Allows the Governor to enter the State into the multistate Nurse Licensure Compact, which will allow a nurse who is licensed by a home state to practice under a multistate licensure privilege in each party state, effective 1/1/2027. Beginning 1/1/2027, allows the State Board of Nursing to charge different fees for registered nurses and licensed practical nurses who hold a multistate license issued by the State. Appropriates general revenues.

Establishes a wealth proceeds surcharge on high-income individuals, estates, and trusts. Applies to taxable years beginning after 12/31/2026.

Establishes the Office of Payment Monitoring within the Department of Commerce and Consumer Affairs to monitor and enforce prompt payment of clean claims for reimbursement from health or sickness insurers. Appropriates moneys.

Authorizes the Department of Land and Natural Resources to close all or portions of any marine life conservation district for various periods of time and to adopt rules for the regulation of commercial activity within a marine life conservation district.

Prohibits a financial risk-bearing entity from administering Medicaid services. Requires the Department of Human Services to contract with one or more administrative services organizations to perform non-risk administrative functions for the operation of the State's Medicaid program. Requires the Department to establish a Medicaid Care Coordination Program to contract with community-based programs to provide care coordination services. Requires physicians, other independent practitioners, hospitals, and other institutional providers to be paid or reimbursed directly by the State's medicaid agency. Requires the Department to establish regional health hubs in each county to serve as localized oversight bodies. Requires the Department to convene a Medicaid Stakeholder Advisory Group to support continuous improvement throughout the transition period. Requires reports to the Legislature. Appropriate funds.

Requires the Board of Education and collective bargaining units to calculate student-to-teacher ratios for class sizes according to a prescribed method to promote quality education and positive student-teacher interactions. Informs parents if changes to class sizes are needed.

Establishes a three-year homelessness sanctuary pilot program to be administered by the Coordinator on Homelessness on designated land for the pilot program, which shall serve as a safe location for unhoused women and young children, under the age of ten, to reside and access services. Requires the Coordinator on Homelessness and the Coordinator's partner agencies to provide certain facilities and services to the designated location. Requires reporting to the Legislature. Appropriates funds.

Appropriates funds for capital improvement projects in the thirty-seventh representative district.

Requires the display of outdoor advertising devices, including digital outdoor signage devices, to be allowed within the Waikiki Special District and requires the adoption of necessary county ordinances. Allows the display of outdoor advertising devices, including digital outdoor signage devices, within the Stadium Development District with the authorization of the Stadium Authority.

Amends sections 208 and 209(a) of the Hawaiian Homes Commission Act, 1920, to include nieces and nephews who are at least one-quarter Native Hawaiian as qualifying relatives of lessees for the purposes of lease transfer and lease successorship.

Limits the independent audit requirement to deposit beverage distributors who distribute 2,000,000 or more deposit beverage containers a year. Identifies frequency of obtaining and submitting independent audits based on quantities of deposit beverage containers imported, manufactured, or distributed. Creates minimum requirements for independent audits.

Prohibits a financial risk-bearing entity from administering Medicaid services. Requires the Department of Human Services to contract with one or more administrative services organizations to perform non-risk administrative functions for the operation of the State's Medicaid program. Requires the Department to establish a Medicaid Care Coordination Program to contract with community-based programs to provide care coordination services. Requires physicians, other independent practitioners, hospitals, and other institutional providers to be paid or reimbursed directly by the State's medicaid agency. Requires the Department to establish regional health hubs in each county to serve as localized oversight bodies. Requires the Department to convene a Medicaid Stakeholder Advisory Group to support continuous improvement throughout the transition period. Requires reports to the Legislature. Appropriate funds.

Part II: For taxable years beginning after 12/31/2025, establishes an Agroecological and Climate-Smart Farming Practices Tax Credit to be administered by the Department of Taxation. Part III: Establishes the Hawaii Farm to Families Program and requires the Department of Agriculture and Biosecurity to submit reports to the Legislature. Appropriates funds. Part IV: Requires the Department of Education to strengthen the State's farm to school meals program initiatives.

