U.S. Sen. Brian Schatz, alongside Hawaii’s congressional delegation, on Thursday introduced legislation seeking higher Medicare reimbursements for the state’s health care providers.
The Protecting Access To Care in Hawaii Act — or PATCH Act — seeks a 24% increase, which would bring it in line with what Alaska gets, according to Schatz. He said it is key to helping the state retain and recruit doctors for a growing number of seniors.
The timing is more urgent than ever, he added, as Hawaii faces an increasingly acute provider shortage, especially on neighbor islands.
“As more people reach Medicare age in Hawaii, we are seeing fewer health care providers because of the rising operating and living costs in our state,” said Schatz. “Our bill would help fix that, boosting Medicare payments to providers and protecting health care access for the 300,000 seniors in Hawaii that rely on Medicare.”
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It is also a matter of fairness, according to Schatz.
Currently, Medicare physician payments per beneficiary in Hawaii are the lowest in the U.S, and reimbursement rates do not factor in Hawaii’s higher health care operating costs due to its geographic isolation.
The bill would revise a “work geographic index” to reflect those higher costs, and is basically seeking the same level of reimbursements as Alaska.
“In lots of other areas of federal reimbursement, there’s a recognition that Hawaii and Alaska are in a category of their own as it relates to costs that would better reflect our reality,” said Schatz.
U.S. Rep. Jill Tokuda, who introduced the companion House bill, said Hawaii consistently ranks among the healthiest states in the U.S., yet remains one of the worst states in which to practice medicine because of lower compensation and higher operating costs.
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“Especially on our Neighbor Islands, this is exacerbating the access to the health care crisis that exists, often making it difficult to recruit and retain physicians and to get patients the timely quality care they need,” Tokuda said in a statement. “My legislation would ensure Medicare reimbursements more accurately reflect the real cost to provide care in Hawaii so that we can keep more local doctors and attract new physicians to the state.”
U.S. Sen. Mazie Hirono said the low physician reimbursements in Hawaii add another obstacle to accessing and providing health care.
“I’m proud to support this legislation to help ensure that our physicians — and other health professionals — are being fairly compensated, while also expanding access to health care across the state,” she said.
U.S. Rep. Ed Case said medical practitioners have struggled for years to provide quality care while dealing with the mounting cost of doing business in Hawaii.
“This bill will help our health care providers focus on providing care through Medicare and spend less time worrying about inadequate reimbursement,” he said.
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Earlier this year, Sens. Schatz and Hirono also introduced a bill alongside their Alaska colleagues, seeking higher Medicare reimbursements for outpatient care from hospitals, including emergency room visits, for enrolled seniors in the two states.
In 2021, they also sought to boost Medicare reimbursements for nursing homes in Hawaii and Alaska through the bipartisan Equitable Payments for Nursing Facilities Act.
Those bills are still pending.
Hawaii has a shortage of about 800 full-time physicians, according to the University of Hawaii John A. Burns School of Medicine.
Other efforts to address the doctor shortage include an educational loan reimbursement program for health care workers that commit to two years of service in Hawaii. The state Legislature also passed a bill this year exempting private health care providers from general excise taxes for services to patients with Medicaid, Medicare and TRICARE.
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“Everything costs more in Hawaii,” said Schatz, “and so the federal reimbursement has to reflect that, and that should go for nursing home care and Medicare services in clinics. We just have to be on an equal footing. Otherwise, we will have Medicare but really Medicare in name only because Medicare without providers is really nothing.”
Tonight: Cloudy. Scattered showers in the evening, then isolated showers after midnight. Lows 59 to 66 near the shore to 48 to 54 at 4000 feet. Southeast winds up to 10 mph. Chance of rain 40 percent.
Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.
Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.
Kona
Tonight: Cloudy. Isolated showers in the evening. Lows around 69 near the shore to 45 to 52 near 5000 feet. Light winds. Chance of rain 20 percent.
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Monday: Cloudy. Highs 81 to 86 near the shore to around 67 near 5000 feet. Light winds becoming west up to 10 mph in the afternoon.
