CONFERENCE COMMITTEE REP. NO. 152-26

Honolulu, Hawaii

, 2026

RE: S.B. No. 2340

S.D. 2

H.D. 1

C.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Honorable Nadine K. Nakamura

Speaker, House of Representatives

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Sir and Madam:

Your Committee on Conference on the disagreeing vote of the Senate to the amendments proposed by the House of Representatives in S.B. No. 2340, S.D. 2, H.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO COMMUNITY CARE FOSTER FAMILY HOMES,"

having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.

The purpose of this measure is to clarify that individuals with intellectual and developmental disabilities who meet an intermediate care facility or nursing facility level of care shall not be denied residency in a certified community care foster family home solely because of their disability or enrollment in a specific Medicaid waiver program.

Your Committee on Conference finds that there is uncertainty about whether individuals who qualify for the Medicaid intellectual and developmental disabilities home and community-based services waiver, also known as the HCBS I/DD waiver, may live in community care foster family homes without losing access to their waiver services. As a result of this uncertainty, individuals with intellectual and developmental disabilities who wish to reside in community care foster family homes must first disenroll from the HCBS I/DD waiver and transition to the Medicaid Section 1115 waiver, a process that often disrupts continuity of care and may result in the loss of essential, individualized services. This measure will eliminate this barrier, ensuring that individuals with intellectual and developmental disabilities may remain enrolled in the HCBS I/DD waiver program and continue to receive the specialized care that they need.

Your Committee on Conference has amended this measure by:

(1) Restoring the legislative findings of the S.D. 2 version of this measure;

(2) Making it effective upon its approval; and

(3) Making technical, nonsubstantive amendments for the purposes of clarity and consistency.

As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of S.B. No. 2340, S.D. 2, H.D. 1, as amended herein, and recommends that it pass Final Reading in the form attached hereto as S.B. No. 2340, S.D. 2, H.D. 1, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE HOUSE

ON THE PART OF THE SENATE

____________________________ GREGG TAKAYAMA Co-Chair	____________________________ JOY A. SAN BUENAVENTURA Chair
____________________________ LISA MARTEN Co-Chair	____________________________ KARL RHOADS Co-Chair
____________________________ SUE L. KEOHOKAPU-LEE LOY Co-Chair