Elderly Consumers(a)In GeneralThe Bureau of Labor Statistics of the Department of Labor shall prepare and publish an index for each calendar month to be known as the Consumer Price Index for Elderly Consumers that indicates changes over time in expenditures for consumption which are typical for individuals in the United States who are 62 years of age or older.(b)Effective DateSubsection (a) shall apply with respect to calendar months ending on or after July 31 of the calendar year following the calendar year in which this Act is enacted.(c)Authorization of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the provisions of this section.102.Computation of cost-of-living increases(a)In generalSection 215(i)(1) of the Social Security Act (42 U.S.C. 415(i)(1)) is amended by adding at the end the following new subparagraph:(H)the term Consumer Price Index means the Consumer Price Index for Elderly Consumers (CPI–E, as published by the Bureau of Labor Statistics of the Department of Labor).. (b) Application to pre-1979 law (1) In general Section 215(i)(1) of the Social Security Act as in effect in December 1978, and as applied in certain cases under the provisions of such Act as in effect after December 1978, is amended by adding at the end the following new subparagraph: (D) the term Consumer Price Index means the Consumer Price Index for Elderly Consumers (CPI–E, as published by the Bureau of Labor Statistics of the Department of Labor). . (2) Conforming amendment Section 215(i)(4) of the Social Security Act (42 U.S.C. 415(i)(4)) is amended by inserting and by section 102 of the Protecting and Preserving Social Security Act after 1986. (c)No effect on adjustments under other lawsSection 215(i) of the Social Security Act (42 U.S.C. 415(i)) is amended by adding at the end the following:(6)Any provision of law (other than in this title or title XVI) which provides for adjustment of an amount based on a change in benefit amounts resulting from a determination made under this subsection shall be applied and administered without regard to the amendments made by section 102 of the Protecting and Preserving Social Security Act..(d)No effect on eligibility for SSI and MedicaidAny increase to an individual’s monthly benefit amount under title II of the Social Security Act as a result of the amendments made by this section shall not be regarded as income or resources for any subsequent month, for purposes of determining the eligibility of the recipient (or the recipient's spouse or family) for benefits or assistance, or the amount or extent of benefits or assistance, under the Supplemental Security Income program or the Medicaid program.(e)Effective dateThe amendments made by this section shall apply to determinations made with respect to cost-of-living computation quarters (as defined in section 215(i)(1)(B) of the Social Security Act (42 U.S.C. 415(i)(1)(B))) ending on or after September 30 of the second calendar year following the calendar year in which this Act is enacted.

The fact measures residents under age 65 without health insurance. A proposed Medicaid buy-in concerns eligibility and coverage availability, without establishing adoption by Hawaii or actual enrollment. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained Hawaii evidence context: People under 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

2.Medicaid buy-in option(a)In generalSection 1902 of the Social Security Act (42 U.S.C. 1396a) is amended—(1)in subsection (a)(10)—(A)in subparagraph (A)(ii)—(i)in subclause (XXII), by striking ; or and inserting a semicolon;(ii)in subclause (XXIII), by adding or at the end; and(iii)by adding at the end the following new subclause:(XXIV)beginning January 1, 2026, who are residents of the State and are not concurrently enrolled in another health insurance coverage plan, subject, in the case of individuals described in subsection (uu) and notwithstanding section 1916 (except for subsection (k) of such section), to payment of premiums or other cost-sharing charges;; and(B)in the matter following subparagraph (G), by inserting or subparagraph (A)(ii)(XXIV) after described in subparagraph (A)(i)(VIII); and(2)by adding at the end the following new subsection:(uu)Previously undescribed individualsIndividuals described in this subsection are individuals who are—(1)described in subclause (XXIV) of subsection (a)(10)(A)(ii); and(2)are not described in any other subclause of such subsection or any other provision in this Act which provides for eligibility for medical assistance..(b)Provision of at least minimum coverage(1)In generalSection 1902(k)(1) of the Social Security Act (42 U.S.C. 1396a(k)(1)) is amended by inserting or an individual described in subclause (XXIV) of subsection (a)(10)(A)(ii) after an individual described in subclause (VIII) of subsection (a)(10)(A)(i) each place it appears.(2)Conforming amendmentSection 1903(i)(26) of the Social Security Act (42 U.S.C. 1396b(i)(26)) is amended by striking individuals described in subclause (VIII) of subsection (a)(10)(A)(i) and inserting individuals described in subsections (a)(10)(A)(i)(VIII) or (a)(10)(A)(ii)(XXIV) of section 1902.