Notwithstanding amendments to the SHOP by PACE (above), the state of Hawaii is moving forward with its own Affordable Care Act waiver application to the federal government. The Aloha State has had its own comprehensive health care law on the books since 1974. The Hawaii Prepaid Health Care Act requires that any employee who works at least 20 hours (as opposed to the 30 hour threshold in the ACA) be given health coverage by their employer. Further, the Hawaii law provides a cap on the employee share of health insurance costs equal to 1.5 percent of their wages whereas ObamaCare caps the employee contribution at 9.5% of household income. With their employers paying an 85 percent share of health costs, Hawaii has one of the lowest uninsured rates in the country at 5.3 percent, and they want to keep it that way! If it ain’t broke, don’t fix it!