Healthcare Policy
Hawaii Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in Hawaii.
Yes
Medicaid Expanded
3.1%
Uninsured Rate
22,000
ACA Marketplace Enrollees
State (Hawaii Health Connector)
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | Yes |
| Reproductive Healthcare | Fully covered |
| Mental Health Parity | Strong parity |
| Drug Pricing Policy | Not regulated |
Healthcare System Overview
Hawaii has the lowest uninsured rate in the nation (3.1%) due to a unique Prepaid Health Care Act (1974) that requires employers to provide health insurance for most workers. Medicaid expansion added coverage for remaining gaps.
2026 Political Impact
Hawaii is the US healthcare system closest to universal coverage. Its employer mandate predates the ACA by decades and has been broadly successful.