Clarifies the employment status of certain delivery drivers under state laws related to workers' compensation, wage and hour, temporary disability insurance, family leave, tax classification of business relationships, and unemployment insurance by establishing conditions under which delivery drivers are deemed employees of the business operating the delivery program.

Establishes the Ombudsman's Office for Homeowners Insurance within the Department of Commerce and Consumer Affairs. Establishes the Ombudsman's Office for Homeowners Insurance Special Fund. Appropriates funds.

In counties of fewer than 200,000 residents, but more than 100,000 residents, exempts the 3-day temporary liquor licenses for fundraising events, known as class 10 special licenses, from any requirement to obtain fire-related clearances. Allows applications for class 10 special licenses to be submitted electronically and for a single application to apply any fundraising event that spans multiple parcels of land owned by the same entity. Increases the percentage of fines assessed by all county liquor commissions that may be used to fund public liquor-related educational or enforcement programs.

Provides a path for expungement from the child abuse and neglect registry for survivors of human trafficking, sexual exploitation, domestic violence, or coercive abuse if certain conditions are met.

Protects the right of individuals to make autonomous decisions regarding medical interventions without discrimination, coercion, or exclusion by public or private entities. Requires the Department of Health to amend its rules. Requires a report to the Legislature.

Requires marriage and family therapists, mental health counselors, psychologists, and clinical social workers to complete courses related to domestic violence for licensure and renewals.

Appropriates moneys to the Office of Hawaiian Affairs to facilitate the hiring of necessary staff and the purchase of equipment and professional services on behalf of the public land trust working group. Effective 7/1/3000. (HD3)

Expands an individual's eligibility to receive assisted community treatment if they are a repeat petty offender.

Prohibits a home care agency or person with a financial interest in the home care agency from providing home care services to a client if the home care agency or person owns or leases the client's residence.

Defines public uses of public lands as uses by an agency either directly or through disposition, that support the agency's functions including but not limited to the uses described in section 171-10, HRS.

Requires and appropriates funds for the Hawaii Emergency Management Agency to establish a Central Oahu Care Home Community Resilience Pilot Program to assist eligible care home facilities to implement structural and operational resilience improvements. Requires a report to the Legislature.

Allows the Governor to enter the State into the multistate Nurse Licensure Compact, which will allow a nurse who is licensed by a home state to practice under a multistate licensure privilege in each party state, effective 1/1/2027. Beginning 1/1/2027, allows the State Board of Nursing to charge different fees for registered nurses and licensed practical nurses who hold a multistate license issued by the State. Appropriates general revenues.

Establishes a wealth proceeds surcharge on high-income individuals, estates, and trusts. Applies to taxable years beginning after 12/31/2026.

Establishes the Office of Payment Monitoring within the Department of Commerce and Consumer Affairs to monitor and enforce prompt payment of clean claims for reimbursement from health or sickness insurers. Appropriates moneys.

Authorizes the Department of Land and Natural Resources to close all or portions of any marine life conservation district for various periods of time and to adopt rules for the regulation of commercial activity within a marine life conservation district.

Prohibits a financial risk-bearing entity from administering Medicaid services. Requires the Department of Human Services to contract with one or more administrative services organizations to perform non-risk administrative functions for the operation of the State's Medicaid program. Requires the Department to establish a Medicaid Care Coordination Program to contract with community-based programs to provide care coordination services. Requires physicians, other independent practitioners, hospitals, and other institutional providers to be paid or reimbursed directly by the State's medicaid agency. Requires the Department to establish regional health hubs in each county to serve as localized oversight bodies. Requires the Department to convene a Medicaid Stakeholder Advisory Group to support continuous improvement throughout the transition period. Requires reports to the Legislature. Appropriate funds.

Requires the Board of Education and collective bargaining units to calculate student-to-teacher ratios for class sizes according to a prescribed method to promote quality education and positive student-teacher interactions. Informs parents if changes to class sizes are needed.

Establishes a three-year homelessness sanctuary pilot program to be administered by the Coordinator on Homelessness on designated land for the pilot program, which shall serve as a safe location for unhoused women and young children, under the age of ten, to reside and access services. Requires the Coordinator on Homelessness and the Coordinator's partner agencies to provide certain facilities and services to the designated location. Requires reporting to the Legislature. Appropriates funds.

Appropriates funds for capital improvement projects in the thirty-seventh representative district.

Requires the display of outdoor advertising devices, including digital outdoor signage devices, to be allowed within the Waikiki Special District and requires the adoption of necessary county ordinances. Allows the display of outdoor advertising devices, including digital outdoor signage devices, within the Stadium Development District with the authorization of the Stadium Authority.

Amends sections 208 and 209(a) of the Hawaiian Homes Commission Act, 1920, to include nieces and nephews who are at least one-quarter Native Hawaiian as qualifying relatives of lessees for the purposes of lease transfer and lease successorship.

Limits the independent audit requirement to deposit beverage distributors who distribute 2,000,000 or more deposit beverage containers a year. Identifies frequency of obtaining and submitting independent audits based on quantities of deposit beverage containers imported, manufactured, or distributed. Creates minimum requirements for independent audits.

Prohibits a financial risk-bearing entity from administering Medicaid services. Requires the Department of Human Services to contract with one or more administrative services organizations to perform non-risk administrative functions for the operation of the State's Medicaid program. Requires the Department to establish a Medicaid Care Coordination Program to contract with community-based programs to provide care coordination services. Requires physicians, other independent practitioners, hospitals, and other institutional providers to be paid or reimbursed directly by the State's medicaid agency. Requires the Department to establish regional health hubs in each county to serve as localized oversight bodies. Requires the Department to convene a Medicaid Stakeholder Advisory Group to support continuous improvement throughout the transition period. Requires reports to the Legislature. Appropriate funds.

Part II: For taxable years beginning after 12/31/2025, establishes an Agroecological and Climate-Smart Farming Practices Tax Credit to be administered by the Department of Taxation. Part III: Establishes the Hawaii Farm to Families Program and requires the Department of Agriculture and Biosecurity to submit reports to the Legislature. Appropriates funds. Part IV: Requires the Department of Education to strengthen the State's farm to school meals program initiatives.

Clarifies the employment status of certain delivery drivers under state laws related to workers' compensation, wage and hour, temporary disability insurance, family leave, tax classification of business relationships, and unemployment insurance by establishing conditions under which delivery drivers are deemed employees of the business operating the delivery program.

Establishes the Ombudsman's Office for Homeowners Insurance within the Department of Commerce and Consumer Affairs. Establishes the Ombudsman's Office for Homeowners Insurance Special Fund. Appropriates funds.

In counties of fewer than 200,000 residents, but more than 100,000 residents, exempts the 3-day temporary liquor licenses for fundraising events, known as class 10 special licenses, from any requirement to obtain fire-related clearances. Allows applications for class 10 special licenses to be submitted electronically and for a single application to apply any fundraising event that spans multiple parcels of land owned by the same entity. Increases the percentage of fines assessed by all county liquor commissions that may be used to fund public liquor-related educational or enforcement programs.

Provides a path for expungement from the child abuse and neglect registry for survivors of human trafficking, sexual exploitation, domestic violence, or coercive abuse if certain conditions are met.

Protects the right of individuals to make autonomous decisions regarding medical interventions without discrimination, coercion, or exclusion by public or private entities. Requires the Department of Health to amend its rules. Requires a report to the Legislature.

Requires marriage and family therapists, mental health counselors, psychologists, and clinical social workers to complete courses related to domestic violence for licensure and renewals.

Appropriates moneys to the Office of Hawaiian Affairs to facilitate the hiring of necessary staff and the purchase of equipment and professional services on behalf of the public land trust working group. Effective 7/1/3000. (HD3)

Expands an individual's eligibility to receive assisted community treatment if they are a repeat petty offender.

Prohibits a home care agency or person with a financial interest in the home care agency from providing home care services to a client if the home care agency or person owns or leases the client's residence.

Defines public uses of public lands as uses by an agency either directly or through disposition, that support the agency's functions including but not limited to the uses described in section 171-10, HRS.

Requires and appropriates funds for the Hawaii Emergency Management Agency to establish a Central Oahu Care Home Community Resilience Pilot Program to assist eligible care home facilities to implement structural and operational resilience improvements. Requires a report to the Legislature.