thanks for posting her reply to me.  I hadn't seen it.  I highly appreciate her statement, "...I support a system that provides the most extensive health care for all at the lowest cost." 

 That is HR676 Medicare For All.  

One item in her statement needs clarifying:  the state of Hawaii doesn't need to approve congress's bill, so, Hawaii's need for an ERISA exemption is only relevant for a state passed bill.  If congress passes a bill, a state will not need to get federal approval in order to follow that law.

The ERISA exemption is relevant if we talk about the Hawaii Health Authority HRS 322, which is a law passed in 2009 which states that Hawaii will create Universal Health Care Plan. 

BTW, MFA would accomplish the goals of the pre paid health care act, which is coverage, but, it accomplishs the goal at a much, much, much lower cost.  the PPHC Act would need to be repealed, if HR676 is passed, because obviously health insurance would be separated from employment.