Sen. Karl Rhoads

Establishes a Health Care for All Hawaii Board to design and recommend the Health Care for All Hawaii plan that is publicly funded and available to every resident of the State. Establishes values and principles for the board in developing its plan, designates the scope of the plan, requires the board to establish an advisory committee to provide consumer perspective input, and requires the board to submit the plan to the Legislature. Appropriates funds. Repeals 6/30/2027.

Amends the minimum monthly guaranteed compensation an individual must earn to be exempt from certain wage and hour requirements. Requires the minimum wage to increase to $18.00 per hour beginning 1/1/2027, instead of 1/1/2028. Increases the minimum wage on 1/1/2028, 1/1/2029, and 1/1/2030. Prohibits tipped employees from being paid less than the minimum wage.

Requires municipal solid waste combustor ash to be disposed of only in a double-lined landfill, except for in Waimanalo Gulch Sanitary Landfill cells constructed and in use by 12/31/2025. Beginning 12/31/2026, prohibits the reuse of municipal solid waste incinerator ash for use as daily landfill cover material, roadbuilding, fill, or construction material.

Proposes amendments to the Constitution of the State of Hawaii to expressly provide that the Legislature may authorize, by general law, political subdivisions, such as counties, to issue tax increment bonds and to exclude tax increment bonds in calculating the debt limit of the political subdivisions.

Conforms county debt limit statements law to permit counties to exclude tax increment bonds from the debt limit of the counties if a constitutional amendment authorizing the use of tax increment bonds and excluding tax increment bonds from determinations of the counties' funded debt is ratified.

Clarifies that the value of property or services is a grading factor for theft offenses that does not require proof of a culpable mental state. Increases theft threshold amounts.

Appropriates funds for the University of Hawaii at Manoa John A. Burns School of Medicine to purchase, or to contract with a third party or third parties in the private sector to purchase and operate, a single-room proton therapy system; provided that the system shall be available to all residents of the State.

Establishes a state oversight framework for material health care mergers, acquisitions, and other consolidation transactions. Requires advance notice and public interest review by the State Health Planning and Development Agency. Requires legislative approval, by concurrent resolution, of certain vertically integrated health care transactions that meet specified market share and pricing impact thresholds.

Maddy summarySB 3212 prohibits the use of detachable ammunition magazines holding more than 50 rounds with most firearms, excluding pistols. This law directly affects gun owners using rifles or shotguns that typically use larger-capacity magazines. The key provision sets a 50-round limit on detachable magazines, with specific exceptions noted in the bill. The bill is currently in committee referral after passing its first reading.

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.