Hawaii Revised Statutes Division 1. Government § 346G-12

(1) The required federal approvals specified in section 346G-7 are not granted or are revoked by the Centers for Medicare and Medicaid Services;

(2) The department reduces reimbursement rates for private hospital services provided to medicaid patients, with the intent to use the sustainability funds to supplant the planned or permanent reduction in reimbursement rates;

(3) The department or any other state agency uses the money in the hospital sustainability program special fund for any use other than the uses permitted by this chapter; or

(4) Federal financial participation to match the revenue from the hospital sustainability fee becomes unavailable under federal law; provided that the department shall terminate the imposition of the hospital sustainability fee beginning on the date the federal statutory, regulatory, or interpretive change takes effect.