Through the CHOICES Learning Collaborative Partnership, partners at the Hawaii Department of Health worked with the CHOICES Project Team to model the potential implementation of a Hawaii state fee on sugary drinks. Fees of $0.03/ounce, $0.02/ounce, and $0.01/ounce were considered. The fee is projected to be cost-saving and result in lower levels of sugary drink consumption and less household spending on sugary drinks. It is projected that a fee will prevent thousands of cases of childhood and adult obesity, prevent new cases of diabetes, increase healthy life years, and save more in future health care costs than it costs to implement. Native Hawaiian, Other Pacific Islander, and Filipino Hawaii residents are projected to see the greatest health benefit from a fee.