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Monday Night: Mostly cloudy. Lows around 69 near the shore to 44 to 51 near 5000 feet. Northwest winds around 10 mph in the evening becoming light.
Waimea
Tonight: Cloudy and breezy. Isolated showers in the evening. Lows 59 to 68 near the shore to 53 to 59 near 3000 feet. East winds up to 10 mph increasing to up to 20 mph after midnight. Chance of rain 20 percent.
Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.
Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.
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Kohala
Tonight: Cloudy and breezy. Isolated showers in the evening. Lows 59 to 68 near the shore to 53 to 59 near 3000 feet. East winds up to 10 mph increasing to up to 20 mph after midnight. Chance of rain 20 percent.
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Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.
Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.
South Big Island
Tonight: Cloudy. Isolated showers in the evening. Lows around 71 near the shore to around 51 near 5000 feet. Northeast winds up to 15 mph. Chance of rain 20 percent.
Monday: Cloudy and breezy. Highs around 83 near the shore to around 64 near 5000 feet. East winds up to 20 mph.
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Monday Night: Mostly cloudy. Breezy. Lows around 70 near the shore to around 50 near 5000 feet. East winds 10 to 20 mph.
Puna
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Tonight: Cloudy. Scattered showers in the evening, then isolated showers after midnight. Lows 59 to 66 near the shore to 48 to 54 at 4000 feet. Southeast winds up to 10 mph. Chance of rain 40 percent.
Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.
Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.
Waikoloa
Tonight: Cloudy. Lows around 70 near the shore to 48 to 54 above 4000 feet. Light winds.
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Monday: Cloudy. Highs around 83 near the shore to 65 to 71 above 4000 feet. Light winds becoming northwest up to 15 mph in the afternoon.
Monday Night: Mostly cloudy. Lows around 70 near the shore to 47 to 54 above 4000 feet. North winds 10 to 15 mph shifting to the east after midnight.
Synopsis
The cold front has dissipated into a trough and remains northwest of the Hawaiian Islands this evening. High pressure will build in from the north and allow the trade winds to strengthen from Monday through Wednesday. Brief passing showers will favor windward and mountain areas in the overnight to early morning hours through Wednesday and then over southeastern slopes and island interior sections from Thursday onward. Winds will weaken and veer slightly from a more east-southeast direction from Thursday on into the weekend. Shower activity will remain limited during this time period.
Short term update
The large band of high level cirrus clouds and mid level alto stratus clouds currently over the islands will continue to slowly diminish through Monday. The cold front approaching the islands has stalled and diminished into a trough just northwest of the island of Kauai. Trade winds blow into the region and strengthen into the moderate to locally breezy range from Monday through Wednesday. A slight decrease in wind speeds and a shift from a more east- southeast direction remains in the forecast from Thursday onward as another cold front approaches the islands from the northwest, weakening and lifting the ridge north of the state. Local scale sea breeze winds will develop along terrain sheltered slopes of each island as the large scale winds weaken. Limited shower activity will prevail into next weekend with only brief showers possible. The afternoon forecast looks good. No evening updates.
Previous discussion
Issued at 302 PM HST Sun Mar 1 2026. Expectations for this afternoon remain on track. The boundary upstream of Kauai has made little to no forward progress today, sea breezes have struggled to establish owing to abundant high clouds, and showers southwest of Kauai and Oahu have essentially remained in place while stratiform elements peel off to the northeast. In addition, regenerating showers over Windward Oahu have dissipated in response to backing low-level flow. All told, an uneventful, cloudy, and mostly dry day across the state. Going forward, building heights over the N Central Pacific will maintain strengthening, but progressive high pressure at the surface. This in turn ensures the return of trades tonight which then become breezy during mid-week. Winds diminish slightly by late week as trades veer to ESE in advance of another round of upstream height falls. Typical trade wind weather anticipated throughout this time with showers focused windward and mauka. High clouds gradually clear from west to east Monday into Tuesday before exiting the area altogether by Wednesday.
