Sen. Sharon Moriwaki

Maddy summarySB 1138 requires health insurance companies to adjust their approval process for medical treatments to match Medicare's established standards. This directly affects health plan insurers by mandating they adopt Medicare's prior authorization rules, such as standardized review timelines and criteria. The key mechanism is aligning insurer procedures with Medicare’s existing framework, reducing inconsistencies in treatment approvals. This policy change aims to simplify access to care for patients covered by these insurers, though it does not alter Medicare itself.

Exempts housing developments that have obtained financing commitments from the State from the requirement to obtain approval from the applicable county council. (SD1)

Authorizes the Department of Health to allow any county to implement a Gray Water Recycling Program that permits certain small farms of less than ten square acres in size the ability to use gray water for the purposes of irrigation. (SD1)

Expands the ban on pistols with a detachable magazine with over a ten-round capacity to any firearm with a detachable magazine with over a thirty-round capacity. Exempts detachable ammunition magazines with a capacity in excess of thirty rounds that are designed for or capable of use with any firearm other than a pistol obtained before 1/1/2026. Effective 1/1/2026. (SD2)

Creates a statutory right of victims and witnesses of sexual offenses under part V of chapter 707, Hawaii Revised Statutes, to a speedy trial in criminal cases involving adult defendants. Requires the court and the prosecution to take appropriate action to ensure a prompt trial to minimize the length of time a child abuse victim or minor witness must endure the stress of the proceedings.

Permits the Department of Labor and Industrial Relations to enter into contracts with eligible employers or registered apprenticeship programs in the private sector to provide on-the-job training to eligible interns. Provides that the State shall be the responsible employer for purposes of workers' compensation coverage for students or recent graduates in the on-the-job-training work experience program, subject to certain limitations. Appropriates funds. Effective 7/1/3000. (HD1)

Prohibits a landlord from rejecting a rental application solely due to an applicant's inability to provide a recent paycheck. Authorizes the landlord to require the applicant to provide evidence dated within ninety days of the application demonstrating the applicant has sufficient unearned income or liquid assets to cover the rental costs. Effective 7/1/2050. (HD1)

Beginning 1/1/2026, requires insurers to notify policyholders of rate changes at least 30 days before the effective date of the rate change. Effective 7/1/2050. (SD1)

Requires the court to impose a mandatory fine per violation for nuisance abatement laws related to gambling offenses. Allows citizens who bring civil nuisance abatement suits against places used for illegal gambling the same rights and protections as those afforded to victims and witnesses in criminal proceedings.

Requires the Public Utilities Commission to establish a streamlined grid-ready homes interconnection process, including vehicle-to-grid compliance requirements, by 1/1/2026. Authorizes the use of the Hawaii electricity reliability surcharge for cost recovery of certain expenses of the Hawaii Electricity Reliability Administrator associated with the grid-ready homes interconnection process. Requires a report to the PUC on the grid-ready homes interconnection process. Effective 1/1/2050. (SD1)