RELATING TO MEDICAL DEBT.

Changed the office's authority from 'may' develop the program to 'shall' develop and administer it, making the program mandatory rather than optional.

Changed the language from 'forgive' to 'satisfy or discharge,' allowing the program to pursue payment plans or settlements instead of only cancelling debt.

Added a requirement for the office to submit an annual analysis of actions taken by other states regarding medical debt cancellation.

Added a specific requirement to begin with the medical debt of 50,016 Hawaii residents that has already been acquired by a medical debt collection and cancellation organization.

Removed specific eligibility criteria based on household income percentages and adjusted gross income limits.

Removed the requirement that state funds must be matched dollar-for-dollar by private sources.

Updated the effective date from July 1, 3000, to January 30, 2050.

Changed the program from mandatory to discretionary, allowing the office to decide whether to develop and administer the debt acquisition and forgiveness program.

Deleted the requirement that the program must be developed through standard state procurement chapters.

Added authority for the office to partner with entities that have proven success in acquiring and forgiving medical debt on behalf of governments.

Removed the rule that debt must be deemed fully forgiven after paying only 0.10 percent of the total debt.

Changed the forgiveness condition to require negotiation to ensure the best possible value for the State.

Clarified that the appropriation will not lapse at the end of the fiscal biennium if funds remain unencumbered.

Updated document metadata, including author names, dates, and formatting codes.

Added a requirement that state appropriated funds must be matched on a dollar-for-dollar basis by private funds before any expenditure can occur.

Changed the effective date of the Act from January 30, 2050, to July 1, 3000.

Replaced the requirement for annual reports with a specific mandate to submit a report to the legislature no later than twenty days prior to the convening of the regular session of 2027.

Added a confidentiality clause stating that collected personal information cannot be disclosed under Chapter 92F without individual consent.

Updated the bill header and section numbers to reflect the progression from House Draft 1 to House Draft 2.

Changed the office's authority from 'may' develop a program to 'shall' develop, implement, and administer a specific program.

Added a requirement to contract with an entity currently holding the medical debt of the 50,016 residents.

Added a requirement for the office to submit annual reports including an analysis of other states' medical debt cancellation actions.

Changed the effective date from July 1, 2026, to January 30, 2050.

Removed the specific $500,000 appropriation amount, leaving the sum blank for future legislation.

Changed the office's obligation to develop and administer the program from mandatory ('shall') to discretionary ('may'), with the added condition that it is subject to the availability of program funds.

Added a new requirement that any debt acquisition must be negotiated to ensure the best possible value for the State.

Clarified that the program targets residents of the State whose debt is identified as available for acquisition, rather than starting specifically with the 50,016 residents whose debt was already acquired by a third party.

Updated the legislative reporting deadline from a recurring 'each regular session' to a specific date: no later than twenty days prior to the convening of the regular session of 2027.

Modified the appropriation language to include a proviso that unencumbered funds as of June 30, 2028, shall lapse, preventing indefinite carryover of the appropriation.

Changed the bill title from 'SB3025' to 'SB3025 CD1' and updated metadata to reflect the Committee on Finance and Appropriations (CD) version.