
The Hawaii Caregiver Mandate: How SB 2291 is Changing Medicaid Authorizations in 2026
The landscape of home-based care in Hawaii is undergoing a structural transformation this year. As of January 2026, state lawmakers have introduced Senate Bill 2291 (SB 2291), a pivotal piece of legislation designed to patch the holes in the state’s social safety net. For home care agencies operating across the







