Healthcare Transformation

HeathcareTransPlanThumbnailThe Healthcare Transformation program in the Office of the Governor is developing strategies for significant, positive change in delivering and paying for healthcare in Hawaii.

These strategies will be supported by the power of information technology and data analysis, new healthcare workforce models, and coordinated, focused public policy and programs.

Our healthcare transformation mission is the Triple Aim of better health, reliably high quality, and sustainable costs. In meeting this mission, we will address the unique cultural and geographic attributes of our communities statewide.

Click here for more information about Hawaii’s healthcare transformation initiative and to read the “Hawaii State Healthcare Innovation Plan.”

For federal grants awarded to the Governor’s Healthcare Transformation program and sub-granted or passed-through via Intergovernmental Cooperative Agreement or contract, the upper limit for indirect cost rate for FY2014-15 shall be a maximum of 10 percent of direct salaries and wages (exclusive of fringe benefits).


The federal Affordable Care Act (ACA) allows states to apply for waivers to certain provisions of the act.  Waivers must ensure that at least as many people have health insurance coverage that is at least as comprehensive and affordable as required under the ACA, and must not cost the federal government any more than it would have paid for subsidies and tax credits if there had been no waiver. Among other aspects, waivers may change or eliminate insurance exchanges, qualified health plan, and essential health benefits.

While Hawaii has enjoyed many benefits included in the ACA, some of the insurance exchange requirements of the federal act have confused or conflicted with Hawaii laws and policies that have resulted in our near-universal coverage and sophisticated health insurance marketplace. An Innovation Waiver to the ACA can provide us opportunities to improve coverage, access, affordability and accountability across our health care system.

In 2014, the state Legislature passed HB 2581, which was signed into law as Act 158. The purpose of the legislation was to create a task force to develop an ACA-compliant State Innovation Waiver to be implemented when permitted under federal law: no sooner than January 1, 2017.  For more details about the task force, its purpose, and its members, please see the authorizing legislation here:

Meeting notices and agendas, minutes, public comments and testimony, and other materials related to the task force will be posted here. Meeting notices will also be posted with the Lieutenant Governor’s Office and at, as required by law. Members of the public are encouraged to submit written comment. Written testimony  related to an agenda for an upcoming meeting is requested at least three days in advance of the meeting and should specify which agenda item it addresses. Written comments should be emailed to

Meeting Notices/Agendas

Meeting Materials

Meeting Minutes

Public Comments/Testimony


KOLEA – The Hawaii State Department of Human Services’ new Medicaid eligibility and application website, successfully launched Oct. 1, 2013.

Hawaii Health Connector – A component of the federal Affordable Care Act (ACA), the Hawaii Health Connector is a nonprofit entity created by the 2011 Hawaii State Legislature (Act 205) to serve as a one-stop insurance marketplace where individuals and small businesses may choose from an array of private and national health coverage plans. While not a state operation, the Connector is a key component of the ACA and works cooperatively with state agencies to ensure the new marketplace is easy to understand, navigate and use in purchasing health insurance.

More information on the ACA: