Requires the Department of Land and Natural Resources, by 7/1/2028, to establish the Hawaii Coastal Resilience Acquisition and Leaseback Program. Establishes the Coastal Resilience Revolving Fund. Clarifies the calculation of acquisition price for coastal properties, the conditions of leasebacks, and the limitation to liability assumed by the Department of Land and Natural Resources under the Hawaii Coastal Resilience Acquisition and Leaseback Program.

Amends the offense of promoting a controlled substance in, on, or near schools, school vehicles, public parks, or public housing projects or complexes to include homeless facilities. Effective 7/1/3000. (HD1)

Requires the driver of a vehicle to stop for a pedestrian who is crossing the roadway within a crosswalk and not to proceed until the pedestrian has completely exited the crosswalk and the driver can safely proceed. Effective 7/1/3000. (HD1)

Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. Effective 7/1/3000. (HD1)

Authorizes deaf motor vehicle owners to register their vehicle as being owned by a deaf individual so that a deafness designation appears when a law enforcement officer accesses the motor vehicle's information. Effective 7/1/3000. (HD1)

Clarifies that public charter school teachers are eligible for incentives under the Teacher National Board Certification Incentive Program.

Includes correctional workers as protected participants in peer support counseling sessions, giving them the same confidentiality protections provided to law enforcement officers and emergency services personnel.

Requires health care providers using artificial intelligence (AI) in patient interactions to disclose to the patient that the patient is interacting with artificial intelligence. Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements to the patient; maintain a qualified AI oversight personnel who shall be a natural person that reviews, evaluates, and validates or overrides AI outputs; monitor and conduct regular performance evaluations of their AI systems; implement procedures to address identified deficiencies; and maintain certain records. Requires the Department of Health to adopt rules. Implementation effective 7/1/2028. Effective 1/30/2050. (SD1)

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

Requires hotelkeepers to supply and provide annual training on the proper use and limitations of a panic button to certain workers no later than 1/1/2027. Effective 1/1/2077. (SD1)

Amends repeat offender sentencing provisions to allow sentencing courts, under certain circumstances, to sentence defendants in class C felony cases to probation with appropriate terms and conditions. Effective 7/1/2050. (SD1)

Requires and appropriates funds for the Department of Human Resources Development to offer fully subsidized public transit passes for state employees. Effective 1/1/2077. (SD1)

Requires each county Director of Finance to notify all applicable state and local agencies upon receipt of official notification of a vehicle transfer from a transferor. Requires each county Director of Finance to establish a centralized notification system to applicable agencies for every vehicle transfer by 7/1/2027. Effective 7/1/3000. (HD1)

Appropriates funds to the Department of Hawaiian Home Lands for certain geothermal resource exploration and development activities and the hiring of consultants. Requires the Department of Hawaiian Home Lands to engage in consultation with beneficiaries of Hawaiian home lands regarding activities funded and to comply with the environmental impact statements law. Effective 7/1/3000. (HD2)

Amends section 353-64, HRS, to include participation in correctional programs for parole eligibility: (1) treatment (substance abuse, mental health, sex offender); (2) work furlough as part of vocational education; and (3) other programs designed to assist the committed person with successful reintegration back into the community; all of which are in the scope of programs determined by Department of Corrections and Rehabilitation's Receiving and Diagnostic (RAD) assessments and recommended for parole eligibility. Effective 7/1/2050. (SD1)

Clarifies driver's obligations at crosswalks. Requires drivers to stop and remain stopped for pedestrians in crosswalks. Strengthens penalties for traffic violations, particularly in school zones. Creates additional criminal penalties when pedestrians suffer bodily injury. Provides heightened protections for blind and visually impaired pedestrians. Effective 7/1/3000. (HD1)

Establishes the preventive maintenance special fund under the Department of Education to be used exclusively for preventive maintenance of public school facilities. Requires an annual report to the Legislature. Appropriates moneys.

Requires the Board of Regents to expend funds appropriated to renew, improve, or modernize existing University of Hawaii facilities for only those purposes and not for current, ongoing, or anticipated capital improvement projects. Requires annual reports to the Legislature. (SD1)

Establishes the Hanai Memory Network Program within the Executive Office on Aging to create a network of dementia care specialists and support systems to assist individuals with dementia and their caregivers. Appropriates funds. (SD1)

Requires the Department of Human Services to provide Medicaid prescription drug program recipients with coverage of glucagon-like peptide-1 (GLP-1) drugs for weight loss. Appropriates funds. (HD1)

Clarifies an administrative driver's license revocation takes automatic effect thirty days after a Notice of Administrative Revocation that the revocation remains in effect until the Administrative Driver's License Revocation Office affirms or rescinds the administrative revocation. Clarifies review timelines for the administrative review and hearing processes. (SD1)

Establishes a five-year pilot program allowing retirants to be rehired for exempt service for one-year terms under certain circumstances. Provides that retirants employed under the program are excluded from the Hawaii Employer-Union Health Benefits Trust Fund and will not experience an interruption of pension benefits. Requires an employer of a retirant under the program to contribute to the Employees' Retirement System. Requires the Department of Human Resources Development to submit a report to the Legislature. Sunsets 6/30/2031. Effective 1/1/2077. (SD1)

Requires the Department of Human Services, in collaboration with the Office of Wellness and Resilience, to design a 4-year Child Welfare System Diversion and Intervention Pilot Program to support families and children involved or at risk of involvement or reinvolvement with child welfare services. Specifies that the Department of Human Services shall implement and administer the pilot program. Allows the Department to contract with public and private entities to provide necessary services. Requires a report to the Legislature. Appropriates moneys.

Establishes a temporary Parkinson's Patient Air Transport Feasibility Committee to examine recommendations for improving access to movement disorder care for neighbor island residents, including the feasibility of a state-administered air transport assistance fund. Requires a report to the Legislature. Appropriates funds. Effective 7/1/3000. (HD1)

Requires the Department of Land and Natural Resources, by 7/1/2028, to establish the Hawaii Coastal Resilience Acquisition and Leaseback Program. Establishes the Coastal Resilience Revolving Fund. Clarifies the calculation of acquisition price for coastal properties, the conditions of leasebacks, and the limitation to liability assumed by the Department of Land and Natural Resources under the Hawaii Coastal Resilience Acquisition and Leaseback Program.

Amends the offense of promoting a controlled substance in, on, or near schools, school vehicles, public parks, or public housing projects or complexes to include homeless facilities. Effective 7/1/3000. (HD1)

Requires the driver of a vehicle to stop for a pedestrian who is crossing the roadway within a crosswalk and not to proceed until the pedestrian has completely exited the crosswalk and the driver can safely proceed. Effective 7/1/3000. (HD1)

Establishes the Statewide Air Medical Services Program within the Department of Health, Emergency Medical Services and Injury Prevention Systems Branch to coordinate and strengthen air medical services. Establishes an air medical director, an air medical program manager, and an air medical coordinator. Specifies that annual licensure and accreditation fees are to be deposited into the Emergency Medical Services Special Fund for costs of the program. Effective 7/1/3000. (HD1)

Authorizes deaf motor vehicle owners to register their vehicle as being owned by a deaf individual so that a deafness designation appears when a law enforcement officer accesses the motor vehicle's information. Effective 7/1/3000. (HD1)

Clarifies that public charter school teachers are eligible for incentives under the Teacher National Board Certification Incentive Program.

Includes correctional workers as protected participants in peer support counseling sessions, giving them the same confidentiality protections provided to law enforcement officers and emergency services personnel.

Requires health care providers using artificial intelligence (AI) in patient interactions to disclose to the patient that the patient is interacting with artificial intelligence. Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements to the patient; maintain a qualified AI oversight personnel who shall be a natural person that reviews, evaluates, and validates or overrides AI outputs; monitor and conduct regular performance evaluations of their AI systems; implement procedures to address identified deficiencies; and maintain certain records. Requires the Department of Health to adopt rules. Implementation effective 7/1/2028. Effective 1/30/2050. (SD1)

Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.

Requires hotelkeepers to supply and provide annual training on the proper use and limitations of a panic button to certain workers no later than 1/1/2027. Effective 1/1/2077. (SD1)

Amends repeat offender sentencing provisions to allow sentencing courts, under certain circumstances, to sentence defendants in class C felony cases to probation with appropriate terms and conditions. Effective 7/1/2050. (SD1)

Requires and appropriates funds for the Department of Human Resources Development to offer fully subsidized public transit passes for state employees. Effective 1/1/2077. (SD1)

Requires each county Director of Finance to notify all applicable state and local agencies upon receipt of official notification of a vehicle transfer from a transferor. Requires each county Director of Finance to establish a centralized notification system to applicable agencies for every vehicle transfer by 7/1/2027. Effective 7/1/3000. (HD1)

Appropriates funds to the Department of Hawaiian Home Lands for certain geothermal resource exploration and development activities and the hiring of consultants. Requires the Department of Hawaiian Home Lands to engage in consultation with beneficiaries of Hawaiian home lands regarding activities funded and to comply with the environmental impact statements law. Effective 7/1/3000. (HD2)

Amends section 353-64, HRS, to include participation in correctional programs for parole eligibility: (1) treatment (substance abuse, mental health, sex offender); (2) work furlough as part of vocational education; and (3) other programs designed to assist the committed person with successful reintegration back into the community; all of which are in the scope of programs determined by Department of Corrections and Rehabilitation's Receiving and Diagnostic (RAD) assessments and recommended for parole eligibility. Effective 7/1/2050. (SD1)

Clarifies driver's obligations at crosswalks. Requires drivers to stop and remain stopped for pedestrians in crosswalks. Strengthens penalties for traffic violations, particularly in school zones. Creates additional criminal penalties when pedestrians suffer bodily injury. Provides heightened protections for blind and visually impaired pedestrians. Effective 7/1/3000. (HD1)

Establishes the preventive maintenance special fund under the Department of Education to be used exclusively for preventive maintenance of public school facilities. Requires an annual report to the Legislature. Appropriates moneys.

Requires the Board of Regents to expend funds appropriated to renew, improve, or modernize existing University of Hawaii facilities for only those purposes and not for current, ongoing, or anticipated capital improvement projects. Requires annual reports to the Legislature. (SD1)

Establishes the Hanai Memory Network Program within the Executive Office on Aging to create a network of dementia care specialists and support systems to assist individuals with dementia and their caregivers. Appropriates funds. (SD1)

Requires the Department of Human Services to provide Medicaid prescription drug program recipients with coverage of glucagon-like peptide-1 (GLP-1) drugs for weight loss. Appropriates funds. (HD1)

Clarifies an administrative driver's license revocation takes automatic effect thirty days after a Notice of Administrative Revocation that the revocation remains in effect until the Administrative Driver's License Revocation Office affirms or rescinds the administrative revocation. Clarifies review timelines for the administrative review and hearing processes. (SD1)

Establishes a five-year pilot program allowing retirants to be rehired for exempt service for one-year terms under certain circumstances. Provides that retirants employed under the program are excluded from the Hawaii Employer-Union Health Benefits Trust Fund and will not experience an interruption of pension benefits. Requires an employer of a retirant under the program to contribute to the Employees' Retirement System. Requires the Department of Human Resources Development to submit a report to the Legislature. Sunsets 6/30/2031. Effective 1/1/2077. (SD1)

Requires the Department of Human Services, in collaboration with the Office of Wellness and Resilience, to design a 4-year Child Welfare System Diversion and Intervention Pilot Program to support families and children involved or at risk of involvement or reinvolvement with child welfare services. Specifies that the Department of Human Services shall implement and administer the pilot program. Allows the Department to contract with public and private entities to provide necessary services. Requires a report to the Legislature. Appropriates moneys.

Establishes a temporary Parkinson's Patient Air Transport Feasibility Committee to examine recommendations for improving access to movement disorder care for neighbor island residents, including the feasibility of a state-administered air transport assistance fund. Requires a report to the Legislature. Appropriates funds. Effective 7/1/3000. (HD1)