(c)Federal financial participation in buy-In program(1)Enhanced match for administrative expensesSection 1903(a) of the Social Security Act (42 U.S.C. 1396b(a)) is amended—(A)by redesignating paragraph (7) as paragraph (8); and(B)by inserting after paragraph (6) the following new paragraph:(7)an amount equal to 90 percent of the sums expended during such quarter which are attributable to reasonable administrative expenses related to the administration of a Medicaid buy-in program for individuals described in section 1902(a)(10)(A)(ii)(XXIV) (as found necessary by the Secretary for the proper and efficient administration of such a program); plus.(2)Treatment of premium and cost-sharing revenues from Medicaid buy-in program(A)In generalFor purposes of section 1903(a)(1) of the Social Security Act (42 U.S.C. 1396b(a)(1)), for any fiscal quarter during which a State collects premiums, cost-sharing, or similar charges under subsection (k) of section 1916 of such Act (42 U.S.C. 1396o) (as added by this Act), including any advance payments of premium tax credits under section 1412 of the Patient Protection and Affordable Care Act or payments for cost-sharing reductions under section 1402 of such Act that are received by the State, the total amount expended during such quarter as medical assistance for individuals who buy into Medicaid coverage under subclause (XXIV) of section 1902(a)(10)(A)(ii) of the Social Security Act (as added by this Act) shall be reduced by the amount of such premiums or charges.(B)Treatment of excess premiumsEach State that collects premiums or similar charges under subsection (k) of section 1916 of the Social Security Act (42 U.S.C. 1396o) (as added by this Act) in a fiscal year shall pay to the Secretary of Health and Human Services, at such time and in such form and manner as the Secretary shall specify, an amount equal to 50 percent of the amount, if any, by which—(i)the total amount of such premiums and charges collected by the State for such year; exceeds(ii)the total amount expended by the State during such year as medical assistance for individuals who buy into Medicaid coverage under subclause (XXIV) of section 1902(a)(10)(A)(ii) of such Act (as added by this Act).(d)Cost-Sharing requirementSection 1916 of the Social Security Act (42 U.S.C. 1396o) is amended by adding at the end the following new subsection:(k)Premiums and cost-Sharing for individuals participating in Medicaid buy-In program(1)In generalSubject to paragraph (2), with respect to individuals who are eligible for medical assistance under subsection (a)(10)(A)(ii)(XXIV) of section 1902 and are described in subsection (uu) of such section, a State may—(A)impose premiums, deductibles, cost-sharing, or other similar charges that are determined on an actuarially sound basis; and(B)vary the premium rate imposed on an individual based only on the factors described in section 2701(a)(1)(A) of the Public Health Service Act and subject to the same limitations on the weight which may be given to such factors under such section.(2)Limitations(A)PremiumsThe total amount of premiums imposed for a year under this subsection with respect to all individuals described in paragraph (1) in a family shall not exceed an amount equal to 8.5 percent of the family’s household income (as defined in section 36B(d)(2) of the Internal Revenue Code of 1986) for the year involved.(B)Other cost-sharing(i)In generalThe cost-sharing limitations described in section 1302(c) of the Patient Protection and Affordable Care Act shall apply to cost-sharing (as defined in such section) for medical assistance provided under section 1902(a)(10)(A)(ii)(XXIV) in the same manner as such limitations apply to cost-sharing under qualified health plans under title I of such Act.(ii)Availability of cost-sharing reductionsIndividuals provided medical assistance under section 1902(a)(10)(A)(ii)(XXIV) and subject to cost-sharing under this subsection are eligible for cost-sharing reductions under section 1402 of the Patient Protection and Affordable Care Act (subject to the income eligibility threshold in subsection (b)(2) of such section), and in applying such section—(I)enrollment in a State plan under section 1902(a)(10)(A)(ii)(XXIV) shall be treated as coverage under a qualified health plan in the silver level of coverage in the individual market offered through an Exchange established for or by the State under title I of the Patient Protection and Affordable Care Act; and(II)the State agency administering such plan shall be treated as the issuer of such plan.(3)Premiums and cost-sharing for certain other individualsIf an individual is eligible for medical assistance under subsection (a)(10)(A)(ii)(XXIV) of section 1902 and is not described in subsection (uu) of such section, a State—(A)shall not impose premiums and cost-sharing on the individual under this subsection; and(B)may impose premiums and cost-sharing on the individual to the extent allowed by another provision of this Act (other than section 1902(a)(10)(A)(ii)(XXIV)) which provides for eligibility for medical assistance, but only if the individual is described in such other provision.(4)Application of premium assistance tax creditsAn individual who is required to pay premiums under this subsection for a year for medical assistance shall be eligible for a premium assistance credit under section 36B of the Internal Revenue Code to the same extent that such individual would be eligible for a premium assistance credit under such section if such individual had paid the same amount in premiums for coverage under a qualified health plan for such year..