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Aviation
A weakening stationary boundary will allow for abundant high clouds and relatively light land/sea breezes to prevail across most TAF sites. This front will also allow for disorganized showers across Kauai and Oahu tonight, however confidence was on the lower end based on weather model guidance, so made use of VCSH and PROB30 where rain chances were felt to be the highest. MVFR conditions may prevail under shower activity, otherwise VFR is expected across most sites for the period. AIRMET Tango remains in effect across the islands due to upper- level turbulence from FL200-400 due to this front, with conditions expected to improve into tomorrow as this system continues to weaken. Patchy mountain obscuration may occur due to the presence of this front, however observations and webcams suggest that the threat is not widespread enough to warrant an AIRMET at this time. Light icing is also possible in cloud layer 120-180.
Marine
Issued at 302 PM HST Sun Mar 1 2026. A dissipated front will linger into Monday just northwest of the area. Fresh to locally strong easterly trades will build in by Tuesday as surface ridge strengthens to the north. Winds will maintain strength but veer east southeast towards the end of the week as another system approaches from the west. Surf along north and west-facing shores will be above seasonal average as a northwest swell (310 degrees) is expected to impact through Monday. Surf should remain small though the week with a small northwest bump expected next weekend. Surf along exposed east-facing shores will be a bit elevated due to a short-to medium-period northeast (40 degrees) swell, then decline Tuesday. However, period and choppy conditions are expected to return by Tuesday as fresh trade winds redevelop and expand upstream of the state. Surf along south-facing shores will remain near the seasonal average into March.
HFO Watches/Warnings/Advisories
None.
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(BIVN) – YAS Fest, aka the Youth Art Series Festival, is returning to Kalākaua Park in Downtown Hilo.
The East Hawaiʻi Cultural Center is hosting the event on Saturday, March 14th from 10 a.m. to 2 p.m. “Keiki and their families will be treated to an exciting array of performances, craft and information booths, and art activities,” a press release promoted.
From event organizers:
YAS Fest brings together local organizations dedicated to providing arts opportunities to keiki and teens from around Hawaiʻi Island. By spotlighting their activities, YAS Fest celebrates the importance of arts education for everyone.
Booths include the Hilo High School Art Club, Hawaiʻi Handweavers’ Hui, Friends of the Palace Theatre, and over a dozen more.
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Headlining the performers is HAAStile (a teen rock band from Hawaiʻi Academy of Arts and Sciences, directed by Trever Veilleux). Audiences will also enjoy performances by Big Wave Dance Academy, Aloha Teen Theatre, N2 Dance, Hawaii’s Volcano Circus, Prince Dance Institute, and Kona Dance and Performing Arts.
YAS Fest is made possible by support from County Council District 2 and Coldwell Banker Island Properties. EHCC also thanks KTA Super Stores, Kelsey Ito, and Lō‘ihi Studios for their contributions.
Says YAS Fest organizer Kellie Miyazu, who is EHCC’s Youth Education Director, “Last year we had around 300 visitors to the first YAS Fest. There was a lot of nice feedback from visitors, and also from the organizations who were able to network with each other and the community. We’re expecting an even more successful festival this year.”
Visitors are also encouraged to stop by the EHCC patio across the street to learn more about EHCC’s vision for the year and how community support helps keep EHCC’s unique gallery and keiki programs accessible to all.
For more information, visit EHCC online at ehcc.org, call 961-5711, or visit EHCC at 141 Kalakaua Street. Current gallery and office hours are from 10 a.m. to 4 p.m. Wednesday and Thursday, and Friday noon to 6 p.m.
A boy was killed after being struck by a vehicle today in Hawaii Kai, police said.
At about 11:02 a.m., a 37-year-old woman “was attempting to travel northbound” on Kukuau Place when the vehicle hit a boy who was in the road in front of the vehicle, according to a Honolulu Police Department’s Traffic Division news release. The child was taken to a hospital in critical conition where he was pronounced dead.
The driver remained at the scene and was uninjured, police said.
HPD did not release the boy’s age or say whether speed, drugs or alcohol were possible factors in the collision.
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This was Oahu’s ninth fatality in 2026, compared with 15 at the same time last year.
